genuine consumer participation in regulatory proceedings
of insurance regulators may be another avenue to explore.
Indeed, such initiatives—often advocated by the most progressive
forces—dovetail with the market-based strategies of those who
prefer conservative approaches to regulation and policy in general.
Finding Common Ground
Advocates of direct and market-based intervention may wish to
search for common ground. Demands imposed on health plans to
protect consumers will have very limited capacity to secure and
raise quality if the first priority of the marketplace is lower price.
Thus marketplace forces and purchasing issues must be addressed.
Still, even the boldest of market-oriented interventions will not
likely address all of the concerns of individual patients in managed
The search for common ground might begin with a conscious
focus on the ends rather than the means. Both those who tend to
accept more government intervention and those who lean against
it need to consider whether some of the strategies and means of
the other might be necessary and appropriate to achieve the ends
they hold dear. Government intervention is but a means. Traditional
ideological inclinations to support or oppose it should remain
secondary to the goals being sought.
Some of these circumstances are discussed in a 1979 law review article
by Robert Reich. (Reich, R. B. “Toward a New Consumer Protection.” University of Pennsylvania Law Review, 1979, 128). They are
listed here in a somewhat altered and less theoretical form.
Surveys vary depending largely on how the question is asked and
how the choice is defined.
Miller, R. H., and Luft, H. S. “Does Managed Care Lead to Better
or Worse Quality of Care?” Health Affairs, Sept.–Oct. 1997, pp. 7–25.
Gabel, J. R., Ginsburg, P. B., and Hunt, K. A. Health Affairs, Sept.–Oct.
1997, p. 107.
For a fuller discussion of these and related consumer protection options
see Rodwin, M. A. “Consumer Protection and Managed Care, ” Houston Law Review, 1996, 32.
Questia, a part of Gale, Cengage Learning. www.questia.com
Book title: Regulating Managed Care: Theory, Practice, and Future Options.
Contributors: Stuart H. Altman - Editor, Uwe E. Reinhardt - Editor, David Shactman - Editor.
Place of publication: San Francisco.
Publication year: 1999.
Page number: 27.
This material is protected by copyright and, with the exception of fair use, may
not be further copied, distributed or transmitted in any form or by any means.