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Selling Our SoulsThe Commodification of Hospital Care in the United States$
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Adam D. Reich

Print publication date: 2014

Print ISBN-13: 9780691160405

Published to Princeton Scholarship Online: October 2017

DOI: 10.23943/princeton/9780691160405.001.0001

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Health Care for All

Health Care for All

(p.26) Chapter One Health Care for All
Selling Our Souls

Adam D. Reich

Princeton University Press

This chapter examines both the promise and paradox of care at PubliCare Hospital. On the one hand, practitioners' deep commitment to the provision of care as a right gave the facility a special character. On the other hand, these same commitments seemed to go hand in hand with a lack of role differentiation or organizational structure that lef the organization in a constant state of disarray and financial peril. The chapter shows that, among practitioners across the three hospitals in Las Lomas, those at PubliCare struggled most with how to reconcile a right to health care with care as a commodity to be sold. It also considers PubliCare Hospital's “socialized medicine” for desperate and despairing patients, what is unique about PubliCare physicians and nurses, and vocational commitment and creativity at the hospital. Finally, the chapter explains how the mission of health care at PubliCare seemed to be at odds with the market for care.

Keywords:   hospitals, PubliCare Hospital, health care, patients, physicians, nurses, vocational commitment, creativity, market, socialized medicine

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