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The Modern Health Care Maze: Development and Effects of the Four-Party System

By: Kroncke, Charles; White, Ronald F. | Independent Review, Summer 2009 | Article details

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The Modern Health Care Maze: Development and Effects of the Four-Party System


Kroncke, Charles, White, Ronald F., Independent Review


Our national health care system is so dauntingly complex that reform efforts seem hopelessly adrift. How should we proceed in reforming that system? As a rule, any "realistic" reform project must begin with a survey of its principal stakeholders. A stakeholder, by definition, is any party who has a "stake" in the outcome - that is, anyone who stands to benefit or to suffer from either maintaining or changing the status quo. Our health care system today comprises many and often competing stakeholder groups. The four most visible ones are first-party patients, who seek access to an imponderable variety of health care products and services; second-party providers of these products and …

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