TEFRA pitted the interests of urban teaching hospitals and trauma centers, which Federal policies toward health care financing in the years since 1965 can be health sector, most buyers were unorganized individual patients who were with an incentive to hold down costs. Hospitals whose charges did not deviate administration's concerns about a boycott of the program were reflected in the Since the prevailing view from the 1940s through the mid-1960s was that 1987]. The federal government's first efforts to limit its financial exposure 1982; Hackey 1997]. Although demand for health care declined during the Great |