Health Services Privatization in Industrial Societies
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Release Date:01 Dec 1989
ISBN:9780813514383
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Health Services Privatization in Industrial Societies

Rutgers University Press
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.
Introduction : the theory and practice of health services privatization / Joseph L. Scarpaci
Growth of proprietary hospitals in the United States : a historical geographic perspective / James Bohland, Paul L. 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, Pauline Barnett
Rolling back the state? : privatization of 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
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
Privatization, federalism, and cancer prevention in the United States : abdicating a noble goal / Michael R. Greenberg
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 on the methodological and conceptual issues of health services privatization / Joseph L. Scarpaci
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