ðæt ɐpɹˈoʊtʃ sədʒˈɛsts pˈɑːlɪsˌɪmeɪkɚz ɑːɹ ɐtˈɛmptɪŋ tʊ ɐvˈɔɪd pɹəvˈoʊkɪŋ pˈʌblɪk ˈaʊtkɹaɪ, æz hˈæpənd wɪð mˈænɪdʒd kˈɛɹ ɪnðə nˈaɪntiːnhˈʌndɹɪd nˈaɪnti z baɪ ɡˈɪvɪŋ pɹəvˈaɪdɚz ɪnsˈɛntɪvz tə ɡˈɪv lˈɛs kˈɛɹ.
That approach suggests policymakers are attempting to avoid provoking public outcry, as happened with managed care in the 1990s by giving providers incentives to give less care.