Historically, managed care organizations were regulated by the states; however, they have increasingly become managed by both states and the overreaching arms of the federal government with multiple federal regulations. Much debate exists over whether such dual regulatory control produces true regulation that is not only workable for the managed care organizations but also that it offers value to the healthcare consumers in terms of quality and affordability. Discuss what you would consider as "best for the consumers" in light of the overwhelming number of regulatory mandates and agencies involved in providing health care to our citizens.