Abstract
As with several of the other contributions in this collection (e.g., Engelhardt, 2002; Pellegrino, 2002), this article begins with an historical focus. After more than a decade of extraordinary turbulence in the financing and delivery of health care, and on the threshold of still more change, we have an opportune moment to look back in order to understand better what may lie ahead. As proposed here, many of the most salient changes of the past few years have spun themselves out, while ongoing economic forces promise changes that may reach even deeper than those already witnessed.
An abbreviated version of this paper appeared as ‘Defined Contribution: From Managed Care to Patient-Managed Care’ in the Cato Journal 2002; 22(1), pp. 103–120.
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Morreim, E.H. (2002). Back to the Future: From Managed Care to Patient-Managed Care. In: Bondeson, W.B., Jones, J.W. (eds) The Ethics of Managed Care: Professional Integrity and Patient Rights. Philosophy and Medicine, vol 76. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-0413-7_10
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