The Twin Cities' Medical Marketplace

In an era when federal and state policies increasingly dictate the direction of change in medical-care delivery and payment, the Twin Cities of Minnesota stand out as a metropolitan area where private-sector interests have been the leading architects of a redesigned health-care landscape. Driven by the philosophical conviction that resources can be better allocated through adherence to market principles than through government regulation and by a strong practical instinct to survive, the health-care providers and insurers of Minneapolis–St. Paul are locked in a competitive struggle for patients. The competition is taking place in an area that has more doctors and . . .