0
ARTICLE |

Purchasing Power in Health: Business, the State, and Health Care Politics

David J. Shulkin, MD
JAMA. 1990;264(10):1329-1330. doi:10.1001/jama.1990.03450100121040.
Text Size: A A A
Published online

ABSTRACT

For the past two decades, Business has been at war with Medicine. Medicine has lost crucial battles and is still retreating. This book recounts the underlying causes of the conflict and adds an understanding of past and present strategies of the warfare.

In what reads more like a doctoral dissertation than a flowing narrative, the author examines the impact of corporate America on medical care between 1969 and 1988. With extensive interviews requiring 30 pages of footnotes, she recounts the events leading to business' entrance into the health policy forum. The myriad of facts makes for slow reading. Nonetheless, it's an interesting story.

Dwindling corporate profits in the late 1960s set the stage for change in health policy. While the general economy faltered, the health care industry was undergoing a growth spurt. With declining revenues and rising medical care benefits, industrial leaders felt compelled to act. By the early 1970s,

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();