Market Watch: The Political Economy Article Review

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Another example of policy approach is given by the editors' arguments that, in order to successfully implement the 10x Program and restore the balance between the primary and specialty care within the United States, a new policy approach is necessary. Its aim would be that of restoring the role and importance of a strong primary health care, as the basis of the entire American health care system. "To achieve U.S. health policy goals of accessibility, affordability, quality, safety and equity, a robust primary care sector must become the foundation of U.S. health care" (italics in the original text). But not only that this recommendation is linked to policy, it demands new regulatory measures to be taken. These regulatory measures will enhance the capabilities and role of the primary health care sector.

The focus placed by the four authors on the shortages of the contemporaneous medical sector within the United States is not strange to the specialized literature.

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Yet, what is generally novel is their approach in the meaning of a historic assessment and the argument that the main fault for the current problems lays in the demise of the primary sector and the lack of balance between it and specialty care. The article is a valuable piece of reading for any medicine, economics or politics specialist, but also for any student, due to its ability to comment on numerous concepts, such as institutional and cultural factors of influence, the biomedical research and biomedical paradigm or third-party payment mechanisms.

Reference:

Sandy, L.G., Bodenhelmer, T., Pawlson, L.G. Starfield, B., the Political Economy of U.S. Primary Care, Health Affairs, July / August 2009, Vol. 28, No. 4, pp.1136-1144.....

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