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AIDS and the American Health Polity: The History and Prospects of a Crisis of Authority
Author(s) -
FOX DANIEL M.
Publication year - 2005
Publication title -
the milbank quarterly
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.563
H-Index - 101
eISSN - 1468-0009
pISSN - 0887-378X
DOI - 10.1111/j.1468-0009.2005.00432.x
Subject(s) - polity , politics , health care , public health , government (linguistics) , political science , political economy , sociology , public relations , medicine , public administration , law , nursing , linguistics , philosophy
In 1981, a profound crisis of authority was transforming the American health polity. Changing priorities between infectious and chronic diseases, communal and individual responsibilities for health, and comprehensive services and cost control created a fragmented health polity, leaderless and ill-equipped to address the AIDS epidemic. The American health polity may best serve the public interest when institutions within it do not accept fragmentation as the goal and the norm of health affairs.