Google full text of our books:


The Economic Evolution of American Health Care:
From Marcus Welby to Managed Care
David Dranove

Paperback | 2002 | $47.95 | £39.95 | ISBN: 9780691102535
224 pp. | 6 x 9 1/4
Add to Shopping Cart

eBook | ISBN: 9781400824687 |
Our eBook editions are available from these online vendors

Reviews | Table of Contents
Introduction [HTML] or [PDF] pdf-icon | Chapter 1 [HTML] or [PDF] pdf-icon

Google full text of this book:

The American health care industry has undergone such dizzying transformations since the 1960s that many patients have lost confidence in a system they find too impersonal and ineffectual. Is their distrust justified and can confidence be restored? David Dranove, a leading health care economist, tackles these and other key questions in the first major economic and historical investigation of the field. Focusing on the doctor-patient relationship, he begins with the era of the independently practicing physician--epitomized by Marcus Welby, the beloved father figure/doctor in the 1960s television show of the same name--who disappeared with the growth of managed care. Dranove guides consumers in understanding the rapid developments of the health care industry and offers timely policy recommendations for reforming managed care as well as advice for patients making health care decisions.

The book covers everything from start-up troubles with the first managed care organizations to attempts at government regulation to the mergers and quality control issues facing MCOs today. It also reflects on how difficult it is for patients to shop for medical care. Up until the 1970s, patients looked to autonomous physicians for recommendations on procedures and hospitals--a process that relied more on the patient's trust of the physician than on facts, and resulted in skyrocketing medical costs. Newly emerging MCOs have tried to solve the shopping problem by tracking the performance of care providers while obtaining discounts for their clients.

Many observers accuse MCOs of caring more about cost than quality, and argue for government regulation. Dranove, however, believes that market forces can eventually achieve quality care and cost control. But first, MCOs must improve their ways of measuring provider performance, medical records must be made more complete and accessible (a task that need not compromise patient confidentiality), and patients must be willing to seek and act on information about the best care available. Dranove argues that patients can regain confidence in the medical system, and even come to trust MCOs, but they will need to rely on both their individual doctors and their own consumer awareness.


"[Dranove] offers important insight into a complicated and critically important sector of our society."--Booklist

"[Dranove] raises interesting points on the benefits of managed care but does not hesitate to point out where MCOs can go wrong. While the book emphasizes the business aspect of healthcare, an economics degree is not necessary to understand the principles that are illustrated."--Library Journal

"When you ask people why they don't like managed care, they usually don't give clear answers . . . But most people haven't had particularly bad experiences themselves . . . So it's been hard for most of us to know just how managed health care really does stack up . . . It's no longer so hard, thanks to The Economic Evolution of American Health Care, by David Dranove. . . A wealth of information."--David R. Henderson, The Wall Street Journal

"Although everyone will not agree with the author's theories and conclusions, he offers important insight into a complicated and critically important sector of our society."--Booklist

"Many governments are actively considering market-based solutions to health care inflation. My message to them is simple: before you try to emulate much of what we have done, read David Dranove."--Jerome P. Kassirer, Canadian Medical Association Journal

"David Dranove acknowledges many of the problems of contemporary managed care but argues that, properly structured, it would be a very good idea."--Lawrence P. Casalino, New England Journal of Medicine

"An excellent book that makes accessible a great deal of interesting and relevant research. . . . It reviews a remarkable list of important policy issues in a very short space and provides sharp economic insight into each of them. Even more, it is written in clear, non-technical language. . . . I recommend it highly."--Alain C. Enthoven, Healthplan

More reviews

Table of Contents:

Acknowledgments vii
Introduction 3
Part One: The Rise of Managed Care 5
Chapter 1. Marcus Welby Medicine 7
Chapter 2. The Origins of Managed Care 28
Chapter 3. The Government Steps In 45
Chapter 4. Managed Care Takes Over 65
Part Two: The Modern Health Economy 91
Chapter 5. The Business of Health Care 93
Chapter 6. Merger mania 115
Chapter 7. Quality 136
Chapter 8. Fulfilling the Promise of managed Care 159
Notes 177
Bibliography 193
Index 203

Another Princeton book authored or coauthored by David Dranove:

Subject Areas:

Shopping Cart options:

  • For ebooks:

Our eBook editions are available
from these online vendors:

  • Amazon Kindle Store
  • Apple iBooks
  • Barnes & Noble Nook Store
  • Google Play eBook Store
  • Kobo eBook Store
  • Many of our ebooks are available through
    library electronic resources including these platforms:

  • Books at JSTOR
  • Ebrary
  • Ebook Library
  • EBSCO Ebooks
  • MyiLibrary
  • Dawsonera (UK)

    • For hardcover/paperback orders in United States, Canada, Latin America, Asia, and Australia

     Paperback : $47.95 ISBN: 9780691102535

    Add to shopping cart
    View contents of your shopping cart

    • For hardcover/paperback orders in Europe, Africa, the Middle East, India, and Pakistan

     Paperback  £39.95 ISBN: 9780691102535

    Add to shopping cart
    View contents of your shopping cart

    Prices subject to change without notice

    File created: 7/11/2017

    Questions and comments to:
    Princeton University Press

    New Book E-mails
    New In Print
    PUP Blog
    Princeton APPS
    Sample Chapters
    Princeton Legacy Library
    Exam/Desk Copy
    Recent Awards
    Princeton Shorts
    Freshman Reading
    PUP Europe
    About Us
    Contact Us
    PUP Home

    Bookmark and Share 
    Send me emails
    about new books in:
    More Choices