000			01434pab a2200169 454500
008			180718b2000 xxu||||| |||| 00| 0 eng d
100			_aMcEldowney, Rene
245			_aNot just for bureaucrats anymore: bureaucrat bashing, overhead democracy, and managed care
260			_c2000
300			_ap.93-110
362			_aMar
520			_aManaged 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			_aCivil service
700			_aMurray, William L.
773			_aAdministration and Society
909			_a45160
999			_c45160 _d45160