Illusions of Necessity: Evading Responsibility for Choice in Health Care
Evans, Robert G.
Journal of Health Politics, Policy and Law. 1985 Fall; 10(3): 439-467.
Health policy analysts generally attribute the recent rise in health care costs to the inexorable pressures of an aging population, new biomedical technologies, and an ethical imperative to provide those health services which providers consider appropriate. These forces are seen as driving costs to a level that society cannot afford, thus necessitating cuts in services to groups such as the elderly and economically disadvantaged. Basing his analysis primarily on Canada's success in containing the growth of its acute care system, Evans argues that such external pressures are not the true source of cost escalation; rather, the problem is rooted in the nature of the U.S. health care delivery system. He contends that the "medical-industrial complex" ought to be brought under control through the judicious use of incentives for competition. (KIE abstract)
Aged; Aging; Biomedical Technologies; Costs and Benefits; Decision Making; Economics; Financial Support; Health; Health Care; Health Care Delivery; Health Services; Incentives; Indigents; Insurance; Morbidity; Mortality; Nature; Obligations of Society; Physicians; Public Policy; Remuneration; Resource Allocation; Rights; Socioeconomic Factors;
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