“Q and A on Health Care Co-ops”. MSNBC. August 17, 2009: “Q. What is the history of health care co-ops in America?[…] A: Very uneven. Many have failed over the decades because they were unable to compete effectively or because tensions between doctors and consumer-oriented governing boards could not be resolved.” In general, this highlights the fact that a non-profit health insurance co-op will likely not compensate doctors very well, and this can lead to decreases in incentives, performance, and quality among doctors.