The Political Economy of Health Care
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
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Copyright material from www.palgraveconnect.com - licensed to npg - PalgraveConnect - 2016-04-10
Copyright material from www.palgraveconnect.com - licensed to npg - PalgraveConnect - 2016-04-10
THE POLITICAL ECONOMY OF HEALTH CARE
10.1057/9780230378308preview - The Political Economy of Health Care, David Reisman
Also by David Reisman ADAM SMITH'S SOCIOLOGICAL ECONOMICS ALFRED MARSHALL: Progress and Politics ALFRED MARSHALL'S MISSION GALBRAITH AND MARKET CAPITALISM MARKET AND HEALTH THE POLITICAL ECONOMY OF JAMES BUCHANAN RICHARD TITMUSS: Welfare and Society STATE AND WELFARE: Tawney, Galbraith and Adam Smith THEORIES OF COLLECTIVE ACTION: Downs, Olson and Hirsch
10.1057/9780230378308preview - The Political Economy of Health Care, David Reisman
Copyright material from www.palgraveconnect.com - licensed to npg - PalgraveConnect - 2016-04-10
THE ECONOMICS OF ALFRED MARSHALL
David Reisman
M_ 150th YEAR
St. Martin's Press
10.1057/9780230378308preview - The Political Economy of Health Care, David Reisman
Copyright material from www.palgraveconnect.com - licensed to npg - PalgraveConnect - 2016-04-10
The Political Economy of Health Care
©David Reisman 1993 All rights reserved. No reproduction, copy or transmission of this publication may be made without written permission.
Any person who does any unauthorised act in relation to this publication may be liable to criminal prosecution and civil claims for damages. First published in Great Britain 1993 by THE MACMILLAN PRESS LTD Houndmills, Basingstoke, Hampshire RG21 2XS and London Companies and representatives throughout the world A catalogue record for this book is available from the British Library. ISBN 0-333-58579-8 Printed in Great Britain by Ipswich Book Co Ltd Ipswich, Suffolk
First published in the United States of America 1993 by Scholarly and Reference Division, ST. MARTIN'S PRESS, INC., 175 Fifth Avenue, New York, N.Y. 10010 ISBN 0-312-09986-X Library of Congress Cataloging-in-Publication Data Reisman, David A. The political economy of health care / David Reisman. p. cm. Includes bibliographical references and index. ISBN 0-312-09986-X 1. Medical economics. 2. Medical policy. I. Title. RA410.5.R45 1993 362.1—-dc20 93-10466 CIP
10.1057/9780230378308preview - The Political Economy of Health Care, David Reisman
Copyright material from www.palgraveconnect.com - licensed to npg - PalgraveConnect - 2016-04-10
No paragraph of this publication may be reproduced, copied or transmitted save with written permission or in accordance with the provisions of the Copyright, Designs and Patents Act 1988, or under the terms of any licence permitting limited copying issued by the Copyright Licensing Agency, 90 Tottenham Court Road, London W1P9HE.
Contents 1. Introduction
1
2. 3. 4. 5.
Equality and Health Health Status and Social Life Society, Health and Policy Geographical Location
5 29 57 87
PART II ECONOMY 6. 7. 8. 9.
The Cost of Care Charges and Fees Purchasers and Providers State Regulation
107 119 141 161
PART III EFFICACY 10. Effectiveness 11.
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