The Monetarization of Medical Care
New England Journal of Medicine. 1984 May 3; 310(18): 1162-1165.
Since the end of World War II, the "money economy" has rapidly penetrated the American health care system. Ginzberg blames faulty public policy, particularly in reimbursement practices, for health care's increasing share of the gross national product and the explosive growth of for-profit medicine. He maintains that the goals of innovation, quality, access, and equity at an affordable cost cannot be achieved by either greater reliance on the for-profit sector or by radically constraining its growth. He concludes that improving the recently initiated diagnosis related group (DRG) system will moderate the growth of health care costs and reduce the competitive advantages of for-profit institutions. (KIE abstract)
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