Doctors and the State

The Politics of Health Care in France and the United States

Nonfiction, Health & Well Being, Medical, Patient Care, Health Care Delivery
Cover of the book Doctors and the State by David Wilsford, Duke University Press
View on Amazon View on AbeBooks View on Kobo View on B.Depository View on eBay View on Walmart
Author: David Wilsford ISBN: 9780822378655
Publisher: Duke University Press Publication: March 22, 1991
Imprint: Duke University Press Books Language: English
Author: David Wilsford
ISBN: 9780822378655
Publisher: Duke University Press
Publication: March 22, 1991
Imprint: Duke University Press Books
Language: English

All advanced health care systems face severe difficulties in financing the delivery of today’s sophisticated medical care. In this study David Wilsford compares the health systems in France and the United States to demonstrate that some political systems are considerably more effective at controlling the cost of care than others. He argues that two variables—the autonomy of the state and the strength and cohesiveness of organized medicine—explain this variance.
In France, Wilsford shows, the state is strong in the health policy domain, while organized medicine is weak and divided. Consequently, physicians exercise little influence over health care policymaking. By contrast, in the United States the state is weak, the employers and insurers who pay for health care are fragmented, and organized medicine is strong and well financed. As a result, medical professionals are able to exert a greater influence on policymaking, thus making cost control more difficult.
Wilsford extends his comparison to health care systems in the United Kingdom, West Germany, Italy, Canada, and Japan. Whether the private or public sector finances health care, he discovers, there is now an important trend in all of the advanced industrial countries toward controlling escalating costs by curbing both the medical profession’s clinical autonomy and physicians’ incomes.

View on Amazon View on AbeBooks View on Kobo View on B.Depository View on eBay View on Walmart

All advanced health care systems face severe difficulties in financing the delivery of today’s sophisticated medical care. In this study David Wilsford compares the health systems in France and the United States to demonstrate that some political systems are considerably more effective at controlling the cost of care than others. He argues that two variables—the autonomy of the state and the strength and cohesiveness of organized medicine—explain this variance.
In France, Wilsford shows, the state is strong in the health policy domain, while organized medicine is weak and divided. Consequently, physicians exercise little influence over health care policymaking. By contrast, in the United States the state is weak, the employers and insurers who pay for health care are fragmented, and organized medicine is strong and well financed. As a result, medical professionals are able to exert a greater influence on policymaking, thus making cost control more difficult.
Wilsford extends his comparison to health care systems in the United Kingdom, West Germany, Italy, Canada, and Japan. Whether the private or public sector finances health care, he discovers, there is now an important trend in all of the advanced industrial countries toward controlling escalating costs by curbing both the medical profession’s clinical autonomy and physicians’ incomes.

More books from Duke University Press

Cover of the book Fables of Power by David Wilsford
Cover of the book Animals and Women by David Wilsford
Cover of the book Fugitive Life by David Wilsford
Cover of the book The Abyss of Representation by David Wilsford
Cover of the book Dark Continents by David Wilsford
Cover of the book The Making of Our Bodies, Ourselves by David Wilsford
Cover of the book The Ellis Island Snow Globe by David Wilsford
Cover of the book The Fetish Revisited by David Wilsford
Cover of the book Kannani and Document of Flames by David Wilsford
Cover of the book Medicine in the Meantime by David Wilsford
Cover of the book Organ Transplantation Policy by David Wilsford
Cover of the book Immediations by David Wilsford
Cover of the book Bounded Lives, Bounded Places by David Wilsford
Cover of the book Soul Covers by David Wilsford
Cover of the book Do the Americas Have a Common Literature? by David Wilsford
We use our own "cookies" and third party cookies to improve services and to see statistical information. By using this website, you agree to our Privacy Policy