Uncertain Times (häftad)
Häftad (Paperback / softback)
Antal sidor
Duke University Press
Sage, William M. (red.)
2 tables, 3 figures
235 x 160 x 20 mm
540 g
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Uncertain Times (häftad)

Uncertain Times

Kenneth Arrow and the Changing Economics of Health Care

Häftad Engelska, 2003-12-01
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This volume revisits the Nobel Prize-winning economist Kenneth Arrow's classic 1963 essay "Uncertainty and the Welfare Economics of Medical Care" in light of the many changes in American health care since its publication. Arrow's groundbreaking piece, reprinted in full here, argued that while medicine was subject to the same models of competition and profit maximization as other industries, concepts of trust and morals also played key roles in understanding medicine as an economic institution and in balancing the asymmetrical relationship between medical providers and their patients. His conclusions about the medical profession's failures to "insure against uncertainties" helped initiate the reevaluation of insurance as a public and private good.Coming from diverse backgrounds-economics, law, political science, and the health care industry itself-the contributors use Arrow's article to address a range of present-day health-policy questions. They examine everything from health insurance and technological innovation to the roles of charity, nonprofit institutions, and self-regulation in addressing medical needs. The collection concludes with a new essay by Arrow, in which he reflects on the health care markets of the new millennium. At a time when medical costs continue to rise, the ranks of the uninsured grow, and uncertainty reigns even among those with health insurance, this volume looks back at a seminal work of scholarship to provide critical guidance for the years ahead. Contributors Linda H. Aiken Kenneth J. Arrow Gloria J. Bazzoli M. Gregg Bloche Lawrence Casalino Michael Chernew Richard A. Cooper Victor R. Fuchs Annetine C. Gelijns Sherry A. Glied Deborah Haas-Wilson Mark A. Hall Peter J. Hammer Clark C. Havighurst Peter D. Jacobson Richard Kronick Michael L. Millenson Jack Needleman Richard R. Nelson Mark V. Pauly Mark A. Peterson Uwe E. Reinhardt James C. Robinson William M. Sage J. B. Silvers Frank A. Sloan Joshua Graff Zivin
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"This book is worthwhile because it is multifaceted. . . . A graduate student at the end of his or her first semester, a legislative aide with a decade of experience advising Congress, or an emeritus professor who still loves the subject, all will find themselves challenged to comprehend how we have come so far, and yet remained so distant, from understanding the economics of health care." --Thomas E. Getzen, "Inquiry"

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Peter J. Hammer is Assistant Professor at the University of Michigan Law School. Deborah Haas-Wilson is Professor of Economics at Smith College. Mark A. Peterson is Professor of Policy Studies and Political Science at the University of California, Los Angeles, School of Public Policy and Social Research. William M. Sage is Professor at the Columbia University School of Law.


Foreword / Mark V. Pauly vii Preface / Victor R. Fuchs xiii Kenneth Arrow and the Changing Economics of Health Care: "Why Arrow? Why Now?" / Peter J. Hammer, Deborah Haas-Wilson, Mark A. Peterson, and William M. Sage xvii Uncertainty and the Welfare Economics of Medical Care (American Economics Review, 1963) / Kenneth J. Arrow 1 Part 1: Supply, Demand, and Health Care Competition General Equilibrium and Marketability in the Health Care Industry / Michael Chernew 37 Arrow's Concept of the Health Care Consumer: A Forty-Year Retrospective / Frank A. Sloan 49 Uncertainty and Technological Change in Medicine / Annetine G. Gelijns, Joshua Graff Zivin, and Richard R. Nelson 60 Human Inputs: The Health Care Workforce and Medical Markets / Richard A. Cooper and Linda H. Aiken 71 Health Care as a (Big) Business: The Antitrust Response / Clark C. Havighurst 84 Part 2: Risk, Insurance, and Redistribution Health Insurance and Market Failure since Arrow / Sherry A. Glied 103 Can Efficiency in Health Care Be Left to the Market? / Uwe E. Reinhardt 111 Valuing Charity / Richard Kronick 134 Medical Service Risk and the Evolution of Provider Compensation Arrangements / Gloria J. Bazzoli 142 The Role of the Capital Markets in Restructuring Health Care / J. B. Silvers 156 Part 3: Information, Knowledge, and Medical Markets Arrow and the Information Market Failure in Health Care: The Changing Content and Sources of Health Care Information / Deborah Haas-Wilson 169 The End of Asymmetric Information / James C. Robinson 181 Managing Uncertainty: Intermediate Organizations as Triple Agents / Lawrence Casalino 189 Moral Hazard vs. Real Hazard: Quality of Care Post-Arrow / Michael L. Millenson 202 Part 4: Social Norms and Professionalism Arrow's Analysis of Social Institutions: Entering the Marketplace with Giving Hands? / Peter J. Hammer 215 The Market for Medical Ethics / M. Gregg Bloche 230 The Role of Nonprofits in Health Care / Jack Needleman 243 Arrow on Trust / Mark A. Hall 259 From Trust to Political Power: Interest Groups, Public Choice, and Health Care / Mark A. Peterson 272 Regulating Health Care: From Self-Regulation to Self-Regulation? / Peter D. Jacobson 290 The Lawyerization of Medicine / William M. Sage 302 Part 5: Response by Professor Arrow Reflections on Reflections / Kenneth J. Arrow 321 Contributors 327 Index 335