Changing the balance of power in American medicine.
Representation and competition, as democratic and market strategies, have been of small consequence in producing significant improvement in medical care. Membership in an HMO is a greater source of consumer power than is representation in an HSA. Regulation and competition will continue to have limited--often ironic and incoherent--results in the absence of new institutional structures for reform.
D003132:Commerce; D003256:Community Participation / Q000331:legislation & jurisprudence*; D003709:Democracy; D004470:Economics, Medical; D006279:Health Maintenance Organizations / Q000458:organization & administration; D011057:Politics; D012941:Social Responsibility; D014481:United States