The Counterrevolution in Health Care Financing
Fuchs, Victor R.
New England Journal of Medicine. 1987 Apr 30; 316(18): 1154-1156.
American medicine is being transformed by the revolution in health care financing with its emphasis on cost containment. Even as the effects of the transformation are debated, Fuchs discerns the beginnings of a financing counterrevolution that will result in greater federal involvement in health care. He outlines six factors that will bring about the counterrevolution: increasing numbers of uninsured; taxpayer resistance to paying for the uninsured as well as for their own insurance; concern over the quality of health care; perceptions that the physician patient relationship is deteriorating; calls for federal help by health care corporations in financial trouble; and demands for federal action by health care employees affected by industry difficulties. Fuchs concludes that the counterrevolution will have to wrestle with problems of health care costs as well as with issues of access and quality. (KIE abstract)
Conflict of Interest; Containment; Economics; Employment; Financial Support; Health; Health Care; Health Care Delivery; Health Insurance; Health Personnel; Indigents; Industry; Insurance; Justice; Medicine; Physician Patient Relationship; Public Policy; Quality of Health Care; Social Impact; Socioeconomic Factors;
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