Discussion Questions: What evidence can you find that report cards have improved quality? By what mechanisms could cards improve reported market outcomes? Does the scarcity of scientific evidence on the effectiveness of report cards matter? Could publication of performance data be advantageous to hospitals or physicians? How do report cards address information asymmetries? Would reducing information asymmetries guarantee better markets? Does it matter whether report cards are produced by governments or private organizations? . Why are a few patient switches enough to influence market and outcomes