Question: Unhappy HMO patients. How likely are patients who file complaints with a health maintenance organization (HMO) to leave the HMO? In one year, 639 of the more than 400,000 members of a large New England HMO filed complaints. Fifty-four of the complainers left the HMO voluntarily. (That is, they were not forced to leave by a move or a job change.) Consider this year's complainers as an SRS of all patients who will complain in the future. Give a 90% confidence interval for the proportion of complainers who voluntarily leave the HMO.