Maldistribution Of Health Care Research Articles

Health care cost escalation in the united states: Implications of market failure

Much of the rhetoric in the debate over health care reform suggests reconfiguring the health care system so that the free market forces can work efficiently. This paper will show that hopes for a free market solution to the maldistribution of health care are false. The free market system cannot work at the same level of efficiency for health care as it does in the distribution of other goods and services. Health care presents an anomaly to the free market system, making optimal and efficient distribution virtually impossible. That failure of the market system has led to a crisis of disparity in health care access and delivery in the United States.

Nurse Practitioner Redux

FOR those of us who were involved with the early nurse practitioner (NP) movement, the recent expansive embracing of advanced practice nurses is at once gratifying and thought provoking. It will be interesting to see if history repeats itself and NPs will continue to provide only a small proportion of primary care to Americans. I hope this will not be the case and that NPs soon will play a significant role in primary care. To assure the success of NPs, we might learn some valuable lessons from history. History As a nurse who had gone on to medical school and training in general pediatrics, I held the firm belief that the maldistribution of health care in this country could be resolved if nurses, with additional clinical training, would work with physicians as teams providing primary care. The work of Drs Henry K. Silver (a physician) and Loretta C. Ford (a

Principles of justice as a basis for conceptualizing a health care system.

This paper opens with a concern for the causes of the maldistribution of health care throughout most of the world. It then explores briefly the question of entitlement to health care, focusing on the appropriateness of expressing that entitlement in terms of social justice. Some principles of justice as related to health care are formulated, drawing on the thinking of John Rawls and his Theory of Justice, and the ideas of distributive justice that have been set forth by Nicholas Rescher. These principles are then used as a basis for planning a theoretical health care system in the setting of a less-developed country. This theoretical health care system is intended to reflect a just distribution of health care under conditions of varying limitations of resources, including those in which resources are not adequate to provide care for all of the people. Some of the technical, social, and political implications of such a system are discussed.