KB+Memo+-+Hegemonic+Backdrop


 * many assume nonprofit organizations positively impact local communities
 * studies show distribution of organization varies in different communities
 * nonprofit density strongly related to awareness of sector, which is strongly related to confidence in nonprofit performance


 * federal health care reform debates – concerns that health plans are too heavily concentrated in some markets
 * concerns about consolidation of health care providers


 * health system performance factors are associated with trust in government
 * trust in government associated with higher technical quality of health services, more responsive service delivery, fair treatment, better health outcomes, and financial risk protection
 * low-income and fragile states tend to be associated with weaker health systems and governments


 * most Americans believe ownership matters for multiple aspects of medical care
 * most Americans expect nonprofit hospitals and health plans to be more trustworthy, fair, and humane
 * those who are better informed about ownership have more positive expectations about nonprofits’ performance