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Uncertain Times: Kenneth Arrow and the Changing Economics of Health Care [Paperback]

Peter J. Hammer (Editor), Deborah Haas-Wilson (Editor), Mark A. Peterson (Editor), William M. Sage (Editor)

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Book Description

December 8, 2003 0822332485 978-0822332480
This volume revisits the Nobel Prize-winning economist Kenneth Arrow’s classic 1963 essay “Uncertainty and the Welfare Economics of Medical Care” in light of the many changes in American health care since its publication. Arrow’s groundbreaking piece, reprinted in full here, argued that while medicine was subject to the same models of competition and profit maximization as other industries, concepts of trust and morals also played key roles in understanding medicine as an economic institution and in balancing the asymmetrical relationship between medical providers and their patients. His conclusions about the medical profession’s failures to “insure against uncertainties” helped initiate the reevaluation of insurance as a public and private good.

Coming from diverse backgrounds—economics, law, political science, and the health care industry itself—the contributors use Arrow’s article to address a range of present-day health-policy questions. They examine everything from health insurance and technological innovation to the roles of charity, nonprofit institutions, and self-regulation in addressing medical needs. The collection concludes with a new essay by Arrow, in which he reflects on the health care markets of the new millennium. At a time when medical costs continue to rise, the ranks of the uninsured grow, and uncertainty reigns even among those with health insurance, this volume looks back at a seminal work of scholarship to provide critical guidance for the years ahead.

Contributors
Linda H. Aiken
Kenneth J. Arrow
Gloria J. Bazzoli
M. Gregg Bloche
Lawrence Casalino
Michael Chernew
Richard A. Cooper
Victor R. Fuchs
Annetine C. Gelijns
Sherry A. Glied
Deborah Haas-Wilson
Mark A. Hall
Peter J. Hammer
Clark C. Havighurst
Peter D. Jacobson
Richard Kronick
Michael L. Millenson
Jack Needleman
Richard R. Nelson
Mark V. Pauly
Mark A. Peterson
Uwe E. Reinhardt
James C. Robinson
William M. Sage
J. B. Silvers
Frank A. Sloan
Joshua Graff Zivin


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Editorial Reviews

Review

"This book is worthwhile because it is multifaceted. . . . A graduate student at the end of his or her first semester, a legislative aide with a decade of experience advising Congress, or an emeritus professor who still loves the subject, all will find themselves challenged to comprehend how we have come so far, and yet remained so distant, from understanding the economics of health care."
--Thomas E. Getzen, "Inquiry"

About the Author

Peter J. Hammer is Assistant Professor at the University of Michigan Law School.

Deborah Haas-Wilson is Professor of Economics at Smith College.

Mark A. Peterson is Professor of Policy Studies and Political Science at the University of California, Los Angeles, School of Public Policy and Social Research.

William M. Sage is Professor at the Columbia University School of Law.


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Inside This Book (learn more)
First Sentence:
Kenneth Arrow's 1963 article, "Uncertainty and the Welfare Economics of Medical Care," has become a seminal essay in the field of health economics. Read the first page
Key Phrases - Statistically Improbable Phrases (SIPs): (learn more)
anticompetitive norms, nonprofit health plans, physician professionalism, competitive equilibrium corresponding, nonmarket norms, nonmarket social institutions, medical service risk, nonmarket institutions, nonmarket intervention, informational inequality, optimality gap, medical care market, ideal insurance, naked restraint, obvious stigmata, patient uncertainty, physician surplus, health care workforce, ethical compulsion, nonprofit ownership, intermediate organizations, educational subsidies, health care regulation, nonprofit form, selective contracting
Key Phrases - Capitalized Phrases (CAPs): (learn more)
New York, Health Affairs, United States, New England Journal of Medicine, Journal of the American Medical Association, American Economic Review, Kenneth Arrow, Harvard University Press, Supreme Court, Journal of Health Politics, Basic Books, Blue Cross, Oxford University Press, Institute of Medicine, Sherman Act, Journal of Health Economics, National Bureau of Economic Research, National Academy Press, Second Theorem of Optimality, The Social Transformation of American Medicine, Health Administration Press, Milbank Quarterly, Ann Arbor, Journal of Economic Perspectives, Journal of Political Economy
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