Managed care or managed inequality? - A call for critiques of market-based medicine

被引:97
作者
Rylko-Bauer, B
Farmer, P
机构
[1] Michigan State Univ, Dept Anthropol, E Lansing, MI 48824 USA
[2] Harvard Univ, Sch Med, Dept Social Med, Cambridge, MA 02138 USA
关键词
managed care; for-profit medicine; health care inequalities;
D O I
10.1525/maq.2002.16.4.476
中图分类号
Q98 [人类学];
学科分类号
030303 ;
摘要
This review article critiques the growing dominance of market-based medicine in the United States against the background of existing problems with quality of care, rising costs, devaluation of doctor-patient relationships, and, especially, persistent inequalities of access and outcomes. It summarizes the present state of health care delivery by focusing on the concurrent trends of growth in managed care, expanding profits, increasing proportion of those uninsured, and widening racial, ethnic, and class disparities in access to care. Allowing market forces to dictate the shape of health care delivery in this country ensures that inequalities will continue to grow and modern medicine will become increasingly adept at managing inequality rather than managing (providing) care. The article challenges anthropology to become more involved in critiquing these developments and suggests how anthropologists can expand on and contextualize debates surrounding the market's role in medicine, here and abroad. [managed care, for-profit medicine, health care inequalities].
引用
收藏
页码:476 / 502
页数:27
相关论文
共 159 条
[1]  
ABRAHAM LK, 1993, MAMA MIGHT BETTER OF
[2]  
ACHMAN L, 2002, MEDICARE PLUS CHOISE
[3]  
*AIDS TREATM DAT N, 2002, NAT ADAP MON REP ANN
[4]  
*AM SOC INT MED AM, 2000, NO HLTH INS ITS EN M
[5]  
*AM SOC INT MED AM, 2001, NO HLTH INS ITS EN M
[6]  
ANDERLIK MR, 2001, ETHICS MANAGED CARE
[7]  
ANDRULIS DP, 1999, MANAGED CARE INNER C
[8]   Catholic social policy and US health care reform: A relationship revisited [J].
Angrosino, MV .
MEDICAL ANTHROPOLOGY QUARTERLY, 2001, 15 (03) :312-328
[9]  
[Anonymous], 2000, To Err Is Human: Building a Safer Health System, DOI DOI 10.17226/9728
[10]  
[Anonymous], HLTH US 2000 AD HLTH