Selling Our Souls: The Commodification of Hospital Care in the United States
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 markethospital 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 books 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.
Adam D. Reich is assistant professor of sociology at Columbia University. He is the author of Hidden Truth and With God on Our Side. (and Robert Reich's son)
http://press.princeton.edu/titles/10266.html
KT2000
(20,577 posts)factions with cross purposes. If only - all parties were only concerned with restoring health to the patient.
It sounds like a good book.
GeorgeGist
(25,321 posts)caraher
(6,278 posts)My wife was recently an inpatient at a high-quality hospital specializing in heart conditions. It's a new facility that's part of one of our areas big health care networks. I quickly noticed that as a matter of policy, rooms are never occupied by "patients" but by "guests."
I tried to joke about this with a nurse, but she has clearly bought into this language - "but your wife IS our guest." I pointed out that I was also a guest, but there was a huge difference between our situations!
Next step will doubtless be to call the professionals on staff not doctors, nurses. etc. but "associates"
elleng
(130,908 posts)caraher
(6,278 posts)elleng
(130,908 posts)But thanks, I'm sure, would be appreciated.
jwirr
(39,215 posts)elleng
(130,908 posts)Jello/chocolate pudding/rice pudding!!!