| 000 -LEADER |
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| fixed length control field |
01434pab a2200169 454500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
180718b2000 xxu||||| |||| 00| 0 eng d |
| 100 ## - MAIN ENTRY--PERSONAL NAME |
|---|
| Personal name |
McEldowney, Rene |
| 245 ## - TITLE STATEMENT |
|---|
| Title |
Not just for bureaucrats anymore: bureaucrat bashing, overhead democracy, and managed care |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
|---|
| Date of publication, distribution, etc. |
2000 |
| 300 ## - PHYSICAL DESCRIPTION |
|---|
| Extent |
p.93-110 |
| 362 ## - DATES OF PUBLICATION AND/OR SEQUENTIAL DESIGNATION |
|---|
| Dates of publication and/or sequential designation |
Mar |
| 520 ## - SUMMARY, ETC. |
|---|
| Summary, etc. |
Managed care is increasingly subject to political micromanagement and to attacks in the press. Managed care is undergoing the kind of bureaucrat bashing familiar to government employees, because managed care plans are being asked to perform the same type of allocation of social resources (in this case, access to health care) typically conducted by government employees. In so doing, managed care has run afoul of two deeply ingrained American traditions; bureaucrat bashing and overhead democracy. This article uses a case study of managed care bashing to argue that private interests who perform a role in allocating social resources will be subject to the same type of criticism government employees face in allocating social resources (bureaucrat bashing), as well as political leaders' impulses toward control (overhead democracy). The ombudsman model of governing managed care is advanced as an alternative to managed care bashing and overhead democracy. - Reproduced |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
Civil service |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
|---|
| Personal name |
Murray, William L. |
| 773 ## - HOST ITEM ENTRY |
|---|
| Main entry heading |
Administration and Society |
| 909 ## - |
|---|
| -- |
45160 |
