Privatization in health and human services: a critique

Article Abstract:

Privatization of health care and human services in the form of government contracts with nonprofit organizations has failed to control costs and the growth of government as its advocates contended. Assessment of these organizations' economic performance belied the argument that awarding them contracts for the services would allow market forces to limit costs. Furthermore, this form of privatization has ironically expanded rather than diminished government's role by forcing increases in public expenditures and by requiring many new regulations.

Evaluation, Medical care, Contracts, Privatization, Privatization (Business), Social services, Social service, Nonprofit organizations

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The role of institutions and ideas in health care policy

Article Abstract:

A 'policy paradigms' approach provides a more comprehensive explanation for the failure to adopt national health insurance in the US. Sven Steinmo and Jon Watts place too much emphasis on institutions, whereas the policy paradigms approach looks at the interaction between institutions and concepts, using a social learning model. For example, the legacy of past policies has influenced public thinking about the distribution of public versus private responsibilities for health care, making the change to a national system seem too radical.

United States

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Sociological perspectives on completion in health care

Article Abstract:

The author argues that the concept of competition has become a dominant myth or ideology with respect to the delivery of health care services in modern societies. The effects of competition on equitable distribution of heath services are analyzed.

International, Management, National health insurance

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