The Social Medicine Reader, Volume 3: Health Policy, Markets, and Medicine / Edition 2

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Health Policy, Markets, and Medicine is the third of three volumes in the second edition of The Social Medicine Reader, a provocative and engaging survey of the challenging issues facing today's health care providers, patients, and caregivers.

Over the past four decades the American health care system has witnessed dramatic changes in private health insurance, campaigns to enact national health insurance, and the rise (and perhaps fall) of managed care. Bringing together seventeen pieces new to this second edition of The Social Medicine Reader and four pieces from the first edition, Health Policy, Markets, and Medicine draws on a broad range of disciplinary perspectives-including political science, economics, history, and bioethics-to consider changes in health care and the future of U.S. health policy. Contributors analyze the historical and moral foundations of today's policy debates, examine why health care spending is so hard to control in the United States, and explain the political dynamics of Medicare and Medicaid. Selections address the rise of managed care, its impact on patients and physicians, and the ethical implications of applying a business ethos to medical care; they also compare the U.S. health care system to the systems in European countries, Canada, and Japan. Additional readings probe contemporary policy issues, including the emergence of consumer-driven health care, efforts to move quality of care to the top of the policy agenda, and the implications of the aging of America for health policy.

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Editorial Reviews

From the Publisher

“These essays explore medicine and society, health and politics, care and economics. Along the way, they raise urgent questions about the human condition itself. Bracing, thoughtful, elegant, witty, iconoclastic—The Social Medicine Reader is a terrific book, perhaps the best collection of teaching essays on the market.”—James A. Morone, author of Hellfire Nation: The Politics of Sin in American History and co-editor of Healthy, Wealthy and Fair: Health Care for the Good Society
Samuel W. Bloom

"[E]xcellent. . . . The Social Medicine Reader fulfills its purposes admirably. The selected readings will stimulate critical analysis of the experiences of modern medicine from both professional and patient perspectives."
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Product Details

  • ISBN-13: 9780822335696
  • Publisher: Duke University Press Books
  • Publication date: 9/28/2005
  • Series: Social Medicine Reader Series
  • Edition description: New Edition
  • Edition number: 2
  • Pages: 288
  • Product dimensions: 6.06 (w) x 9.34 (h) x 0.75 (d)

Meet the Author

Jonathan Oberlander is an associate professor of social medicine and an adjunct associate professor of political science at the University of North Carolina at Chapel Hill.

Larry R. Churchill is Professor of and Chair of the Department of Social Medicine at the University of North Carolina at Chapel Hill. He is the author of Self-Interest and Universal Health Care: Why Well-Insured Americans Should Support Coverage for Everyone and Rationing Health Care in America: Perceptions and Principles of Justice.

Sue E. Estroff is Professor of Social Medicine and Adjunct Professor of Anthropology and Psychiatry at the University of North Carolina at Chapel Hill. She is the author of Making It Crazy: An Ethnography of Psychiatric Clients in an American Community.

Gail E. Henderson, Associate Professor of Social Medicine and Adjunct Professor of Sociology at the University of North Carolina at Chapel Hill, is the author of The Chinese Hospital: A Socialist Work Unit.

Nancy M. P. King, Associate Professor of Social Medicine at the University of North Carolina at Chapel Hill, is the author of Making Sense of Advance Directives.

Ronald P. Strauss is Professor of Dental Ecology and Social Medicine at the University of North Carolina at Chapel Hill and is author of numerous articles on social and ethical issues in the care of chronic illness.

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Table of Contents

Preface to the Second Edition vii
Introduction 1
Part I The Uninsured, Health Care Costs, and Public Programs
The U.S. Health Care System: On a Road to Nowhere? 5
Wanted: A Clearly Articulated Social Ethic for American Health Care 25
From Bismarck to Medicare-A Brief History of Medical Care Payment in America 31
The Sad History of Health Care Cost Containment as Told in One Chart 67
The Unsurprising Surprise of Renewed Health Care Cost Inflation 70
The Not-So-Sad History of Medicare Cost Containment as Told in One Chart 73
Medicaid and Medicare: The Unanticipated Politics of Public Insurance Programs 76
Part II Managed Care, Markets, and Rationing
Bedside Manna 95
Must Good HMOS Go Bad? The Commercialization of Prepaid Group Health Care 107
Defending My Life 119
Business vs. Medical Ethics: Conflicting Standards for Managed Care 128
The Prostitute, the Playboy, and the Poet: Rationing Schemes for Organ Transplantation 150
Ethics of Queuing for Coronary Artery Bypass Grafting in Canada 158
Rationing in Practice: The Case of In Vitro Fertilization 167
Part III International Perspectives and Emerging Issues
Reforming the Health Care System: The Universal Dilemma 179
Health Care in Four Nations 199
Keeping Quality on the Policy Agenda 230
What's Ahead for Health Insurance in the United States? 240
Luxury Primary Care-Market Innovation or Threat to Access? 246
Correspondence: Response to "Luxury Primary Care" 255
Limiting Health Care for the Old 260
Scapegoating the Aged: Intergenerational Equity and Age-Based Rationing 267
Index to Authors 285
About the Editors 287
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