Analyses of the resource flow, of the dynamics of social exchange in the health care delivery process, and of the attendant reinforcement contingencies acting on the provider—each of these, in turn, compel the conclusion that the omission of fees-for-service, as in military medicine, is responsible for the deleterious effects that have come to be associated with applications of socialized medicine. Substituting systematized evaluative information feedback for fees-for-service may be a way to compensate for the inherent structural weakness in the socialized medicine model and thus to improve health care delivery in military and other socialized medicine systems.
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