Advertisement

Springer Nature is making SARS-CoV-2 and COVID-19 research free. View research | View latest news | Sign up for updates

New Zealand health care financing ‘reforms’ perceived in ideological context

Abstract

Health sector financing reforms that have been ongoing over the last decade in most developed countries are rooted in philosophical terms in the ideology of economic rationalism. The ideology suggests that it is possible to artificially create markets for activities in contexts where markets do not develop naturally, and that the creation of these artificial markets leads to resource allocations that are both more efficient and more equitable than historical arrangements. The application of the ideology to New Zealand's health sector has generated some benefits—for example, a more rational approach to influencing the decisions of self-interested health care providers; but it has also generated some costs—for example, on ideological grounds it has brought into question the non-market rationales for maintaining a national health service system.

This is a preview of subscription content, log in to check access.

References

  1. 1.

    Enthoven, A. (1978). Consumer Choice Health Plan.New England Journal of Medicine 28, 650–658, 709-720.

  2. 2.

    Glennerster, H. (1994). Internal markets: Context and structure. In,Health Care Reform Through Internal Markets, ed. by M. Jerome-Forget, J. White and J. Wiener. The Institute for Research on Public Policy, Montreal.

  3. 3.

    Borren, P. and Maynard, A. (1994). The Market reform of the New Zealand health care system searching for the Holy Grail in the Antipodes.Health Policy 27, 233–252.

  4. 4.

    Brown, M. (1983).National Health Insurance in Canada and Australia: A Comparative Political Economy Analysis, Australian National University Health Economics Research Unit and the Centre for Research on Federal Financial Relations, Canberra.

  5. 5.

    Bassett, M. (1993). Health care history—costly health care: a lesson from New Zealand.Health Care Analysis 1, 189–196.

  6. 6.

    Brown, M. (1977). Comparative aspects of the New Zealand and Canadian health systems.Economic Record, 182–197.

  7. 7.

    Upton, S. (1991).Your Health and the Public Health: A Statement of Government Health Policy, Minister of Health, Parliament Buildings, Wellington.

  8. 8.

    G.P. Weekly (1996). Full Adult Charges. April 24.

  9. 9.

    Coase, R. (1988).The Firm, The Market and The Law, University of Chicago Press, Chicago.

  10. 10.

    Scotton, R. (1994). Let's think seriously about managed competition.Social Science and Medicine 38, vi.

  11. 11.

    Smith, A. (1776, 1976).An Inquiry into the Nature and Causes of the Wealth of Nations, Oxford University Press, Oxford.

  12. 12.

    Enthoven, A. (1994). On the ideal market structure for third-party purchasing of health care.Social Science and Medicine 39, 1413–1424.

  13. 13.

    van de Ven, P. and Schut, F. (1994). The Dutch experience with internal markets. In,Health Care Reform Through Internal Markets, ed. by M. Jerome-Forget, J. White and J. Weiner. The Institute for Research on Public Policy, Montreal.

  14. 14.

    Bethwaite, J. and Te Hiko, M. (1993). What ever happened to the alternative health care plans?Victoria Economic Commentaries 10, 17–18.

  15. 15.

    Brown, M. (1991).Health Economics and Policy: Problems and Prescriptions, McCelland and Stewart, Toronto.

  16. 16.

    Evans, R. (1984).Strained Mercy: The Economics of Canadian Health Care, Butterworth and Co., Toronto.

Download references

Author information

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Brown, M. New Zealand health care financing ‘reforms’ perceived in ideological context. Health Care Anal 4, 293–308 (1996). https://doi.org/10.1007/BF02249316

Download citation

Keywords

  • Resource Allocation
  • Health Care Provider
  • Economic Rationalism
  • National Health Service
  • Service System