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Abstract

All proponents of health reform seek to improve the health of the populations served. Or so they say. Yet the policies and strategies offered are extraordinarily diverse, and to a considerable degree inconsistent or in direct conflict with each other. And they arise from radically different visions of the "good" -- i.e. healthy -- society. The health promoters' fit, well fed, socially well adjusted and depressingly well-behaved citizenry are worlds apart from the compliant pill-poppers implicit in the approach of NERA and the PPBHC; the professionally guided, scientifically-tuned health care of the Cochrane Collaboration is not on the same planet as the consumers' paradise of Friedman-esque fantasy. If all share a common goal, some at least are holding the map upside down.