This book investigates how the integration of economic rationality, scientific evidence, and public deliberation has fundamentally restructured contemporary health care systems over the last thirty years. Tiago Moreira, a scholar specializing in the sociology of health and science, utilizes a framework rooted in science and technology studies to analyze the shifting power dynamics within medical institutions. By examining the intersection of market forces, laboratory-derived evidence, and democratic forums, the author argues that these three domains have become the primary drivers of organizational change in modern medicine.

Experts in medical sociology and health policy identify this work as a significant contribution to understanding the institutional evolution of modern health systems. Readers frequently note the academic density of the prose, which is best suited for researchers and students interested in the intersection of science, technology, and public administration.