State health policy analysis: on the abuse of metaphor and the pathology of variation

Article Abstract:

Comparing state health policies has two disadvantages, the metaphor of the states as laboratories of democracy and variations between the states in health policy. Both result in unreasonable standards for the judging of state health care and a consequent tendency to undervalue state accomplishments. Much of the scholarly resistance to letting states be leaders in health care reform results from not trusting them to protect the most politically vulnerable, not unreasonable given state accomplishments in civil rights. Backers of state leadership should still be allowed to make their case.

states

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What does economics have to say about health policy anyway? A comment and correction on Evans and Rice

Article Abstract:

Robert G. Evans and Thomas Rice argue that market-oriented health care systems do not function well, that government-run health care systems are better and that economic analysis of health care can thus mislead or harm. They make many logical and factual flaws and misunderstand modern economics. Their argument that the textbook model of perfect competition cannot be used for the health care system is clearly a straw man.

Criticism and interpretation, Rice, Thomas, Evans, Robert G.

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Big bang and the policy prescription: health care meets the market in New Zealand

Article Abstract:

The author outlines the government of New Zealand's restructuring of its health sector in 1993. The political conditions leading up to the restructuring are discussed, along with subsequent revisions to system in the post-1996 era.

New Zealand, Management, Health services administration

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