Abstract
ABSTRACT Profit-making is not a new phenomenon in medical care. Physicians' incomes are essentially the profits of private medical practice. Pharmaceutical and medical equipment manufacturers have long been flourishing profit-oriented industries. For services such as medical care, though, the market sometimes doesn't distribute services in ways that are acceptable to society.In the United States, one of the few industrial nations without national health insurance, we have relied heavily on two forces to attempt to ensure a reasonable distribution of health care services: (1) the service orientation and charity mission of nonprofit hospitals and (2) a highly developed fiduciary ethic of the medical profession. It is not really known how well society has been served by reliance on these forces. However, combined with the growth of third-party payments by employers and government, these forces are inherently expansionary and are at least partially responsible for our current cost problems.The Profit Motive
Published Version
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