David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Journal of Medicine and Philosophy 24 (5):434 – 460 (1999)
Managed Care Organizations (MCOs) are frequently criticized for their marketing mistakes. Often that criticism is leveled against an implicit benchmark of an ideal competitive market or an ideal system of government provision. But any accurate assessment in the choice of health care organizations always requires a comparative measure of error rates. These are high in the provision of health care, given the inherent uncertainties in both the cost and effectiveness of treatment. But the continuous and rapid evolution of private health care mechanisms is, in the absence of regulation, more likely to secure access and contain costs than any system of government regulation. State regulation is subject to the risk of capture and to the sluggish and acquisitive behavior of state run monopolies. The proposed fixes for the MCOs (rights to specialists, access to physicians outside the network, guaranteed emergency room access) are likely, when imposed from without, to cost more than they are worth. The long-term risk is that markets will fail under regulation, paving the way for greater losses from massive government control of the health care delivery system.
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
No citations found.
Similar books and articles
Patricia Illingworth (2000). Bluffing, Puffing and Spinning in Managed-Care Organizations. Journal of Medicine and Philosophy 25 (1):62 – 76.
Jack Schwartz (1997). State Regulation of Managed Care: Fragments of Reform. Kennedy Institute of Ethics Journal 7 (4):345-351.
Baruch A. Brody (1987). Justice and Competitive Markets. Journal of Medicine and Philosophy 12 (1):37-50.
Verheijde, Josephus Leonardus, Responsibility and Health Care, Who Cares.... : An Introduction to the Principle of Genuine Responsibility and How This Principle Applies to the Managed Care Model of Health Care Distribution.
Julia Mann Janosi (1992). Unhealthy Health Care Costs. Journal of Medicine and Philosophy 17 (1):7-19.
Marc A. Rodwin (2010). The Metamorphosis of Managed Care: Implications for Health Reform Internationally. Journal of Law, Medicine and Ethics 38 (2):352-364.
George W. Rimler & Richard D. Morrison (1993). The Ethical Impacts of Managed Care. Journal of Business Ethics 12 (6):493 - 501.
Kenneth A. De Ville (1999). Managed Care and the Ethics of Regulation. Journal of Medicine and Philosophy 24 (5):492 – 517.
Larry R. Churchill (1999). The United States Health Care System Under Managed Care: How the Commodification of Health Care Distorts Ethics and Threatens Equity. [REVIEW] Health Care Analysis 7 (4):393-411.
Madison Powers (1997). Managed Care: How Economic Incentive Reforms Went Wrong. Kennedy Institute of Ethics Journal 7 (4):353-360.
Added to index2010-05-07
Total downloads12 ( #126,914 of 1,099,037 )
Recent downloads (6 months)10 ( #19,150 of 1,099,037 )
How can I increase my downloads?