LEADER 04001nam 22007334a 450 001 9910783503403321 005 20230912134601.0 010 $a1-282-86046-1 010 $a9786612860461 010 $a0-7735-7021-7 024 7 $a10.1515/9780773570214 035 $a(CKB)1000000000244837 035 $a(EBL)3330678 035 $a(SSID)ssj0000277250 035 $a(PQKBManifestationID)11218957 035 $a(PQKBTitleCode)TC0000277250 035 $a(PQKBWorkID)10233176 035 $a(PQKB)10742240 035 $a(CaPaEBR)400064 035 $a(CaBNvSL)gtp00521347 035 $a(Au-PeEL)EBL3330678 035 $a(CaPaEBR)ebr10132861 035 $a(CaONFJC)MIL286046 035 $a(OCoLC)929120882 035 $a(VaAlCD)20.500.12592/p91svw 035 $a(schport)gibson_crkn/2009-12-01/1/400064 035 $a(MiAaPQ)EBC3330678 035 $a(DE-B1597)655800 035 $a(DE-B1597)9780773570214 035 $a(MiAaPQ)EBC3243554 035 $a(EXLCZ)991000000000244837 100 $a20030403d2002 uy 0 101 0 $aeng 135 $aur|n|---||||| 181 $ctxt 182 $cc 183 $acr 200 14$aThe best-laid plans$b[electronic resource] $ehealth care's problems and prospects /$fLawrie McFarlane and Carlos Prado 210 $aMontreal ;$aIthaca, N.Y. $cMcGill-Queen's University Press$dc2002 215 $a1 online resource (213 p.) 300 $aDescription based upon print version of record. 311 $a0-7735-2365-0 311 $a0-7735-2364-2 320 $aIncludes bibliographical references (p. [187]-192) and index. 327 $tFront Matter -- $tContents -- $tForeword -- $tPreface -- $tIntroduction -- $tSome Theory -- $tHealth Care and Our Theoretical Base -- $tHealth Care and Power -- $tHealth Care and Chaos -- $tChaos, Power, and Ethics -- $tThe Practice -- $tThe Origins and Pathology of Crisis -- $tThe Denial of Crisis -- $tThe Orthodox Approach to Health Care Reform -- $tHow Medicare Works -- $tThe Right to Health Care: The Legal Context -- $tThe Right to Health Care: The Historical Context -- $tThe Privatization Alternative -- $tA New Approach to Managing Health Services in Canada -- $tNotes -- $tBibliography -- $tIndex 330 $aIs health care like the BC Ferry Service or Ontario Hydro? Lawrie McFarlane and Carlos Prado argue that health care is being treated as though it were just another public utility and that the present crisis in medicare has developed precisely because of this approach. In The Best-Laid Plans they contend that what health care needs is less centralized management and the restoration of empowerment to both patients and care-givers. Contrary to recent attempts to reform health care, which have been based on the assumption that all health care needs is better management, McFarlane and Prado contend that what separates health care from other public services is the complex relationships between the service providers (doctors, nurses, physiotherapists, etc.) and their clients (patients), and the tendency for these relationships to evolve in unpredictable ways. Using Michael Foucault's "genealogical" and "ethical" analyses to explain the unpredictable nature of interactions in a high stakes, emotionally loaded environment, the authors demonstrate how planning, administration, delivery, and reform of a basic public service have gone wrong. 606 $aHealth care reform$zCanada 606 $aMedical care$zCanada 606 $aSante?, Services de$xRe?forme$zCanada 606 $aSoins me?dicaux$zCanada 615 0$aHealth care reform 615 0$aMedical care 615 6$aSante?, Services de$xRe?forme 615 6$aSoins me?dicaux 676 $a362.1/0971 700 $aMcFarlane$b Lawrie$01584569 701 $aPrado$b C. G$0850887 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910783503403321 996 $aThe best-laid plans$93868483 997 $aUNINA