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Related Experiment Videos

The competition vogue and its outcomes

W A Glaser1

  • 1New School for Social Research, Graduate School of Management and Urban Policy, New York, NY 10011.

Lancet (London, England)
|March 27, 1993
PubMed
Summary

Social solidarity, not self-interest, inspired health care financing. The US reliance on market economics failed, unlike European systems, leaving health problems unsolved.

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Area of Science:

  • Health economics
  • Social policy
  • Comparative healthcare systems

Background:

  • Social security and health care financing were established on principles of social solidarity.
  • The United States uniquely maintained a private, market-driven health sector, influenced by microeconomics.
  • European health economics initially looked to US market-oriented literature but found it less applicable.

Purpose of the Study:

  • To analyze the divergence in health care financing models between the US and European countries.
  • To evaluate the impact of market-oriented economic principles on US healthcare outcomes.
  • To contrast the effectiveness of solidarity-based versus market-based healthcare systems.

Main Methods:

  • Comparative analysis of healthcare financing and economic principles in the US and Europe.
  • Review of historical development and ideological underpinnings of healthcare systems.
  • Assessment of the outcomes of different healthcare economic models.

Main Results:

  • The US adopted a market-centric approach, differing from the solidarity-based models in other nations.
  • European systems, despite incorporating competition and choice, performed better than the US system.
  • The US has experienced persistent, unsolved health problems due to its market-driven policies.

Conclusions:

  • The US's adherence to free-market principles in healthcare financing has led to significant, unresolved challenges.
  • European healthcare systems, inspired by social solidarity, demonstrated greater effectiveness.
  • The pervasive influence of pro-competitive ideology, even within the Democratic administration, contradicts historical healthcare policy foundations.

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