1004.chap11.medicine

1004.chap11.medicine - Chapter 11, Medicine Medicine as a...

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Chapter 11, Medicine
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Medicine as a social institution
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Paul Starr, The Social Transformation of American Medicine 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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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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Reasons For the Increasing Cost of Health Care 1. Rules of the market place do not apply 2. More labor intensive 3. Upgrading the scope and intensity of medical services 4. Population aging 5. Broader concept of health Psychological services; Infertility
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51 Million don’t have health insurance 0 10 20 30 40 50 60 1987 1990 1995 2000 2005 2006 2009 Uninsured
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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 of people don’t have health insurance.
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Use of health services are very concentrated The Top 1% of patients account for 22% of health care expenses. The Top 5% account for 49% The Top 10% account for 64% The Bottom 50% account for 3%. Point: No one can afford to self-insure.
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are far higher in the United States than elsewhere Data on the next slide are from the Statistical Abstract, 2009. They refer to 2005.
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This note was uploaded on 11/21/2011 for the course SOC 1004 taught by Professor Mdhughes during the Fall '07 term at Virginia Tech.

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1004.chap11.medicine - Chapter 11, Medicine Medicine as a...

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