Healthy Markets?

by Peterson, Mark A.; Rice, Thomas (CON); Evans, Robert G. (CON); Pauly, Mark V. (CON)

• ISBN13: 9780822321385
• ISBN10: 0822321386
• Format: Paperback
• Copyright: 1998-12-01
• Publisher: Duke Univ Pr

Summary

When federal and state policy makersrs" efforts to enact sweeping health care reform in the mid-1990s ended in stalemate, the private sector unleashed initiatives that have affected virtually every aspect of health care. With updated essays first published in issues of theJournal of Health Politics, Policy and Law,Healthy Markets?offers the most comprehensive and critical examination yet found in a single volume of the economic, political, and social implications of this recent market transformation of health care in the United States. With original contributions from leading social science health policy analysts, this volume addresses the full context of health system change. Believing that the analysis of health care change is too important to be left to economists alone, Mark A. Peterson has collected a mulitdisciplinary group of experts who revisit the contentious debate over the market approaches to health care and consider the disparate effects of these approaches on cost, quality, and coverage of both managed care and Medicaid and Medicare. While market enthusiasts applaud the enhanced efficiency, reduced excess capacity, and abatement of the decades-long health care cost explosion, a backlash has emerged among many providers and the public against the perceived excesses of the market: diminished access to care, commercialization of the physician-patient relationship, and exacerbated inequality. Contributors assess these varied responses while examining the impact that market-based applications are likely to have for future health policy making, the significance of the U.S. experience for policy makers abroad, and the lessons that these changes might provide for thinking sensibly about the future of our health care system. This volume will be useful for public policy analysts, economists, social scientists, health care providers and administrators, and others interested in the future-and in understanding the past-of American health care.Contributors. Gary S. Belkin, Lawrence D. Brown, Robert G. Evans, Martin Gaynor, Paul B. Ginsburg, Marsha Gold, Theodore R. Marmor, Cathie Jo Martin, Jonathan B. Oberlander, Mark V. Pauly, Mark A. Peterson, Thomas Rice, Deborah A. Stone, William B. Vogt, Kenneth E. Thorpe

Table of Contents

Introduction: Health Care into the Next Century

The Market Model

Can Markets Give Us the Health System We Want?

Going for the Gold: The Redistributive Agenda behind Market-Based Health Care Reform

Commentary. Who Was That Straw Man Anyway? A Comment on Evans and Rice

Commentary. What Does Economics Have to Say about Health Policy Anyway? A Comment and Correction on Evans and Rice

Response. A Reply to Gaynor and Vogt, and Pauly

Response. Coarse Correction—And Way off Target

A Technocratic Wish: Making Sense and Finding Power in the "Managed" Medical Marketplace

The Doctor as Businessman: The Changing Politics of a Cultural Icon

The Market in Practice

The Dynamics of Market-Level Change

The Health System in Transition: Care, Cost, and Coverage

Markets, Medicare, and Making Do: Business Strategies after National Health Care Reform

Managed Care and Medicare Reform

Markets and Medicaid: Insights from Oregon and Tennessee

Reflections on the Road Ahead

The Limits of Social Learning: Translating Analysis into Action

Expectionalism as the Rule? U.S. Health Policy Innovation and Cross-National Learning

Forecasting American Health Care: How We Got Here and Where We Might Be Going

Bibliography

Contributors

Index

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