ABSTRACT
Market forces, assumptions, and policies have shaped medical delivery. Medical specialties together with their institutions, suppliers, and financiers have consequently become big businesses in themselves. Re-forming health care to correspond with health needs and scientific evidence of effectiveness requires challenging the market strategies that drove this development. Market strategies embedded in medical delivery have expanded professional and institutional returns on investment as well as economic returns. The financial industry has expanded its insurance products, investments, bank loans, bond issues, and public offerings. It has required providers to make managerial decisions on the basis of financial analysis. The market valuation of everything sanctifies property rights over human rights. In concentrating the power and wealth of providers, payers, and investors, market strategies have diminished the capacity of a nation's people to build a system dedicated to their health.
