Abstract
There can be no doubt that the health care system in the United States is in transition. The cost explosion of the 1970s and 1980s appeared to be contained by managed care as the excesses of seemingly unrestrained spending was brought to heel by mechanisms designed to manage excessive spending by controlling the process of health care decision making. Even as political attempts to standardize health care and control the cost spiral failed in 1993 and 1994, the efficiencies wrung out of the system by managed care reached their peak. In the last 5 years, it has become clear that managed care can no longer control health care cost at the same time that it is under fire politically for its draconian methods. The nation seems to lack both the political heart for a single payer system and the tolerance for the market solutions we have seen so far. Although a plethora of views have been expressed concerning the direction health care reform ought to take, there has lately been a notable paucity of predictions of where it actually will go.
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Sade, R.M. (2002). Medicine and Managed Care, Morals and Markets. 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_5
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DOI: https://doi.org/10.1007/978-94-017-0413-7_5
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