How U.S. Health Policy Embraced Markets and Helped Wall Street Gentrify Medicine
Bibliographic Data
| ID | 12178652 |
|---|---|
| Authors | Barbara Bridgman Perkins (corresponding author) |
| Year | 2022 |
| Volume | 34 |
| Issue | 4 |
| Pages | 587-618 |
| Publication date | 2022-09-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Journal of Policy History (JOURNAL) |
| Journal identifiers | ISSN: 0898-0306 • E-ISSN: 1528-4190 |
| Publisher | Cambridge University Press (CUP) (PUBLISHER) |
| DOI | 10.1017/s0898030622000215 |
| OpenAlex | W4294308228 |
| Language | EN |
| Citations received | 1 |
| References cited | 44 |
This article examines the financial industry’s critical role in retargeting U.S. health policy goals of improving peoples’ health in the 1960s to those of expanding institutional wealth in the 1970s. Government collaborated with finance to support not-for-profit hospitals’ use of debt to build services that augmented capital and operated like for-profit businesses. Certificate of Need, hospital rate review, and national health planning programs came to assess hospital performance in terms of capital formation, returns on investment, and bond ratings. The regulatory programs helped gentrify medicine by reinforcing selective investment in lucrative, high-tech services that market specialty procedures to affluent populations in place of disease control, primary care, and general acute care for all. Their actions laid the groundwork for the 1980s finance industry coup, which employed market ideology to dominate health policy at the expense of equality, effectiveness, and public health governance
Business · Corporate governance · Debt · Economic growth · Economics · Health care · Investment (military · Political science · Politics · Historical Psychiatry and Medical Practices · Public Administration · Finance · Health Policy
Fluctuating fortunes
Fragile by Design
A Once Charitable Enterprise
The Great Persuasion
The Corporate Reconstruction of American Capitalism, 1890–1916
Making of Global Capitalism
The social transformation of American medicine
The Visible Hand
Capitalizing on Crisis
Creating Modern Capitalism
Costs of Health Care Facilities
The Politics of Community Health
Invisible Hands
A High-Wire Crusade
Causal Chains and Cost Shifting
Hospital Capital Formation in the 1980's
Health Politics and Policy
The Paradox of Progressive Thought
Building the Organizational Society
The Great War and the Search for a Modern Order
Federal Social Policy
Capitalizing on change
The Business of Private Medical Practice
What's Good for Business
Brief History of Neoliberalism
| Unique citing works | 1 |
|---|---|
| Citations per year | 0,5 |
| Citation span | 2024 - 2024 (1) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 1 |