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Issues in the Political Economy of Health Care by John B. McKinlay Pdf
Originally published in 1984, this book attempted to fill a gap by providing a broad-ranging structural analysis of the health care sector and the political and economic forces which influence its shape and contents, both in the western world and developing countries. The contributors examine the relationships of capitalism to health care, in terms of its influence on the physical environment, the incidence of social diseases and the prevailing (20th Century) view of what constitutes health itself; and in terms of the consequences of the new medical industrial complex it has created, such as the declining provision of health care for the poor and disadvantaged and the growing power of the pharmaceutical industry.
The Political Economy of Health Care by D. Reisman Pdf
Some goods and services are normally left to the market mechanism. Health care is often described as an exception to the rule. Society wants care to be allocated equitably; it wants the financial burden to be kept within bounds; it wants treatments to be both medically effective and economically efficient. These shared concerns lead to a demand for State intervention which this book seeks impartially to appraise and evaluate.
Unhealthy Times by Hugh Armstrong,Pat Armstrong,David Coburn Pdf
"Health and health care are at the pop of the public agenda, not only in Canada but throughout the world. Canada's most cherished social program -- health care -- is being transformed in many ways, some highly visible and others hidden from public view."--Cover.
Why, despite vast resources being expended on health and health care, is there still so much ill health and premature death? Why do massive inequalities in health, both within and between countries, remain? In this devastating critique, internationally renowned health economist Gavin Mooney places the responsibility for these problems firmly at the door of neoliberalism. Mooney analyses how power is exercised both in health-care systems and in society more generally. In doing so, it reveals how too many vested interests hinder efficient and equitable policies to promote healthy populations, while too little is done to address the social determinants of health. Instead, Mooney argues, health services and health policy more generally should be returned to the communities they serve. Taking in a broad range of international case studies - from the UK to the US, South Africa to Cuba - this provocative book places issues of power and politics in health care systems centre stage, making a compelling case for the need to re-evaluate how we approach health care globally.
Handbook on the Political Economy of Health Systems by Joan Costa-Font,Alberto Batinti,Gilberto Turati Pdf
This ground breaking Handbook brings together a number of chapters into one comprehensive book on the timely subject matter of the political economy of health and health care. The book contains up-to-date discussion on the state of the art of the key questions of the subject matter, and it provides a unique understanding of health policy making by drawing on an interdisciplinary approach to political economy.
The Political Economy of Health and Health Care by Joan Costa-Font,Gilberto Turati,Alberto Batinti Pdf
Provides an international, unifying perspective, based on the 'public choice' tradition, to explain how patient-citizens interact with their country's political institutions to determine health policies and outcomes. This volume will appeal to undergraduate and graduate students studying health economics, health policy and public policy.
Health Care Policy by Theodore R. Marmor,Jon B. Christianson Pdf
The authors use a political economy perspective to explain why the effects of public medical care policy in America are often at odds with widely accepted notions of the public interest. Medical inflation, national heath insurance, reduction of hospital capacity, and regulation of long term care, are among the key issues discussed. 'An interesting insight into health care policy in the USA is provided by this book which systematically analyses medical care policy formation and implementation in that country...Very relevant to today's debate in the United Kingdom.' -- Journal of the Institute of Health Education, Vol 21 No 1 'In adopting a positive approach to health policy, this book...succeeds in deliverin
Health Care Economics by John B. Davis,Robert McMaster Pdf
The analytical approach of standard health economics has so far failed to sufficiently account for the nature of care. This has important ramifications for the analysis and valuation of care, and therefore for the pattern of health and medical care provision. This book sets out an alternative approach, which places care at the center of an economics of health, showing how essential it is that care is appropriately recognized in policy as a means of enhancing the dignity of the individual. Whereas traditional health economics has tended to eschew value issues, this book embraces them, introducing care as a normative element at the center of theoretical analysis. Drawing upon care theory from feminist works, philosophy, nursing and medicine, and political economy, the authors develop a health care economics with a moral basis in health care systems. In providing deeper insights into the nature of care and caring, this book seeks to redress the shortcomings of the standard approach and contribute to the development of a more person-based approach to health and medical care in economics. Health Care Economics will be of interest to researchers and postgraduate students in health economics, heterodox economists, and those interested in health and medical care.
President Clinton's health care reform proposals of 1993 represented the most far-reaching program of social engineering attempted in the United States since the passage of Medicare and Medicaid in 1965. Under the guise of reforming the health care system, the Clinton plan would have herded almost all Americans under age sixty-five into large, government-sponsored health insurance purchasing alliances that would have contracted with insurers to offer a standard set of benefits at regulated prices. The plan came under fire from both Republicans and Democrats, including moderates from both parties, but it soon became apparent that what doomed it was a public unwilling to trust government to manage their health care. The critical literature has failed to offer a cogent analysis of why government control of health care does not work. American Health Care delivers that analysis. This volume examines why untoward consequences usually follow when government sets out to do good things. The contributors demonstrate how hospital rate regulation raises hospital prices, that "no-fault" medical malpractice increases the occurrence of faulty medicine, and that FDA regulation is a major cause for the escalating cost of new drugs. Part 1, trace the genesis of Medicare and its later developments and argue the consumer advantages of medical savings accounts and written health contracts. Part 2, explore the fallacies of antitrust policies that serve the interests of competitors, attack community rating for making health insurance unaffordable to large numbers of young workers. Part 3, contains a powerful critique of the FDA for withholding vital information on the health benefits of aspirin and shows how HMOs and other plans have caused pharmaceutical marketing to shift its focus from medical effectiveness to cost effectiveness. The final section explores how the private sector is improving in the areas of regulating physician and other health professional fees and the supply and quality of health professionals. American Health Care proposes reasonable balances between government and market options for in supply of health services. Without denying the need for some governmental action, the contributors show how far the market can go farther in performing critical functions in the health care industry. This volume will be important reading for health policymakers, economists, and health care professionals. Roger Feldman is professor at the Institute for Health Services Research, University of Minnesota. Mark V. Pauly is professor in the Department of Health Care Systems of the Wharton School, University of Pennsylvania.
Health for Some by S. MacLean,S. Brown,P. Fourie Pdf
Poverty and inequality are among the most significant determinants of health. Increased inequality gaps associated with globalization have serious implications for global health. Global changes in political economy shape global health influencing who bears the burden from epidemics, unhealthy environments and lack of access to health care.
Health Care Under the Knife by Howard Waitzkin Pdf
Disobedience : doctor workers unite! / Howard Waitzkin -- Becoming employees : the deprofessionalization and emerging social class position of health professionals / Matt Anderson -- The degradation of medical labor and the meaning of quality in health care / Gordon Schiff and Sarah Winch -- The political economy of health reform / David Himmelstein and Steffie Woolhandler -- The transformation of the medical industrial complex : financialization, the corporate sector, and monopoly capital / Matt Anderson and Robb Burlage -- The pharmaceutical industry in the context of contemporary capitalism / Joel Lexchin -- Obamacare : the neoliberal model comes home to roost in the United States, if we let it / Howard Waitzkin and Ida Hellander -- Austerity and health / Adam Gaffney and Carles Muntaner -- Imperialism's health component / Howard Waitzkin and Rebeca Jasso-Aguilar -- U.S. philanthrocapitalism and the global health agenda : the Rockefeller and Gates foundations, past and present / Anne-Emanuelle Birn and Judith Richter -- Resisting the imperial order and building an alternative future in medicine and public health / Rebeca Jasso-Aguilar and Howard Waitzkin -- The failure of Obamacare and a revision of the single payer proposal after a quarter century of struggle / Adam Gaffney, David Himmelstein, and Steffie Woolhandler -- Overcoming pathological normalcy : mental health challenges in the coming transformation / Carl Ratner -- Confronting the social and environmental determinants of health / Carles Muntaner and Rob Wallace -- Conclusion : moving beyond capitalism for our health / Adam Gaffney and Howard Waitzkin
The Economics of Priority Setting for Health Care by Katharina Hauck,Peter C. Smith,Maria Goddard Pdf
This report provides a review of the literature on priority setting in healthcare. It adopts an economic perspective on the problem of choosing the optimal portfolio of programs that can be afforded from a limited national healthcare budget. The traditional economic approach, proposes maximizing health gain (however measured) subject to a budget constraint, which implies ranking programs according to their cost-effectiveness ratio. However, our critical review suggests that this traditional approach is subject to three important difficulties: limitations in economic evaluation methodology, incorporating equity principles, and practical constraints. These suggest a need for a fundamental rethink of the role of cost-effectiveness analysis in priority setting. Methodological concerns include identifying whose perspective to adopt, the generalizability of results to multiple settings, the treatment of uncertainty and timing, and the treatment of interactions between programs. Most equity considerations can be captured in two broad headings: equity related to some concept of need and equity related to access to services. In principle equity concerns can be incorporated into an economic approach to priority setting with relative ease. However we find that many contributions to the debate on equity concepts are theoretical and remote from practical implementation issues. The traditional cost-effectiveness approach generally ignores the numerous practical constraints arising from the political, institutional, and environmental context in which priority setting takes place. These include the influence of interest groups, the transaction costs associated with policy changes, and the interactions between the provision and financing of health services. We find that treatment of such political economy perspectives is the least well-developed aspect of the priority setting literature and suggest some rudimentary models that could serve as a starting point for analysis.
The Political Economy of Health Care by Julian Tudor Hart Pdf
This is a passionate analysis of the historical development, current state and potential future shape of the National Health Service by distinguished doctor and author, Julian Tudor Hart.Drawing on many years of clinical experience, Tudor Hart sets out to explore how the NHS might be reconstituted as a humane service for all (rather than a profitable one for the few) and a civilising influence on society as a whole.His starting point is an attack on the creeping commercialisation of the health service - the privatisation of a growing number of spheres and the application of market economics to procurement, delivery and management. Combining clinical, political and economic arguments, he then proposes his own economic analysis of the NHS, 'derived not from classical theory but from experience of the real health care economy'. The author's aim is to provide 'a big picture' for students, academics, health professionals and NHS users that will inspire them to challenge received wisdoms about how the NHS should develop in the 21st century.
The Political Economy of Health Care by David A. Reisman Pdf
Health care is a social concern, closely connected to the pursuit of collective goals. That is why some have said that mortality and morbidity, too important to be left to the individual and the market, are properly the focus for public policy. One reason for intervention might be equity: the nation might take the view that none of its citizens, irrespective of economic status or geographical location, ought to be denied adequate access to medical attention. Another reason might be economy: the cost of care is rising and a rational society will want to ensure that the rise is not excessive. A third reason might be efficacy: scarce inputs should not be wasted, and that means economic analysis as well as scientific testing in order to identify value for money. The Political Economy of Health Care examines the potential contribution of state intervention to health care. Impartial and unbiased, it reaches the conclusion that a wide range of differing opinions must be carefully considered if informed debate is ever to lead to consensus in this complex, confusing but vitally important area of social life.
