Rooke-Ley Hayden, Brown Dana, Grogan Colleen
Center for Advancing Health Policy through Research, Brown University School of Public Health, Providence, Rhode Island, 02903.
The Democracy Collaborative Foundation, Inc., Shaker Heights, Ohio, 44120.
Health Aff Sch. 2025 Mar 17;3(3):qxaf013. doi: 10.1093/haschl/qxaf013. eCollection 2025 Mar.
As new approaches of political economy gain ground in some sectors, American health care still reflects many aspects of neoliberalism. In this piece, we build on proposals to reorient health care policy around a new industrial policy for health. A core component of this strategy-and our focus here-is a revival of public provisioning of medical services and pharmaceuticals. Although less prevalent today, forms of public provisioning still exist in vital ways. These models demonstrate how public provisioning can not only address urgent capacity needs-it can promote local ownership, operate as a competitive public option that bolsters worker power, and assure societal return on public investments.
随着政治经济学的新方法在某些领域逐渐站稳脚跟，美国医疗保健仍反映出新自由主义的许多方面。在本文中，我们以围绕新的健康产业政策重新调整医疗保健政策的提议为基础展开论述。这一战略的一个核心组成部分——也是我们在此关注的重点——是恢复医疗服务和药品的公共供应。尽管如今这种形式不那么普遍了，但公共供应仍以重要方式存在着。这些模式表明，公共供应不仅能满足紧迫的能力需求，还能促进地方自主掌控，作为一种增强工人力量的竞争性公共选择发挥作用，并确保公共投资的社会回报。
