Selling our souls the commodification of hospital care in the United States 1st Edition by Adam Dalton Reich ISBN 978-0691160405 0691160406

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Product details: 

ISBN 10: 0691160406

ISBN 13: 978-0691160405

Author: Adam Dalton Reich

Health care costs make up nearly a fifth of U.S. gross domestic product, but health care is a peculiar thing to buy and sell. Both a scarce resource and a basic need, it involves physical and emotional vulnerability and at the same time it operates as big business. Patients have little choice but to trust those who provide them care, but even those providers confront a great deal of medical uncertainty about the services they offer. Selling Our Souls looks at the contradictions inherent in one particular health care market―hospital care. Based on extensive interviews and observations across the three hospitals of one California city, the book explores the tensions embedded in the market for hospital care, how different hospitals manage these tensions, the historical trajectories driving disparities in contemporary hospital practice, and the perils and possibilities of various models of care.

As Adam Reich shows, the book’s three featured hospitals could not be more different in background or contemporary practice. PubliCare was founded in the late nineteenth century as an almshouse in order to address the needs of the destitute. HolyCare was founded by an order of nuns in the mid-twentieth century, offering spiritual comfort to the paying patient. And GroupCare was founded in the late twentieth century to rationalize and economize care for middle-class patients and their employers. Reich explains how these legacies play out today in terms of the hospitals’ different responses to similar market pressures, and the varieties of care that result.

Selling Our Souls is an in-depth investigation into how hospital organizations and the people who work in them make sense of and respond to the modern health care market.

Table of contents: 

PART ONE: PubliCare Rebuffs the Market
1. Introduction
2. Health Care for All
3. Privileged Servants
4. Feels Like Home

PART TWO: HolyCare Moralizes the Market
5. Introduction
6. Sacred Encounters
7. Good Business
8. The Martyred Heart

PART THREE: GroupCare Tames the Market
9. Introduction
10. Flourishing
11. Disciplined Doctors
12. Partnership

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Tags: Adam Dalton Reich, Selling our souls, commodification of hospital