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- W1503396063 abstract "The power of the medical profession is based on autonomy and monopoly of medical knowledge, technique, and expertise; and furthermore it's sponsored by various governmental authorizations. However, this prestigious autonomous status of profession itself does not warrant the production of the economic and social efficiency.The phenomenon of professional power abuse is especially eminent in the democratizing and transitional societies, where the rapidly weakening authoritative state capacity sets off professional power abuse and self-interested actions. Hence, being a sponsor for professionalism generally and as a protector of doctoring in particular, how the state can check and balance these knowledge-based, vocational autonomous technical elites, preventing them from the abuse of public interest for the purpose of private gain, is a dilemma of social control for the democratizing state.This essay analyzes the medical pricing policy of Taiwanese healthcare insurances (former healthcare program of labor insurance and recent national healthcare insurance) under the authoritarian period and democratizing context. By probing into the interactions and the relations between the state and medical profession, this essay has reached following preliminary conclusions: First, the authoritarian state unilaterally cut down the medical payment, but did not have the capacity to oversee the policy implementation; as a result, the medical profession abused the clinic power for illegitimate profits. Secondly, the medical profession has gained the access to medical policy making after democratization; however, this access is not yet institutionalized and the despotic nature of technobureaucratic decision-making, the state still able to pursue the policy preference of its own in terms of medical pricing policy.Thirdly, the democratizing state has deliberately change its authoritative technocratic policy measure by ways of appealing to the general public and constructing consensus issue network of ”breaking the black-hole of drug price gap” and reached preliminary successful yet questionable results. Last but not the least; here we are witnessing Taiwanese state shifting its allegiance toward the public interest broadly defined. Such a shift will inevitably shape the content and sociopolitical context of state-medical profession relations in the ongoing reform of healthcare institution and policy." @default.
- W1503396063 created "2016-06-24" @default.
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- W1503396063 date "2011-06-01" @default.
- W1503396063 modified "2023-09-23" @default.
- W1503396063 title "State Control of Medical Profession: The Politics of Medical Pricing Policy in Taiwanese Health Insurances" @default.
- W1503396063 doi "https://doi.org/10.29622/jpar.201106.0003" @default.
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