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Health Care Policy

Lessons from the Past and Issues of the Future

Bibliographic Data

ID9761075
AuthorsS E Berki (corresponding author)
Year1983
Volume468
Issue1
Pages231-246
Publication date1983-07-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueThe Annals of the American Academy of Political and Social Science (JOURNAL)
Journal identifiersISSN: 0002-7162 • E-ISSN: 1552-3349
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/0002716283468001016
PMID10261427
OpenAlexW2161942882
LanguageEN
Citations received1
References cited19

Liberal distributional values, the increasingly powerful capacity of medicine to provide more and better care, and concern about the health hazards of an industrial society fueled the vast expansion of the health care sector during the last 20 years. That growth was facilitated by a growing economy. The current health policy debate at one level reexamines the distributional bases of entitlement programs, and at another seeks alternative resource allocation mechanisms to reduce the cost of health care. This article has two themes. First, distributional and allocational policies are shown to be intrinsically related, so that the health policy debate is fundamentally a clash between liberal and libertarian values. Second, the inexorable social forces driving the health care system are shown to be the aging of the population and the rapid expansion of technology. The resulting dynamics imply the further growth of the health sector, now in the environment of a sluggish economy. Future policies will have to struggle with how to ration scarce health resources and how to reorient the health care sector to the problems of the aged

Development economics · Economic growth · Economics · Entitlement (fair division · Environmental health · Health care · Political science · Population · Public economics · Economic, Social, and Health Studies · Global Health Care Issues · Healthcare Policy and Management · Medicine · Health Policy

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    Bernard S Bloom, Clark C Havighurst•Journal of Policy Analysis and…•1984

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    Open Access•George Silver, George A Silver et al.•Journal of Policy Analysis and…•1983

  • A Difficulty in the Concept of Social Welfare

    Kenneth J Arrow•Journal of Political Economy•1950

  • Policy Implications of the Diffusion and Control of Medical Technology

    Open Access•H David Banta, Anne Burns et al.•The Annals of the American…•1983

  • Financing the Health Care of the Aged

    Open Access•Judith R Lave, Herbert A Silverman•The Annals of the American…•1983

  • Allocative Medicine

    Open Access•Mark C Hornbrook•The Annals of the American…•1983

  • The Fall of the House of Efficiency

    Open Access•Edward J Nell•The Annals of the American…•1973

  • The Competition Strategy for Medical Care

    Open Access•Walter Mcclure•The Annals of the American…•1983

  • Equity of Access to Medical Care

    Lu Ann Aday, Ronald Andersen et al.•Medical Care•1981

  • An Aging Population and the Use of Medical Care

    Louise B Russell•Medical Care•1981

Citation velocityhistorical
Highly citedNo

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