Health services privatization in industrial societies

Bibliographic Information

Health services privatization in industrial societies

edited by Joseph L. Scarpaci

J. Kingsley, 1991

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Bibliography: p. [275]-308

Includes index

Description and Table of Contents

Description

As governments in industrialized nations around the world face fiscal crises, they are increasingly turning over the functions of the welfare state to the private sector. Health care systems are particularly tempting targets for privatization. The costs of health care have risen faster than many other services. Health care systems fail to reward efficiency, and liberal welfare policies have enlarged the number of people who benefit from public health care services, and have done so in ways that often seem inequitable. The particular forms that privatized health care take are closely intertwined with local and political and economic circumstances, but the popularity of the idea in all kinds of governments, in all parts of the world, is very striking. This book looks at the theory and practice of privatization of health services internationally. The contributors argue that the restructuring of health care systems affects local communities in markedly uneven ways. Ultimately, they conclude, conflicts arising from economic and geographic inequities implicit in privatization will limit the degree to which any government can dismantle its health care services.

Table of Contents

  • The theory and practice of health services privatization, Joseph L.Scarpaci. Part 1 Hospital services: growth of proprietary hospitals in the United States
  • an historical perspective, James Bohl and Paul Leslie Knox
  • privatizing the health and welfare state - the Western European experience, John Eyles
  • restructuring the welfare state - the growth and impact of private hospitals in New Zealand, J.Ross Barnett and Pauline Barnett
  • rolling back the state? - privatization of the health services under the Thatcher governments, John Mohan
  • the politics of privatization - state and local politics and the restructuring of hospitals in New York City, Sara L.McLafferty. Part 2 The restructuring of mental health care in the United States, Christopher J.Smith
  • deinstitutionalization and privatization - community-based residential care facilities in Ontario, Glenda Laws. Part 3 Environmental health services: privatization, federalism and cancer prevention in the United States - abdicating a noble goal, Michael R.Greenberg. Part 4 Developing countries - privatization in the periphery: dismantling public health services in authoritarian Chile, Joseph L.Scarpaci
  • the role of multinational pharmaceutical firms in health care privatization in developing countries, Wilbert Gesler. Conclusions: lessons in the methodological and conceptual issues of health services privatization, Joseph L.Scarpaci.

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