For better or worse, for-profit social-service providers—in mental health, welfare, and medical care—are driving fundamental change in an industry previously driven largely by humanitarian concerns. For-profit managers claim a bottom line of better services for more people through for-profit/not-for-profit partnerships that employ economies of scale and money-saving new technology. Not-for-profit providers worry about technology, standards, and economics diminishing the hands-on care that keeps clients from failing or falling through bureaucratic cracks.