title: Markets and medical care: the United States, 1993-2005.
abstract: Many studies arguing for or against markets to finance medical care investigate "market-oriented" measures such as cost sharing. This article looks at the experience in the American medical marketplace over more than a decade, showing how markets function as institutions in which participants who are self-seeking, but not perfectly rational, exercise power over other participants in the market. Cost experience here was driven more by market power over prices than by management of utilization. Instead of following any logic of efficiency or equity, system transformations were driven by beliefs about investment strategies. At least in the United States' labor and capital markets, competition has shown little ability to rationalize health care systems because its goals do not resemble those of the health care system most people want.
authors: Department of Political Science, Case Western Reserve University, Cleveland, Ohio 44106-7109, USA. joseph.white@case.edu
authors: Joseph
authors: J
authors: White
mesh_terms: D002202:Capital Financing; D003695:Delivery of Health Care / Q000191:economics* / Q000458:organization & administration / Q000639:trends*; D004465:Economic Competition; D018166:Health Care Reform; D006297:Health Services Accessibility; D006801:Humans; D008329:Managed Care Programs / Q000639:trends; D011057:Politics; D014481:United States
references: J Health Polit Policy Law. 2004 Dec;29(6):1045-71
references: 15688577
references: Health Serv Res. 2004 Oct;39(5):1607-27
references: 15333125
references: Health Aff (Millwood). 2004 Nov-Dec;23(6):11-24
references: 15584099
references: J Health Polit Policy Law. 2001 Oct;26(5):1019-30
references: 11765253
references: Health Aff (Millwood). 2001 Jul-Aug;20(4):159-68
references: 11463072
references: EBRI Issue Brief. 2004 Dec;(276):1-31
references: 15633948
references: Health Aff (Millwood). 1996 Summer;15(2):7-20
references: 8690391
references: Ann Intern Med. 2004 Dec 21;141(12):938-45
references: 15611491
references: Health Aff (Millwood). 2003 Jan-Jun;Suppl Web Exclusives:W3-266-74
references: 14527260
references: Health Serv Res. 2003 Feb;38(1 Pt 2):337-55
references: 12650370
references: Health Aff (Millwood). 2004 Jan-Jun;Suppl Web Exclusives:W4-354-62
references: 15451957
references: Health Aff (Millwood). 1997 Sep-Oct;16(5):73-82
references: 9314677
references: Health Aff (Millwood). 2004 Jan-Jun;Suppl Web Exclusives:W4-76-8
references: 15451970
references: Health Aff (Millwood). 2004 Jan-Jun;Suppl Web Exclusives:W4-136-42
references: 15451990
references: Health Aff (Millwood). 2005 Nov-Dec;24(6):1447-57
references: 16284016
references: Health Aff (Millwood). 2004 Nov-Dec;23(6):91-102
references: 15584102
references: Issue Brief Cent Stud Health Syst Change. 2004 Jun;(84):1-4
references: 15218877
references: Health Aff (Millwood). 2005 Nov-Dec;24(6):1426-35
references: 16284013
references: Issue Brief Cent Stud Health Syst Change. 2002 May;(52):1-4
references: 12043746
references: J Health Polit Policy Law. 1997 Apr;22(2):363-82
references: 9159709
references: Health Aff (Millwood). 2004 Mar-Apr;23(2):70-81
references: 15046132
references: Health Aff (Millwood). 2006 Nov-Dec;25(6):w476-85
references: 17003075
references: J Health Polit Policy Law. 2007 Apr;32(2):187-219
references: 17463405
references: Health Aff (Millwood). 2005 Jan-Feb;24(1):213-9
references: 15647232
references: Health Aff (Millwood). 2000 Jan-Feb;19(1):7-41
references: 10645071
references: Issue Brief Cent Stud Health Syst Change. 1997 May;(9):1-6
references: 10539719
references: Health Aff (Millwood). 2004 Jan-Jun;Suppl Web Exclusives:W4-31-42
references: 15451962
references: J Health Polit Policy Law. 1999 Oct;24(5):1033-43
references: 10615614
references: Health Aff (Millwood). 2004 Mar-Apr;23(2):82-90
references: 15046133
references: Health Aff (Millwood). 2005 Nov-Dec;24(6):1512-22
references: 16284023
references: J Health Econ. 2004 Jan;23(1):129-55
references: 15154691
references: Health Aff (Millwood). 2003 Mar-Apr;22(2):230-7
references: 12674426
references: Health Aff (Millwood). 2005 Jul-Dec;Suppl Web Exclusives:W5-376-84
references: 16091408
references: Health Aff (Millwood). 2000 Nov-Dec;19(6):217-23
references: 11192405
references: Inquiry. 2003 Winter;40(4):362-74
references: 15055835
references: Health Serv Res. 2003 Feb;38(1 Pt 2):375-93
references: 12650372
references: Milbank Q. 2003;81(4):509-42
references: 14678478
references: Health Aff (Millwood). 2006 Nov-Dec;25(6):w486-95
references: 17018565
references: Health Aff (Millwood). 2001 Jul-Aug;20(4):97-108
references: 11463095
references: Issue Brief Cent Stud Health Syst Change. 1999 Mar;(19):1-6
references: 10558414
references: Issue Brief Cent Stud Health Syst Change. 2002 Jul;(54):1-4
references: 12152637
references: J Health Polit Policy Law. 2001 Oct;26(5):967-92
references: 11765275
references: N Engl J Med. 2004 Nov 25;351(22):2259-62
references: 15564541
references: Health Serv Res. 2005 Jun;40(3):647-67
references: 15960684
references: Issue Brief Cent Stud Health Syst Change. 1998 Dec;(17):1-7
references: 10539732
references: J Health Polit Policy Law. 2001 Oct;26(5):1197-203
references: 11765265
references: Issue Brief Cent Stud Health Syst Change. 1997 Jun;(10):1-6
references: 10539718
references: Issue Brief Cent Stud Health Syst Change. 2004 Mar;(78):1-4
references: 15046065
references: Health Aff (Millwood). 2000 Jan-Feb;19(1):42-55
references: 10645072
references: Health Aff (Millwood). 2001 Jul-Aug;20(4):81-96
references: 11463094
references: Health Aff (Millwood). 2003 May-Jun;22(3):89-105
references: 12757275
references: Health Aff (Millwood). 2004 Mar-Apr;23(2):143-54
references: 15046138
references: Am J Med. 2004 Dec 15;117(12):932-7
references: 15629732
references: Milbank Q. 2003;81(4):567-601
references: 14678480
references: Health Aff (Millwood). 2004 Mar-Apr;23(2):43-55
references: 15046130
references: Issue Brief Cent Stud Health Syst Change. 2004 Jan;(76):1-6
references: 14976992
references: Health Aff (Millwood). 2004 Mar-Apr;23(2):175-81
references: 15046141
references: Health Serv Res. 2005 Apr;40(2):317-36
references: 15762893
references: Health Aff (Millwood). 2004 Nov-Dec;23(6):9-10
references: 15537580
references: Health Aff (Millwood). 2001 Jul-Aug;20(4):120-38
references: 11463069
references: Issue Brief Cent Stud Health Syst Change. 2003 Oct;(69):1-4
references: 14552341
references: J Health Polit Policy Law. 1999 Aug;24(4):653-96
references: 10503152
references: Issue Brief Cent Stud Health Syst Change. 2004 Jan;(74):1-4
references: 14974498
references: Health Aff (Millwood). 2000 Nov-Dec;19(6):224-30
references: 11192406
references: J Health Polit Policy Law. 2007 Apr;32(2):221-46
references: 17463406
references: Manag Care Q. 2002 Fall;10(4):30-42
references: 12561392
references: J Health Polit Policy Law. 2001 Oct;26(5):899-911
references: 11765270
references: Issue Brief Cent Stud Health Syst Change. 1998 May;(13):1-6
references: 10539727
references: Health Aff (Millwood). 2004 Mar-Apr;23(2):56-68
references: 15046131
references: Health Aff (Millwood). 2004 Jan-Jun;Suppl Web Exclusives:W4-43-59
references: 15451977
references: Health Aff (Millwood). 2005 Nov-Dec;24(6):1501-11
references: 16284022
references: Health Serv Res. 2005 Jun;40(3):669-74
references: 15960685
references: Issue Brief Cent Stud Health Syst Change. 2003 Aug;(67):1-4
references: 12962121
references: Health Aff (Millwood). 2003 Nov-Dec;22(6):77-87
references: 14649434
references: J Health Polit Policy Law. 2001 Oct;26(5):957-65
references: 11765274
references: Milbank Q. 2007;85(1):5-35
references: 17319805
references: Am J Med. 2003 Jun 15;114(9):774-6
references: 12829212
references: Health Aff (Millwood). 2006 Mar-Apr;25(2):w61-73
references: 16495287
references: Issue Brief (Commonw Fund). 2006 Nov;23:1-16
references: 17153271
references: Health Aff (Millwood). 1999 Mar-Apr;18(2):7-24
references: 10091427
references: Health Aff (Millwood). 2005 Jan-Jun;Suppl Web Exclusives:W5-74-W5-85
references: 15728678
references: J Health Polit Policy Law. 2005 Jun;30(3):427-52
references: 16089111
references: Issue Brief Cent Stud Health Syst Change. 2003 Apr;(62):1-4
references: 12705277
references: Health Aff (Millwood). 2004 Jan-Jun;Suppl Web Exclusives:W4-149-51
references: 15451987