[Managed care and the under-privileged in the United States]

It has been said that "vulnerable populations" (elderly people, chronic patients,...) were largely affected by the Managed Care. The following article shed a light on the quality of care delivered to Medicaid patients under Managed Care. After a short description of the US Managed care experience, the specificities and difficulties (quality, adverse selection, non-compliance...) of Medicaid patients under capitation plans will be described.