The Private Regulation of American Health CareI will begin this book by analyzing the historical and political context for the emergence of managed competition (chapter 1). The chapters that follow will list the corporate initiatives that were launched during the 1970s (chapter 2); describe the evolutionary changes and expansions they went through during the 1980s and early 1990s in the process of becoming "managed competition" (chapter 3); describe the ways in which managed care systems attempt to regulate the cost of health care services and discuss why they fail to do so (chapter 4); describe managed care attempts to control the quality of services and discuss why they fail to do so (chapter 5); and conclude with a summary of the book's major points as well as descriptions of some alternative approaches to getting our nation's health care needs met (chapter 6). |
Contents
Preface | 9 |
Knowledge and Power | 22 |
The Role of the Public | 29 |
Summary | 36 |
Formal Legislative Control Mechanisms | 48 |
Summary | 66 |
New Categories of Workers and Experts | 77 |
Controlling the New Surveillance Experts | 86 |
The Effectiveness of Review | 92 |
Surveillance Power and Knowledge | 172 |
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