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1004.chap11.medicine(2)

1004.chap11.medicine(2) - C hapter 11 M edicine M edicine...

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10/11/10 Chapter 11, Medicine
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10/11/10 Medicine as a social institution Some has “specialized knowledge” Home remedies, medicine man Today we have large hospitals, actual doctors
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10/11/10 Paul Starr, The Social Transformation of American 19th century: low income for doctors After Civil War, economic position improved By 1900, “cultural authority” Self-regulation Client deference Autonomy By 1930, “sole arbiters of medicine Managed care: Power of doctors waning
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10/11/10 Reasons For the I ncreasing Cost of Health Care 1. Rules of the market place do not apply Patients don’t go around and “shop” for best deal 1. More labor intensive Since 1950 the number of hospital workers per bed has tripled 1. Upgrading the scope and intensity of medical services New procedures cost much money 1. Population aging 2. Broader concept of health
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10/11/10 Should the U.S. have government-guaranteed
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10/11/10 High price of health care in U.S. About $2.5 Trillion per year About 16% of GDP Are we getting our money’s worth for our health care dollar?
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10/11/10 We spend a lot on health care in spite of the fact that millions of people don’t have health insurance. Or, perhaps because millions
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47 Million don’t have health
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