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Markets and Medical Care: The United States, 1993–2005
Milbank Memorial Fund 
Oct. 17, 2007
Excerpt: This article looks at the experience in the American medical marketplace over more than a decade, showing how markets function as institutions in which participants who are self-seeking, but not perfectly rational, exercise power over other participants in the market. Cost experience here was driven more by market power over prices than by management of utilization. Instead of following any logic of efficiency or equity, system transformations were driven by beliefs about investment strategies.
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