Introduction

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Abstract
People commenting on the health care scene seem always to bemoan the fact that they cannot understand the chaos which is the worldwide medical industrial complex. They complain that medical care arrangements are “inexplicable” and depict them as “unmanageable,” as a “non-system,” or in a “state of crisis.” These complaints result, in large part, from the type of health services research that, unfortunately, now dominates the health field around the world. Such research suffers from at least the following limitations: much of it is atheoretical, frequently ahistorical, usually apolitical, defensive of the status quo and dominated by managerialism. There have indeed been few broad-ranging structural analyses of the overall health care sector and of the political and economic forces that influence its shape and content, both in the western world and in developing countries. This book goes some way towards filling this gap.

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