Title Medical necessity : health care access and the politics of decision making / Daniel Skinner

Published Minneapolis : University of Minnesota Press, [2019]

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Description 1 online resource (viii, 220 pages) Contents Medical necessity? : a definitional, philosophical, and historical question -- In the archive : coding for necessity and the necessity of coding -- 'No legitimate use' : marijuana and the bounds of the medical -- Contesting the 'medical' necessity for mental health -- Reproductive politics : the cases of c-section and abortion -- Conclusion : embracing the politics of medical necessity Summary How the politics of "medical necessity" complicates American health care The definition of medical necessity has morphed over the years, from a singular physician's determination to a complex and dynamic political contest involving patients, medical companies, insurance companies, and government agencies. In this book, Daniel Skinner constructs a comprehensive understanding of the politics of defining this concept, arguing that sustained political engagement with medical necessity is essential to developing a health care system that meets basic public health objectives. From medical marijuana to mental health to reproductive politics, the concept of medical necessity underscores many of the most divisive and contentious debates in American health care. Skinner's close reading of medical necessity's production illuminates the divides between perceptions of medical need as well as how the gatekeeper concept of medical necessity tends to frame medical objectives. He questions the wisdom of continuing to use medical necessity when thinking critically about vexing health care challenges, exploring the possibility that contracts, rights, and technology may resolve the contentious politics of medical necessity. Skinner ultimately contends that a major shift is needed, one in which health care administrators, doctors, and patients admit that medical necessity is, at its base, a contestable political concept Bibliography Includes bibliographical references and index Notes Online resource; title from digital title page (viewed on January 27, 2020) Subject Medical care -- United States -- Decision making Medical care, Cost of -- United States Surgery, Unnecessary -- United States Politics, Practical. Needs assessment. Clinical Decision-Making Politics Needs Assessment Gatekeeping Insurance, Health, Reimbursement Unnecessary Procedures politics. needs assessment. Health Policy. MEDICAL. Disease & Health Issues. SOCIAL SCIENCE. Politics, Practical Needs assessment Medical care, Cost of Medical care -- Decision making Surgery, Unnecessary United States United States Form Electronic book LC no. 2019008450 ISBN 9781452959962 145295996X 1452959951 9781452959955

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