Mcdonaldization: Health In A Fastfood Society

McDonaldization: Health in A Fastfood Society

McDonaldization, is the term Ritzer derived from the McDonalds' fast food chain to describe the state of our society. Ritzer claims our social institutions have become completely dehumanized in the form of a bureaucracy.

Health care is an example of one institution that is characterized by the four components of bureaucracy: efficiency, predictability, control and quantification. In the past, health care was more simplistic in nature. House calls were no unheard of, and doctors knew all of their patients and their families on a personal level. The doctor who delivered your parents would deliver you as well as your future children. Follow-ups were quite normal; doctors were concerned with your progress for their own peace of mind.

Over time the modern health care system emerged into the bureaucratic organization that it is. All the characteristics depicted by Ritzer are easily seen when one examines health care. From a normal trip to the doctor for a routine check-up or even a specific ailment to rush trip in the emergency room predictability, control, efficiency, and quantification are obvious.

Quantification is easily seen when you first step into a hospital waiting room and a huge sign tells you a number before you are even able to speak to anyone. After waiting a while your number is called, you must give your health card number to the receptionist before continuing. You are then given a file number, which is your only identity for the time you spend within the hospital environment. After seeing the doctor you may come out with a few prescriptions which furthers your nameless ordeal. When you drop nameless ordeal. When you drop into a pharmacy to have a prescription filled the first thing they ask is if you know your prescription number. If you cannot remember it, your actual name is a secondary possibility as a means of identification.

Before paying you may have to show your Blue Cross card number or other insurance cards as well, in all it is a very dehumanizing, impersonal process.

Efficiency is another characteristic that is prominent in the hospital situation. To make sure things more smoothly you must call ahead and make an appointment with the reception...

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...ike health care workers has come in the face of a demand for efficiency and quantification. It is hard to say who is victimized most by this dehumanization; the doctors who must deny their humanity or their patients who must go to them for treatment.

In conclusion when one applies the four components of McDonaldization to our present health care system one discovers that they are aptly applicable.

Quantification is seen when one thinks about how our medical identity is comprised of a series of different numbers. Efficiency is supposed to occur with phone-in prescriptions and appointments. Control is assured by a doctor's capacity to make life or death decisions. As for predictability it is common knowledge as to what routine one follows to receive treatment. The irrationality is how impersonal and inefficient the whole system can become through overworked doctors and other professionals. The iron cage is how the patients of these stressed doctors feel from these doctors' ignorance and neglect. In all it is true that the health care system is one social institution that does successfully meet all of Ritzer's requirements for a

McDonaldized institution.