|
Titulo |
Insurance Accounts: The Cultural Logics of Health Care Financing. |
|
Autoría |
Mulligan J. |
|
Fuente |
Med Anthropol Q. 2016 Mar;30(1):37-61. doi: 10.1111/maq.12157. Epub 2015 Mar 25. |
|
Resumen |
The financial exuberance that eventually culminated in the recent world economic crisis also ushered in dramatic shifts in how health care is financed, administered, and imagined. Drawing on research conducted in the mid-2000s at a health insurance company in Puerto Rico, this article shows how health care has been financialized in many ways that include: (1) privatizing public services; (2) engineering new insurance products like high deductible plans and health savings accounts; (3) applying financial techniques to premium payments to yield maximum profitability; (4) a managerial focus on shareholder value; and (5) prioritizing mergers and financial speculation. The article argues that financial techniques obfuscate how much health care costs, foster widespread gaming of reimbursement systems that drives up prices, and "unpool" risk by devolving financial and moral responsibility for health care onto individual consumers. |
|
URL |
www.ncbi.nlm.nih.gov/pubmed/25331937 |
|
Tipo de documento |
Artículo cientifico |
|
Impacto en el sistema sanitario |
Sistemas Sanitarios - General |
|
Impacto en la salud |
-- |
