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Healthy, Wealthy, and FairHealth Care and the Good Society$
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James A. Morone and Lawrence R. Jacobs

Print publication date: 2005

Print ISBN-13: 9780195170665

Published to Oxford Scholarship Online: October 2011

DOI: 10.1093/acprof:oso/9780195170665.001.0001

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How Market Ideology Guarantees Racial Inequality

How Market Ideology Guarantees Racial Inequality

(p.65) 3 How Market Ideology Guarantees Racial Inequality
Healthy, Wealthy, and Fair

Deborah Stone

Oxford University Press

This chapter focuses on racial disparities in health care. It shows how certain principles of political organization in culture in the United States perpetuate racial disparities. The chapter suggests that market ideology is the biggest obstacle to health-care equity. The U.S. health-care system is designed to produce disparities, since it allocates medical care primarily by market criteria rather than by medical need. Market principles generate racial and ethnic disparities, and allow racism to continue under cover of economic justifications. The chapter argues that the nation will not be able to ameliorate racial and ethnic disparities until political leaders are willing to face up to the consequences of their devotion to the pluralistic ideals in medicine.

Keywords:   racial disparities, health care, market ideology, health-care equity, medical care, market criteria, market principles, racism, ethnic disparities, pluralistic ideals

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