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Reviving public provisioning in US health care
Hayden Rooke-Ley1, Dana Brown2, Colleen Grogan3
1Center for Advancing Health Policy through Research, Brown University School of Public Health, Providence, Rhode Island, 02903.
American healthcare needs reform. Reviving public provisioning of medical services and pharmaceuticals offers a path toward addressing capacity needs, promoting local ownership, and ensuring societal returns on investment.
Area of Science:
- Health Policy
- Political Economy
- Public Health
Background:
- American healthcare largely mirrors neoliberal economic principles.
- New political economy approaches are emerging in various sectors.
- Existing public provisioning models offer valuable insights.
Purpose of the Study:
- To propose reorienting US health care policy through a new industrial policy for health.
- To focus on the revival of public provisioning for medical services and pharmaceuticals.
Main Methods:
- Analysis of existing public provisioning models in healthcare.
- Building on proposals for a new industrial policy for health.
Main Results:
- Public provisioning can address urgent healthcare capacity needs.
- It can foster local ownership and serve as a competitive public option.
- Public provisioning can strengthen worker power and ensure societal returns on investment.
Conclusions:
- A revival of public provisioning is a key strategy for a new industrial policy for health.
- Public models offer a viable alternative to neoliberal approaches in US healthcare.
- Implementing public provisioning can lead to a more equitable and efficient healthcare system.
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