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Market-based solutions don't improve the quality of health care or the efficiency of its delivery

England offers prime examples of policies to avoid.

Lister: Not tailored solutions, but off-the-peg one-size-fits-all policies inappropriate everywhere.January 31, 2012: The consequences of handing over health care systems to the private sector are always worse for those with the greatest needs, John Lister writes in Global Health Check. Lister warns against adopting ineffective policies with unproven results.

"For over 20 years now, health system policy makers in developing countries around the world have had to endure a relentless sales pitch from advocates of market-style reforms.

Their menu of routine suggestions will be grimly familiar. These are not the painful measures which are clearly intended to contain spending (cash limits, centralisation of services, rationing and exclusions, 'essential packages of care', and of course user fees — which cut demand for services while seldom raising any significant resources)…"

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Posted: February 15, 2012

Categories:
  Health care
  Public services

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