{"title":"大流行时期市场机制在确保人人健康方面的注定失败:以大韩民国为例。","authors":"Jin-Hwan Kim","doi":"10.1177/27551938251350469","DOIUrl":null,"url":null,"abstract":"<p><p>This article investigated South Korea's COVID-19 response through the lens of power relations, arguing that the state's overreliance on public health measures stemmed from its inability to control economic power within the medical care sector. By applying a modified version of Erik Olin Wright's theoretical framework, the study examines interactions between state, economic, and social powers across two distinct economies: public health and medical care policies. The analysis reveals that insufficient state and social power to regulate economic power in medical care necessitated stricter public health interventions. The research delineates COVID-19 response policies into two categories: public health policies for infection reduction and medical care policies for patient treatment. It demonstrates how private hospitals' monopolistic control over the critical care resources, combined with weak social accountability mechanisms, forced the government to maintain strict social distancing measures. The study ultimately highlights the limitations of unregulated markets in medical care, emphasizing the importance of social power in directing market forces toward more equitable and effective disaster responses.</p>","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"465-476"},"PeriodicalIF":2.6000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Predestined Failure of the Market Mechanism in Ensuring Health for all in Times of a Pandemic: The Case of the Republic of Korea.\",\"authors\":\"Jin-Hwan Kim\",\"doi\":\"10.1177/27551938251350469\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>This article investigated South Korea's COVID-19 response through the lens of power relations, arguing that the state's overreliance on public health measures stemmed from its inability to control economic power within the medical care sector. By applying a modified version of Erik Olin Wright's theoretical framework, the study examines interactions between state, economic, and social powers across two distinct economies: public health and medical care policies. The analysis reveals that insufficient state and social power to regulate economic power in medical care necessitated stricter public health interventions. The research delineates COVID-19 response policies into two categories: public health policies for infection reduction and medical care policies for patient treatment. It demonstrates how private hospitals' monopolistic control over the critical care resources, combined with weak social accountability mechanisms, forced the government to maintain strict social distancing measures. The study ultimately highlights the limitations of unregulated markets in medical care, emphasizing the importance of social power in directing market forces toward more equitable and effective disaster responses.</p>\",\"PeriodicalId\":73479,\"journal\":{\"name\":\"International journal of social determinants of health and health services\",\"volume\":\" \",\"pages\":\"465-476\"},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2025-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International journal of social determinants of health and health services\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/27551938251350469\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/6/30 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"0\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International journal of social determinants of health and health services","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/27551938251350469","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/6/30 0:00:00","PubModel":"Epub","JCR":"0","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
The Predestined Failure of the Market Mechanism in Ensuring Health for all in Times of a Pandemic: The Case of the Republic of Korea.
This article investigated South Korea's COVID-19 response through the lens of power relations, arguing that the state's overreliance on public health measures stemmed from its inability to control economic power within the medical care sector. By applying a modified version of Erik Olin Wright's theoretical framework, the study examines interactions between state, economic, and social powers across two distinct economies: public health and medical care policies. The analysis reveals that insufficient state and social power to regulate economic power in medical care necessitated stricter public health interventions. The research delineates COVID-19 response policies into two categories: public health policies for infection reduction and medical care policies for patient treatment. It demonstrates how private hospitals' monopolistic control over the critical care resources, combined with weak social accountability mechanisms, forced the government to maintain strict social distancing measures. The study ultimately highlights the limitations of unregulated markets in medical care, emphasizing the importance of social power in directing market forces toward more equitable and effective disaster responses.