<prompt> Translate the following text to EnglishMiaka michache tu iliyopita - mitatu kwa usahihi - utunzaji uliodhibitiwa ulikuwa dawa ya marekebisho ya kiliberali kwa mfumo wa huduma ya afya uliosisitizwa kupita kiasi.  <response>: Only a few years ago--three to be exact--managed care was the prescription of liberal reformers for an over-stressed health care system. 