The Hidden Costs of Market-Based Health Care Reform

The paradox is inescapable: the market reforms offered in the\n1980s to address the excesses of the health care system profoundly altered\nphysician thinking and led to the physician-businessman of the 1990s. This\ncausal argument is worth exploring for more than historic interest or\nverification. Indeed it is worth "discounting" if false, because market\nmeasures remain the predominant vehicle touted to reform America's health care\nsystem. Yet if physicians schooled in market reforms use their new-found\neconomic literacy to deconstruct their vocation, we will have lost a precious\ncommodity we used to call professionalism. The unforeseen consequences of a\nmarket-driven rather than principled approach to health care reform is worthy\nof our consideration

Business · Economic growth · Economics · Health care · Health care reform · Healthcare Policy and Management · Pharmaceutical industry and healthcare · Health Policy

• Health Care Vouchers & the Rhetoric of Equity

  John D Arras•The Hastings Center Report•1981

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