Portal de Periódicos da CAPES

Chicago Hope Meets the Chicago School

1998; University of Michigan Law School; Volume: 96; Issue: 6 Linguagem: Inglês

10.2307/1290105

1939-8557

Gail B. Agrawal, Mark A. Hall,

Race, History, and American Society

Twenty-five years after the enactment of the Federal Health Maintenance Organization Act1 and nearly five years after the fail ure of proposed federal health care reform, managed care2 has come to dominate the medical marketplace.As a result, the rela tionships among patients, payers, and physicians have changed fun damentally and dramatically.In this market-driven environment, health care -how much it costs, who receives treatment, and who pays for it -may have surpassed the weather as a topic of every day conversation at dinner tables and water coolers across the country.In the popular press, reports concerning managed care, usually derogatory, are surpassed in number only by news of the latest political scandals.3Scholars, too, find health care a rich topic for discussion.