When federal and state makers’ efforts to enact sweeping health care reform in the mid 1990s ended in stalemate, the private sector unleashed initiatives that have affected virtually every aspect of health care. With updated essays first published in issues of the Journal of Health Politics, Policy ad Law. This book offers the most comprehensive and critical examination yet found in a single volume of the economic, political, and social implications of this recent market transformation of health care in the United States. With original contributions from leading social science health policy analysts, this volume addresses the full context of health system change. Believing that the analysis of health care change is too important to be left to economists alone. Mark A. Peterson has collected a multidisciplinary group of experts who revisit the contentious debate over the market approaches to health care and consider the disparate effects of these approaches on sot, quality, and coverage of both managed care and Medicaid and Medicare. while market enthusiast applaud the enhanced efficiency, reduced excess capacity, and abatement of the decades-long health care cost explosion, a backlash has emerged among many providers and the public against the perceived excesses of the market: diminished access to care, commercialisation of the physician-patient relationship, and exacerbated inequality. Contributors assess these varied responses while examining the impact that market-placed applications are likely to have for future health policy making, the significance of the US experience for policy makers abroad, and the lessons that these changes might provide for thinking sensibly about the future of our healt This work will be useful for public policy analysts, economists, social scientists, health care providers and administrators, and others interested in the future - and in understanding the past - of American health care.