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Books, Journals, New Media
July 22/29, 1998

Health PlanFrom Company Doctors to Managed Care: The United Mine Workers' Noble Experiment

Author Affiliations
 

Harriet S.MeyerMD, Contributing EditorJonathan D.EldredgeMLS, PhD, Journal Review EditorRobertHoganMD, adviser for software

 

Not Available

 

by Ivana Krajcinovic, 212 pp. with illus, $37.50, Ithaca, NY, Cornell University Press, 1997.

JAMA. 1998;280(4):390. doi:10.1001/jama.280.4.390-JBK0722-6-1

This book about the rise and fall of the United Mine Workers of America (UMWA) Health Plan (the Fund) was written by a PhD economist from Yale. Krajcinovic became a union organizer during the time she wrote the book. I did not know whether to expect a scholarly treatise or polemic. The book is much more the former than the latter and is written in a lively and informative fashion.

Krajcinovic's thesis is that the Fund, established in the 1940s, remains the most important example of an alternative health care system established through collective bargaining. It provided affordable care to a high-risk population for over three decades before it "ultimately fell victim to the shortsightedness of the union's leaders."

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