This special issue of the Journal of Health Politics, Policy and Law centers on Nobel laureate Kenneth J. Arrow’s seminal article "Uncertainty and the Welfare Economics of Medical Care." When the essay first appeared in 1963, health economics did not exist as an established field, and there was a professional and social bias against thinking about health care in economic terms. Arrow’s trailblazing article laid the foundation for modern health economics and has guided its direction for four decades.

Now the Journal of Health Politics, Policy and Law examines this legacy, opening with a foreword by Mark V. Pauly, one of the first to publish a response to Arrow’s original article and a major voice in health economics today. A reprint of the article itself serves as a springboard from which contributors assess the accuracy of Arrow’s portrayal of the United States health care system in the early sixties and evaluate how the system has progressed since that time. The contributors to this remarkable collection include some of the most distinguished scholars in the health policy field.

Designed to be an effective reference tool, this issue sets Arrow’s original article apart from the rest by printing it on tinted paper. The contributors’ responses to Arrow are divided into four parts—Part 1: Supply, Demand, and Health Care Competition; Part 2: Risk, Insurance, and Redistribution; Part 3: Information, Knowledge, and Medical Markets; Part 4: Social Norms and Professionalism.

This volume revisits the Nobel Prize-winning economist Kenneth Arrow’s classic 1963 essay “Uncertainty and the Welfare Economics of Medical Care” in light of the many changes in American health care since its publication. Arrow’s groundbreaking piece, reprinted in full here, argued that while medicine was subject to the same models of competition and profit maximization as other industries, concepts of trust and morals also played key roles in understanding medicine as an economic institution and in balancing the asymmetrical relationship between medical providers and their patients. His conclusions about the medical profession’s failures to “insure against uncertainties” helped initiate the reevaluation of insurance as a public and private good.

Coming from diverse backgrounds—economics, law, political science, and the health care industry itself—the contributors use Arrow’s article to address a range of present-day health-policy questions. They examine everything from health insurance and technological innovation to the roles of charity, nonprofit institutions, and self-regulation in addressing medical needs. The collection concludes with a new essay by Arrow, in which he reflects on the health care markets of the new millennium. At a time when medical costs continue to rise, the ranks of the uninsured grow, and uncertainty reigns even among those with health insurance, this volume looks back at a seminal work of scholarship to provide critical guidance for the years ahead.

Contributors
Linda H. Aiken
Kenneth J. Arrow
Gloria J. Bazzoli
M. Gregg Bloche
Lawrence Casalino
Michael Chernew
Richard A. Cooper
Victor R. Fuchs
Annetine C. Gelijns
Sherry A. Glied
Deborah Haas-Wilson
Mark A. Hall
Peter J. Hammer
Clark C. Havighurst
Peter D. Jacobson
Richard Kronick
Michael L. Millenson
Jack Needleman
Richard R. Nelson
Mark V. Pauly
Mark A. Peterson
Uwe E. Reinhardt
James C. Robinson
William M. Sage
J. B. Silvers
Frank A. Sloan
Joshua Graff Zivin