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Journal of Health Politics, Policy and Law 1993 18(3):723-739; DOI:10.1215/03616878-18-3-723
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Duke University Press

The Health Care Bureaucracy: Small Changes, Big Consequences

James A. Morone
Brown University

Administrative changes have been reshaping health policy for the past decade. One consequence is a more constrained medical profession. Another is a more powerful health care bureaucracy. Most industrialized nations have called on democratic principles to balance professional norms; in contrast, Americans are developing a distinctly bureaucratic health care regime. This article suggests why and explores the ramifications for both the politics of health care and the practice of medicine.




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