Rowman & Littlefield Publishers
Pages: 254
Trim: 6¼ x 9⅜
978-1-5381-2835-0 • Hardback • July 2019 • $117.00 • (£90.00)
978-1-5381-2836-7 • Paperback • July 2019 • $42.00 • (£35.00)
978-1-5381-2837-4 • eBook • July 2019 • $39.50 • (£30.00)
Grace Budrys is professor emerita at DePaul University. She chaired the committee that created the Master of Public Health program, and served as director of the Public Services Master Program. She is actively engaged in research and writing focused on health sector occupations, organizations, and policy. She has consulted with government and nonprofit organizations throughout her academic career. Her books include Unequal Health: How Inequality Contributes to Health or Illness and How Nonprofits Work: Case Studies in Nonprofit Organizations.
Acknowledgments
1 Introduction
2 The Market-Based Health Care Model
3 The Market for Health Insurance
4 Government Intervention and Health Insurance
5 Doctors
6 Hospitals
7 Pharmaceuticals
8 Health Sector Occupations and Organizations
9 Market-Based Health Care: The Model and the Reality
Epilogue: Some Reflections on Solutions
Bibliography
Index
In her well-argued book Budrys (emer., DePaul Univ.) reviews the market-based theory of health care, contrasting myth with reality to make the case that for a health care industry to be completely market-driven is an unrealistic goal. She observes that while the consumers of health care are essentially patients, fulfilling such a role is fundamentally different than purchasing a good or service in a free-market economy, where lowest price trumps all. In actuality, federal and state governments are the crucial purchasers of health care, and without this source of demand, private-sector organizations would have minimal interest in addressing a competitive market. In other words, the market would diminish. The text first reviews the market-based model, then looks at each of the major industry sectors, from doctors and insurance companies to hospitals, pharmaceuticals, and occupations, examining how the drive toward "consumer-driven" health care influences their actions relative to the patients they are supposed to serve. By showing how critical government support is to the health care organizations that operate in the private sector, Budrys ably challenges the idea that a market-based approach will solve the problems that plague the industry. This book is well worth the read.
Summing Up: Highly recommended. All readers.
— Choice Reviews
Market-Based Health Care engages the critical question of the role of private markets in health care from positive and normative perspectives and offers substantial engagement with important issues of fairness, choice, and universal access. The combination of health institutions, economic theory, and real-world critiques of economic theory is a useful and clear way to approach this important topic.
— Michael Ash, University of Massachusetts, Amherst
- Presents pro vs. con arguments for market-based health care
Combines real world critiques on health institutions including insurance and pharmaceutical companies- Address the effects of health care policy changes on consumers
Presents the economic theory behind consumer driven demand based health care