First published in 1992, Quality and Regulation in Health Care employs socio-legal ideas concerning regulation to examine the methods used to influence the quality of health care in the US, UK, and Western Europe. Throughout the Western world, health care systems, both public and private, are grappling with the problems of assuring quality while containing costs. On the one hand, governments and insurers argue that there must be some limit to the apparently endless growth of health care expenditures. On the other, patient groups and consumer advocates, already dissatisfied by the problems in holding doctors accountable for their actions, protest that such limits must not result in sick people getting inferior treatment. This book examines in detail the debate surrounding the question: How can the professional expertise of the clinicians be reconciled with the preferences of their patients and the economic concerns of taxpayers or insurers? It will be essential reading for graduate and undergraduate courses in health policy, medical sociology, and health law.

This book is about the ways in which modern enlightenment, rather than liberating humanity from tyranny, has subjected us to new servitude imposed by systems of mass manipulation, electronic vigilance, compulsive consumerism, and the horrors of a seemingly unending global war on terror. The main intellectual aims of this title are the following: the analysis of spectacle, the criticism of providential enlightenment, and the examination of positive dialectics. The spectacle, in this case, is the apotheosis of the culture industries, a total inversion of reality and of our existences. Providential enlightenment is not only a critique of the failure of enlightenment, but of the mutilation of historical enlightenments. Positive dialectics signal a new era of intellectual engagement in the construction of our historical future. During a time in which national democracies seem an imperial farce, it is not enough for intellectuals faced with all this destruction to blithely recommend resistance. The book thus ties American, British, French and German theoretical traditions into a reflexive challenge to the notion of intellectual as critic, and argues instead for a trespassive tradition of cultural leadership.

This book is about the ways in which modern enlightenment, rather than liberating humanity from tyranny, has subjected us to new servitude imposed by systems of mass manipulation, electronic vigilance, compulsive consumerism, and the horrors of a seemingly unending global war on terror. The main intellectual aims of this title are the following: the analysis of spectacle, the criticism of providential enlightenment, and the examination of positive dialectics. The spectacle, in this case, is the apotheosis of the culture industries, a total inversion of reality and of our existences. Providential enlightenment is not only a critique of the failure of enlightenment, but of the mutilation of historical enlightenments. Positive dialectics signal a new era of intellectual engagement in the construction of our historical future. During a time in which national democracies seem an imperial farce, it is not enough for intellectuals faced with all this destruction to blithely recommend resistance. The book thus ties American, British, French and German theoretical traditions into a reflexive challenge to the notion of intellectual as critic, and argues instead for a trespassive tradition of cultural leadership.