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This section contains information about all of the projects and researchers that have been funded through the Investigator Awards program since the first grants were made in 1993. The indexes in this section can be used to identify investigators by name, area of expertise, or year of award. Throughout the site, you will find that each investigator’s name links to details including contact and project information.
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M. Gregg Bloche, M.D., J.D.
M. Gregg Bloche, M.D., J.D.
Professor
Georgetown University Law Center
Email: bloche@law.georgetown.edu
Discipline: Law; Psychiatry
Expertise: Competition / Markets

Ethical Dilemmas and Allocation of Resources

Health Care Inequalities

Investigator Award:
Rationality and Consent in the New Medical Marketplace
Award Year: 1996

Conflicts have erupted among patients, providers, and payers as a result of the market-driven transformation of the American health care system. These are playing out in coverage decisions by payers, selective contracting between plans and providers, tort liability cases, disclosure and consent issues, and the protection of health information privacy. Dr. Bloche develops an analytic framework to explore the moral, social, and institutional tensions underlying legal conflicts in health care delivery. He studies the problematic character and conflicting interpretations of rationality and consent as bases for ordering relations between patients, providers and payers. Building upon the paradigms of bounded rationality and relational contracting, he draws from the growing legal, economics and psychology literature on incomplete rationality and informal dispute processing mechanisms. His findings propose an array of approaches to the resolution of disputes arising from the growth of managed care.

Background:

Gregg Bloche is professor of law at Georgetown University, adjunct professor at Johns Hopkins University's Bloomberg School of Public Health, and visiting fellow at The Brookings Institution and the Harvard Program on Ethics and Health. He received a Guggenheim Fellowship for 2005-06 to examine the roles of medicine in the public sphere. Dr. Bloche teaches and writes on U.S. and international health law and policy. His recent work has appeared in numerous academic and professional publications, including the California and Stanford Law Reviews, New England Journal of Medicine, Journal of the American Medical Association, and Health Affairs. He has also done commentaries for the New York Times, Washington Post, Los Angeles Times, National Public Radio's Morning Edition, and other media outlets. Dr. Bloche is a member of the editorial boards of several journals, including Health Affairs and the Journal of Health Economics, Policy, & Law. He has served on the Institute of Medicine's Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care, the Committee on Scientific Freedom and Responsibility of the American Association for the Advancement of Science, and the board of directors of Physicians for Human Rights. He has been a consultant to South Africa's Truth and Reconciliation Commission (on human rights in the health sector), the Federal Judicial Center, the National Institutes of Health, the World Health Organization, several House and Senate committees, and other private and public bodies.

Dr. Bloche received his M.D. and J.D. from Yale University and his B.A. from Columbia University. Before joining Georgetown's faculty in 1989, he completed his residency in psychiatry at the Columbia Presbyterian Medical Center. He received several awards for research and scholarship as a resident physician and law student, and he was an editor of the Yale Law Journal.

Books:
Bloche, M.G. editor, The Privatization of Health Care Reform: Legal and Regulatory Perspectives. Oxford University Press, Inc., 2002.
Book Chapters:
Bloche, M.G., The Market for Medical Ethics. In Uncertain Times: Kenneth Arrow and the Changing Economics of Health Care, eds. Hammer, P.J., Haas-Wilson, D., Peterson, M.A., Sage, W.M. Durham: Duke University Press, 2003.
Bloche, M.G., One Step Ahead of the Law: Market Pressures and the Evolution of Managed Care. In The Privatization of Health Care Reform: Legal and Regulatory Perspectives, ed. Bloche, M.G. Oxford University Press, Inc., 2002.
Bloche, M.G., Should the Law Prefer Nonprofits?. In The Privatization of Health Care Reform: Legal and Regulatory Perspectives, ed. Bloche, M.G. Oxford University Press, Inc., 2002.
Selected Journal Articles:
Bloche, M.G. Consumer-Directed Health Care, NEJM, 2006, 355, 17, 1756-9.
Jacobson, P., Bloche, M.G. Commentary: Improving Relations between Attorneys and Physicians, JAMA, 2005, 294, 16, 2083-5.
Bloche, M.G. HMO Shield against Suits Can't Cure the Crisis, LA Times, Jul 11 2004, M3.
Bloche, M.G. Health Care Disparities - Science, Politics and Race, NEJM, 2004, 350, 15, 1568-70.
Bloche, M.G. Talk about Health Care: Sorry, Wrong Numbers, The Washington Post, May 18 2003, B2.
Bloche, M.G. Trust and Betrayal in the Medical Marketplace, Stanford Law Review, 2002, 55, 3, 919-54.
Bloche, M.G., Jungman, E.R. The "R" Word, J of Contemporary Health Law Policy, 2002, 18, 3, 633-9.
Bloche, M.G. The Market for Medical Ethics, JHPPL, 2001, 26, 5, 1099-112.
Bloche, M.G. Fidelity and Deceit at the Bedside, JAMA, 2000, 283, 14, 1881-4.
Bloche, M.G. U.S. Health Care after Pegram: Betrayal at the Bedside?, Health Affairs, 2000, 19, 5, 224-7.
»Open Abstract
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Bloche, M.G., Jacobson, P. The Supreme Court and Bedside Rationing, JAMA, 2000, 284, 21, 2776-79.
Sulmasy, D.P., Bloche, M.G., Mitchell, J.M., Hadley, J. Physicians' Ethical Beliefs about Cost-Control Arrangements, Archives of Internal Medicine, 2000, 160, 16, 2547-8.
Bloche, M.G. Clinical Loyalties and the Social Purposes of Medicine, JAMA, 1999, 281, 3, 268-74.
Bloche, M.G. Cutting Waste and Keeping Faith, Annals of Internal Medicine, 1998, 128, 8, 688-9.
»Open Abstract
0(annals.org)
Bloche, M.G. Should Government Intervene to Protect Nonprofits?, Health Affairs, 1998, 17, 5, 7-25.
Bloche, M.G. Managed Care, Medical Privacy, and the Paradigm of Consent, Kennedy Institute of Ethics Journal, 1997, 7, 4, 381-6.
Bloche, M.G. Beyond Autonomy: Coercion and Morality in Clinical Relationships, Health Matrix Cleveland, 1996, 2, 6, 229-304.