Description

Are healthcare quality metrics truly objective? This podcast dives into the strange history of performance measures, revealing how they evolved from clinical tools into powerful political ones used to control costs, legitimize decisions, and shift blame from systems to front-line doctors.

Chapter Markers

* 00:00 - Intro

* 01:21 - Birth of Quality Measurement

* 02:33 - Medicare’s Bargain

* 05:34 - The Pioneering Role of Private Sector in Quality Measurement

* 07:07 - NCQA

* 07:55 - The Medical Surveillance Machinery

* 08:50 - Manufacturing Blame

* 09:04 - Technocratic Legitimacy

* 10:05 - Discursive Framing

* 11:15 - Manufactured Consent

* 12:26 - The Path Dependency Trap

* 13:56 - Outro

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