ABSTRACT

Navarro pointed out that the United States (US) healthcare industry and health reforms enacted between 1980 and 1994 opened the door to for-profit hospital chains in the delivery of health services since the 1980s, shifting healthcare to the for-profit sector and their benefit. Rebecca Jasso-Aguillar and her coauthors have found that crucial decisions about privatization and the entry of multinational corporations into the public sector occur at the executive branch of government level, including the Office of the US Trade Representatives and the Department of Health and Human Services. Corporate compliance is a difficult concept. The reason it is difficult is that the idea bases its status on multiple regulations and various laws. The government paid for but did not control the delivery of health services and provided subsidies representing a significant proportion of overall health expenditures.