Markets and medical care: the United States, 1993-2005.
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.
White
Joseph
J
Department of Political Science, Case Western Reserve University, Cleveland, Ohio 44106-7109, USA. joseph.white@case.edu
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
J Health Polit Policy Law. 2004 Dec;29(6):1045-71
15688577
Health Serv Res. 2004 Oct;39(5):1607-27
15333125
Health Aff (Millwood). 2004 Nov-Dec;23(6):11-24
15584099
J Health Polit Policy Law. 2001 Oct;26(5):1019-30
11765253
Health Aff (Millwood). 2001 Jul-Aug;20(4):159-68
11463072
EBRI Issue Brief. 2004 Dec;(276):1-31
15633948
Health Aff (Millwood). 1996 Summer;15(2):7-20
8690391
Ann Intern Med. 2004 Dec 21;141(12):938-45
15611491
Health Aff (Millwood). 2003 Jan-Jun;Suppl Web Exclusives:W3-266-74
14527260
Health Serv Res. 2003 Feb;38(1 Pt 2):337-55
12650370
Health Aff (Millwood). 2004 Jan-Jun;Suppl Web Exclusives:W4-354-62
15451957
Health Aff (Millwood). 1997 Sep-Oct;16(5):73-82
9314677
Health Aff (Millwood). 2004 Jan-Jun;Suppl Web Exclusives:W4-76-8
15451970
Health Aff (Millwood). 2004 Jan-Jun;Suppl Web Exclusives:W4-136-42
15451990
Health Aff (Millwood). 2005 Nov-Dec;24(6):1447-57
16284016
Health Aff (Millwood). 2004 Nov-Dec;23(6):91-102
15584102
Issue Brief Cent Stud Health Syst Change. 2004 Jun;(84):1-4
15218877
Health Aff (Millwood). 2005 Nov-Dec;24(6):1426-35
16284013
Issue Brief Cent Stud Health Syst Change. 2002 May;(52):1-4
12043746
J Health Polit Policy Law. 1997 Apr;22(2):363-82
9159709
Health Aff (Millwood). 2004 Mar-Apr;23(2):70-81
15046132
Health Aff (Millwood). 2006 Nov-Dec;25(6):w476-85
17003075
J Health Polit Policy Law. 2007 Apr;32(2):187-219
17463405
Health Aff (Millwood). 2005 Jan-Feb;24(1):213-9
15647232
Health Aff (Millwood). 2000 Jan-Feb;19(1):7-41
10645071
Issue Brief Cent Stud Health Syst Change. 1997 May;(9):1-6
10539719
Health Aff (Millwood). 2004 Jan-Jun;Suppl Web Exclusives:W4-31-42
15451962
J Health Polit Policy Law. 1999 Oct;24(5):1033-43
10615614
Health Aff (Millwood). 2004 Mar-Apr;23(2):82-90
15046133
Health Aff (Millwood). 2005 Nov-Dec;24(6):1512-22
16284023
J Health Econ. 2004 Jan;23(1):129-55
15154691
Health Aff (Millwood). 2003 Mar-Apr;22(2):230-7
12674426
Health Aff (Millwood). 2005 Jul-Dec;Suppl Web Exclusives:W5-376-84
16091408
Health Aff (Millwood). 2000 Nov-Dec;19(6):217-23
11192405
Inquiry. 2003 Winter;40(4):362-74
15055835
Health Serv Res. 2003 Feb;38(1 Pt 2):375-93
12650372
Milbank Q. 2003;81(4):509-42
14678478
Health Aff (Millwood). 2006 Nov-Dec;25(6):w486-95
17018565
Health Aff (Millwood). 2001 Jul-Aug;20(4):97-108
11463095
Issue Brief Cent Stud Health Syst Change. 1999 Mar;(19):1-6
10558414
Issue Brief Cent Stud Health Syst Change. 2002 Jul;(54):1-4
12152637
J Health Polit Policy Law. 2001 Oct;26(5):967-92
11765275
N Engl J Med. 2004 Nov 25;351(22):2259-62
15564541
Health Serv Res. 2005 Jun;40(3):647-67
15960684
Issue Brief Cent Stud Health Syst Change. 1998 Dec;(17):1-7
10539732
J Health Polit Policy Law. 2001 Oct;26(5):1197-203
11765265
Issue Brief Cent Stud Health Syst Change. 1997 Jun;(10):1-6
10539718
Issue Brief Cent Stud Health Syst Change. 2004 Mar;(78):1-4
15046065
Health Aff (Millwood). 2000 Jan-Feb;19(1):42-55
10645072
Health Aff (Millwood). 2001 Jul-Aug;20(4):81-96
11463094
Health Aff (Millwood). 2003 May-Jun;22(3):89-105
12757275
Health Aff (Millwood). 2004 Mar-Apr;23(2):143-54
15046138
Am J Med. 2004 Dec 15;117(12):932-7
15629732
Milbank Q. 2003;81(4):567-601
14678480
Health Aff (Millwood). 2004 Mar-Apr;23(2):43-55
15046130
Issue Brief Cent Stud Health Syst Change. 2004 Jan;(76):1-6
14976992
Health Aff (Millwood). 2004 Mar-Apr;23(2):175-81
15046141
Health Serv Res. 2005 Apr;40(2):317-36
15762893
Health Aff (Millwood). 2004 Nov-Dec;23(6):9-10
15537580
Health Aff (Millwood). 2001 Jul-Aug;20(4):120-38
11463069
Issue Brief Cent Stud Health Syst Change. 2003 Oct;(69):1-4
14552341
J Health Polit Policy Law. 1999 Aug;24(4):653-96
10503152
Issue Brief Cent Stud Health Syst Change. 2004 Jan;(74):1-4
14974498
Health Aff (Millwood). 2000 Nov-Dec;19(6):224-30
11192406
J Health Polit Policy Law. 2007 Apr;32(2):221-46
17463406
Manag Care Q. 2002 Fall;10(4):30-42
12561392
J Health Polit Policy Law. 2001 Oct;26(5):899-911
11765270
Issue Brief Cent Stud Health Syst Change. 1998 May;(13):1-6
10539727
Health Aff (Millwood). 2004 Mar-Apr;23(2):56-68
15046131
Health Aff (Millwood). 2004 Jan-Jun;Suppl Web Exclusives:W4-43-59
15451977
Health Aff (Millwood). 2005 Nov-Dec;24(6):1501-11
16284022
Health Serv Res. 2005 Jun;40(3):669-74
15960685
Issue Brief Cent Stud Health Syst Change. 2003 Aug;(67):1-4
12962121
Health Aff (Millwood). 2003 Nov-Dec;22(6):77-87
14649434
J Health Polit Policy Law. 2001 Oct;26(5):957-65
11765274
Milbank Q. 2007;85(1):5-35
17319805
Am J Med. 2003 Jun 15;114(9):774-6
12829212
Health Aff (Millwood). 2006 Mar-Apr;25(2):w61-73
16495287
Issue Brief (Commonw Fund). 2006 Nov;23:1-16
17153271
Health Aff (Millwood). 1999 Mar-Apr;18(2):7-24
10091427
Health Aff (Millwood). 2005 Jan-Jun;Suppl Web Exclusives:W5-74-W5-85
15728678
J Health Polit Policy Law. 2005 Jun;30(3):427-52
16089111
Issue Brief Cent Stud Health Syst Change. 2003 Apr;(62):1-4
12705277
Health Aff (Millwood). 2004 Jan-Jun;Suppl Web Exclusives:W4-149-51
15451987