OpenLB
Open Library of Bioscience
Advanced Search
The Milbank quarterly
Sep, 2007;85 (3): 395-448.

Markets and medical care: the United States, 1993-2005.

Joseph White
Author Information
  1. Joseph White: Department of Political Science, Case Western Reserve University, Cleveland, Ohio 44106-7109, USA. joseph.white@case.edu
PMID: 17718663 DOI: 10.1111/j.1468-0009.2007.00494.x

Abstract

Many studies arguing for or against markets to finance medical care investigate "market-oriented" measures such as cost sharing. This article looks at the experience in the American medical marketplace over more than a decade, showing how markets function as institutions in which participants who are self-seeking, but not perfectly rational, exercise power over other participants in the market. Cost experience here was driven more by market power over prices than by management of utilization. Instead of following any logic of efficiency or equity, system transformations were driven by beliefs about investment strategies. At least in the United States' labor and capital markets, competition has shown little ability to rationalize health care systems because its goals do not resemble those of the health care system most people want.

References

  1. J Health Polit Policy Law. 2004 Dec;29(6):1045-71 [PMID: 15688577]
  2. Health Serv Res. 2004 Oct;39(5):1607-27 [PMID: 15333125]
  3. Health Aff (Millwood). 2004 Nov-Dec;23(6):11-24 [PMID: 15584099]
  4. J Health Polit Policy Law. 2001 Oct;26(5):1019-30 [PMID: 11765253]
  5. Health Aff (Millwood). 2001 Jul-Aug;20(4):159-68 [PMID: 11463072]
  6. EBRI Issue Brief. 2004 Dec;(276):1-31 [PMID: 15633948]
  7. Health Aff (Millwood). 1996 Summer;15(2):7-20 [PMID: 8690391]
  8. Ann Intern Med. 2004 Dec 21;141(12):938-45 [PMID: 15611491]
  9. Health Aff (Millwood). 2003 Jan-Jun;Suppl Web Exclusives:W3-266-74 [PMID: 14527260]
  10. Health Serv Res. 2003 Feb;38(1 Pt 2):337-55 [PMID: 12650370]
  11. Health Aff (Millwood). 2004 Jan-Jun;Suppl Web Exclusives:W4-354-62 [PMID: 15451957]
  12. Health Aff (Millwood). 1997 Sep-Oct;16(5):73-82 [PMID: 9314677]
  13. Health Aff (Millwood). 2004 Jan-Jun;Suppl Web Exclusives:W4-76-8 [PMID: 15451970]
  14. Health Aff (Millwood). 2004 Jan-Jun;Suppl Web Exclusives:W4-136-42 [PMID: 15451990]
  15. Health Aff (Millwood). 2005 Nov-Dec;24(6):1447-57 [PMID: 16284016]
  16. Health Aff (Millwood). 2004 Nov-Dec;23(6):91-102 [PMID: 15584102]
  17. Issue Brief Cent Stud Health Syst Change. 2004 Jun;(84):1-4 [PMID: 15218877]
  18. Health Aff (Millwood). 2005 Nov-Dec;24(6):1426-35 [PMID: 16284013]
  19. Issue Brief Cent Stud Health Syst Change. 2002 May;(52):1-4 [PMID: 12043746]
  20. J Health Polit Policy Law. 1997 Apr;22(2):363-82 [PMID: 9159709]
  21. Health Aff (Millwood). 2004 Mar-Apr;23(2):70-81 [PMID: 15046132]
  22. Health Aff (Millwood). 2006 Nov-Dec;25(6):w476-85 [PMID: 17003075]
  23. J Health Polit Policy Law. 2007 Apr;32(2):187-219 [PMID: 17463405]
  24. Health Aff (Millwood). 2005 Jan-Feb;24(1):213-9 [PMID: 15647232]
  25. Health Aff (Millwood). 2000 Jan-Feb;19(1):7-41 [PMID: 10645071]
  26. Issue Brief Cent Stud Health Syst Change. 1997 May;(9):1-6 [PMID: 10539719]
  27. Health Aff (Millwood). 2004 Jan-Jun;Suppl Web Exclusives:W4-31-42 [PMID: 15451962]
  28. J Health Polit Policy Law. 1999 Oct;24(5):1033-43 [PMID: 10615614]
  29. Health Aff (Millwood). 2004 Mar-Apr;23(2):82-90 [PMID: 15046133]
  30. Health Aff (Millwood). 2005 Nov-Dec;24(6):1512-22 [PMID: 16284023]
  31. J Health Econ. 2004 Jan;23(1):129-55 [PMID: 15154691]
  32. Health Aff (Millwood). 2003 Mar-Apr;22(2):230-7 [PMID: 12674426]
  33. Health Aff (Millwood). 2005 Jul-Dec;Suppl Web Exclusives:W5-376-84 [PMID: 16091408]
  34. Health Aff (Millwood). 2000 Nov-Dec;19(6):217-23 [PMID: 11192405]
  35. Inquiry. 2003 Winter;40(4):362-74 [PMID: 15055835]
  36. Health Serv Res. 2003 Feb;38(1 Pt 2):375-93 [PMID: 12650372]
  37. Milbank Q. 2003;81(4):509-42 [PMID: 14678478]
  38. Health Aff (Millwood). 2006 Nov-Dec;25(6):w486-95 [PMID: 17018565]
  39. Health Aff (Millwood). 2001 Jul-Aug;20(4):97-108 [PMID: 11463095]
  40. Issue Brief Cent Stud Health Syst Change. 1999 Mar;(19):1-6 [PMID: 10558414]
  41. Issue Brief Cent Stud Health Syst Change. 2002 Jul;(54):1-4 [PMID: 12152637]
  42. J Health Polit Policy Law. 2001 Oct;26(5):967-92 [PMID: 11765275]
  43. N Engl J Med. 2004 Nov 25;351(22):2259-62 [PMID: 15564541]
  44. Health Serv Res. 2005 Jun;40(3):647-67 [PMID: 15960684]
  45. Issue Brief Cent Stud Health Syst Change. 1998 Dec;(17):1-7 [PMID: 10539732]
  46. J Health Polit Policy Law. 2001 Oct;26(5):1197-203 [PMID: 11765265]
  47. Issue Brief Cent Stud Health Syst Change. 1997 Jun;(10):1-6 [PMID: 10539718]
  48. Issue Brief Cent Stud Health Syst Change. 2004 Mar;(78):1-4 [PMID: 15046065]
  49. Health Aff (Millwood). 2000 Jan-Feb;19(1):42-55 [PMID: 10645072]
  50. Health Aff (Millwood). 2001 Jul-Aug;20(4):81-96 [PMID: 11463094]
  51. Health Aff (Millwood). 2003 May-Jun;22(3):89-105 [PMID: 12757275]
  52. Health Aff (Millwood). 2004 Mar-Apr;23(2):143-54 [PMID: 15046138]
  53. Am J Med. 2004 Dec 15;117(12):932-7 [PMID: 15629732]
  54. Milbank Q. 2003;81(4):567-601 [PMID: 14678480]
  55. Health Aff (Millwood). 2004 Mar-Apr;23(2):43-55 [PMID: 15046130]
  56. Issue Brief Cent Stud Health Syst Change. 2004 Jan;(76):1-6 [PMID: 14976992]
  57. Health Aff (Millwood). 2004 Mar-Apr;23(2):175-81 [PMID: 15046141]
  58. Health Serv Res. 2005 Apr;40(2):317-36 [PMID: 15762893]
  59. Health Aff (Millwood). 2004 Nov-Dec;23(6):9-10 [PMID: 15537580]
  60. Health Aff (Millwood). 2001 Jul-Aug;20(4):120-38 [PMID: 11463069]
  61. Issue Brief Cent Stud Health Syst Change. 2003 Oct;(69):1-4 [PMID: 14552341]
  62. J Health Polit Policy Law. 1999 Aug;24(4):653-96 [PMID: 10503152]
  63. Issue Brief Cent Stud Health Syst Change. 2004 Jan;(74):1-4 [PMID: 14974498]
  64. Health Aff (Millwood). 2000 Nov-Dec;19(6):224-30 [PMID: 11192406]
  65. J Health Polit Policy Law. 2007 Apr;32(2):221-46 [PMID: 17463406]
  66. Manag Care Q. 2002 Fall;10(4):30-42 [PMID: 12561392]
  67. J Health Polit Policy Law. 2001 Oct;26(5):899-911 [PMID: 11765270]
  68. Issue Brief Cent Stud Health Syst Change. 1998 May;(13):1-6 [PMID: 10539727]
  69. Health Aff (Millwood). 2004 Mar-Apr;23(2):56-68 [PMID: 15046131]
  70. Health Aff (Millwood). 2004 Jan-Jun;Suppl Web Exclusives:W4-43-59 [PMID: 15451977]
  71. Health Aff (Millwood). 2005 Nov-Dec;24(6):1501-11 [PMID: 16284022]
  72. Health Serv Res. 2005 Jun;40(3):669-74 [PMID: 15960685]
  73. Issue Brief Cent Stud Health Syst Change. 2003 Aug;(67):1-4 [PMID: 12962121]
  74. Health Aff (Millwood). 2003 Nov-Dec;22(6):77-87 [PMID: 14649434]
  75. J Health Polit Policy Law. 2001 Oct;26(5):957-65 [PMID: 11765274]
  76. Milbank Q. 2007;85(1):5-35 [PMID: 17319805]
  77. Am J Med. 2003 Jun 15;114(9):774-6 [PMID: 12829212]
  78. Health Aff (Millwood). 2006 Mar-Apr;25(2):w61-73 [PMID: 16495287]
  79. Issue Brief (Commonw Fund). 2006 Nov;23:1-16 [PMID: 17153271]
  80. Health Aff (Millwood). 1999 Mar-Apr;18(2):7-24 [PMID: 10091427]
  81. Health Aff (Millwood). 2005 Jan-Jun;Suppl Web Exclusives:W5-74-W5-85 [PMID: 15728678]
  82. J Health Polit Policy Law. 2005 Jun;30(3):427-52 [PMID: 16089111]
  83. Issue Brief Cent Stud Health Syst Change. 2003 Apr;(62):1-4 [PMID: 12705277]
  84. Health Aff (Millwood). 2004 Jan-Jun;Suppl Web Exclusives:W4-149-51 [PMID: 15451987]

MeSH Term

Capital Financing
Delivery of Health Care
Economic Competition
Health Care Reform
Health Services Accessibility
Humans
Managed Care Programs
Politics
United States
Journal Article

Word Cloud

Created with Highcharts 10.0.0marketsmedicalcareexperienceparticipantspowermarketdrivensystemUnitedhealthManystudiesarguingfinanceinvestigate"market-oriented"measurescostsharingarticlelooksAmericanmarketplacedecadeshowingfunctioninstitutionsself-seekingperfectlyrationalexerciseCostpricesmanagementutilizationInsteadfollowinglogicefficiencyequitytransformationsbeliefsinvestmentstrategiesleastStates'laborcapitalcompetitionshownlittleabilityrationalizesystemsgoalsresemblepeoplewantMarketscare:States1993-2005

Similar Articles

Cited By