Increased concern in the 1960s about the quality and availability of health care in the United States prompted a variety of attempts to develop new policies and to modify the existing health care system. The authors of this book review some of those attempts and provide critical commentary on a broad range of new and continuing problems. Their succinct review of many vital aspects of the current health care system clearly demonstrates the successes and failures of health care policy and its impact on the overall system. The authors discuss consumer involvement in the health care system, the development of neighborhood health clinics, health maintenance organizations and health systems agencies, veterans' medical care, chiropractic, the use of non-physicians in care, changing ideologies among physicians, and the impact of health education. A variety of analytical perspectives are used to evaluate the many issues raised, ranging from a highly critical Marxist commentary on fundamental flaws in the U.S. health system to a pluralist analysis of how the current system might be made to work better.
1 AMERICAN HEALTH CARE: PARADIGM STRUCTURES AND THE PARAMETERS OF CHANGE, 2 THE PUBLIC AND CARE BY NON-PHYSICIANS: HEALTH POLICY CONSIDERATION, 3 ORGANIZATIONAL STRUCTURE AND PROFESSIONAL NORMS IN AN ALTERNATIVE HEALTH CARE SETTING: PHYSICIANS IN HEALTH MAINTENANCE ORGANIZATIONS, 4 THE PARADOXES OF HEALTH PLANNING, 5 MISSION NEIGHBORHOOD HEALTH CENTER: A CASE STUDY OF THE DEPARTMENT OF HEALTH, EDUCATION AND WELFARE AS A COUNTERINSURGENCY AGENCY, 6 VETERANS' MEDICAL CARE: THE POLITICS OF AN AMERICAN GOVERNMENT HEALTH SERVICE, 7 CHANGING PHYSICIAN IDEOLOGIES ON THE CARE OF THE DYING: THEMES AND POSSIBLE, 8 THE TRIUMPH OF CHIROPRACTIC-- AND THEN WHAT? 9 THE GOOD LIFE: WHO'S PRACTICING HEALTHY LIFE-STYLES? 10 THE IMPACT OF CONSUMERISM ON HEALTH CARE CHANGE: ALTERNATIVES FOR THE FUTURE?