New York’s Health Systems: Change Without Transformation?


Panel Abstract:

The health sector in the New York region produces services that are necessary to the well-being of its varied communities and are the sites of struggle among those communities and the various interest groups whose incomes and powers derive from it. Hospitals, especially academic medical centers, dominate the health sector. Recently, major changes – in particular a stress on primary care – have occurred at a rapid pace, as medicine and the urban environment develop. In spite of this, the system has not truly been transformed into a set of institutions capable of meeting the needs of the regional population. We will discuss the health sector in general, the changing role of hospitals, the shift to primary care, cultural and linguistic struggles, and the effects of national health financing reform. An understanding of trends in the sector and the reasons for its inability to transform itself radically will be of use in comprehending and furthering local health activism.


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