RT Journal A1 Gordon PR, Senf J, Campos-Outcalt D T1 IS the annual complete physical examination necessary? JF Archives of Internal Medicine JO Archives of Internal Medicine YR 1999 FD May 10 VO 159 IS 9 SP 909 OP 910 DO 10.1001/archinte.159.9.909 UL http://dx.doi.org/10.1001/archinte.159.9.909 AB Cost escalation in health care is well documented. The last decade has seen a rise in managed care as an answer to this problem. Managed care organizations (MCOs) have promised care at reduced cost. However, based on the above scenario, it appears they may be promoting care that is sound from a business perspective (also called marketing), at the expense of that which is also scientifically sound based on the medical literature.