title: The context of health care policy: a social exchange approach to cost-effectiveness.
abstract: This article reviews four cost-effectiveness problems in the United States health care system and seven solutions to them proposed by former Secretary of Health, Education and Welfare, Joseph A. Califano Jr. (1988). It considers contextual issues of how these problems developed and builds on the proposed recommendations from a social exchange view. Suggested expansions and revisions to Secretary Califano's recommendations are discussed.
mesh_terms: D003362:Cost-Benefit Analysis / Q000379:methods*; D004465:Economic Competition; D015438:Health Behavior; D006291:Health Policy / Q000191:economics*; D006300:Health Services Misuse / Q000191:economics; D008318:Malpractice / Q000191:economics; D012931:Social Environment; D012959:Socioeconomic Factors; D014481:United States