title: The health care bureaucracy: small changes, big consequences.
abstract: Administrative changes have been reshaping health policy for the past decade. One consequence is a more constrained medical profession. Another is a more powerful health care bureaucracy. Most industrialized nations have called on democratic principles to balance professional norms; in contrast, Americans are developing a distinctly bureaucratic health care regime. This article suggests why and explores the ramifications for both the politics of health care and the practice of medicine.
authors.affiliation: Brown University.
authors.forename: J A
authors.initials: JA
authors.lastname: Morone
mesh_terms: D018166:Health Care Reform / Q000458:organization & administration*; D006291:Health Policy; D011057:Politics; D014481:United States