Policy commercializing nonprofits in health: the history of a paradox from the 19th century to the ACA

The Milbank Quarterly
Daniel M Fox

Abstract

POLICY POINTS: Health policy in the United States has, for more than a century, simultaneously and paradoxically incentivized the growth as well as the commercialization of nonprofit organizations in the health sector. This policy paradox persists during the implementation of the Affordable Care Act of 2010. For more than a century, policy in the United States has incentivized both expansion in the number and size of tax-exempt nonprofit organizations in the health sector and their commercialization. The implementation of the Affordable Care Act of 2010 (ACA) began yet another chapter in the history of this policy paradox. This article explores the origin and persistence of the paradox using what many scholars call "interpretive social science." This methodology prioritizes history and contingency over formal theory and methods in order to present coherent and plausible narratives of events and explanations for them. These narratives are grounded in documents generated by participants in particular events, as well as conversations with them, observing them in action, and analysis of pertinent secondary sources. The methodology achieves validity and reliability by gathering information from multiple sources and making discipline...Continue Reading

References

Jan 1, 1992·Health Affairs·L D Brown
Jan 1, 1991·Journal of Health Politics, Policy and Law·D M FoxR A Stevens
Jan 1, 1991·Journal of Health Politics, Policy and Law·D M Fox
Jan 1, 1991·Journal of Health Politics, Policy and Law·D M Fox, D C Schaffer
Jan 1, 1989·Journal of Health Politics, Policy and Law·D M Fox, D C Schaffer
Oct 1, 1987·Journal of the History of Medicine and Allied Sciences·D M Fox
Jan 1, 1987·Journal of Health Politics, Policy and Law·D M Fox, D C Schaffer
Jan 1, 1996·Journal of Health Politics, Policy and Law·D M Fox
Mar 16, 2000·Health Affairs·D M Fox, P Fronstin
Aug 2, 2003·Health Affairs·James C Robinson
Dec 18, 2003·The Milbank Quarterly·Mark A Hall, Christopher J Conover
Aug 21, 2004·Health Affairs·Susan Bartlett FooteRachel Halpern
Mar 11, 2005·Health Affairs·Christopher J ConoverJan Ostermann
Apr 20, 2005·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Bruce McPherson
Feb 24, 2009·Journal of Health Politics, Policy and Law·Fred Joseph Hellinger
Aug 30, 2013·The New England Journal of Medicine·Howard Markel

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Citations

May 8, 2016·American Journal of Public Health·Daniel M Fox
Jul 13, 2017·American Journal of Public Health·Daniel M Fox, Colleen M Grogan
Oct 28, 2020·International Journal of Health Services : Planning, Administration, Evaluation·Patrick P T JeurissenSteffie Woolhandler
Nov 13, 2020·American Journal of Public Health·David Kindig, Merlin Chowkwanyun
Feb 5, 2021·American Journal of Public Health·Colleen M GroganMichael K Gusmano
Sep 7, 2021·Annals of Internal Medicine·Ryan CrowleyUNKNOWN Health and Public Policy Committee of the American College of Physicians

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