The New Palgrave Dictionary of Economics

2018 Edition
| Editors: Macmillan Publishers Ltd

State Provision of Medical Services

  • Alan Williams
Reference work entry
DOI: https://doi.org/10.1057/978-1-349-95189-5_1466

Abstract

Many countries have responded to the problem of market failure in the provision of medical services by going beyond regulation and the provision of state insurance schemes to the fullscale ‘nationalization’ of all their personal health services, i.e. state ownership of the plant and equipment (hospitals, etc.) and making all health service personnel employees of the state. The reasons for doing this are many and complex, and vary according to the particular history and culture of each country, but there is one common feature which is fundamental, namely the decision that willingness and ability to pay shall not be the primary criterion for determining access to medical care. There is invariably a strong egalitarian ethic present in such countries, but because this gets tempered by other objectives, actual performance seldom matches the system’s ethical pretensions. It is nevertheless useful for analytical purposes to sharpen up the issues by following through the logic of such a system to see where it leads, and what problems such a system would face if it did pursue the egalitarian ethic singlemindedly.

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Bibliography

  1. Arrow, K.J. 1963. Uncertainty and the welfare economics of medical care. American Economic Review 53(5): 941–973.Google Scholar
  2. Buchanan, J.M. 1965. The inconsistencies of the national health service. London: Institute of Economic Affairs.Google Scholar
  3. Culyer, A.J. 1976. Need and the national health service. London: Martin Robertson.Google Scholar
  4. Culyer, A.J., A.K. Maynard, and A. Williams. 1981. Alternative systems of health care provision: An essay on motes and beams. In A new approach to the economics of health care, ed. M. Olson. Washington, DC: American Enterprise Institute.Google Scholar
  5. Kind, P., R. Rosser, and A. Williams. 1982. Valuation of quality of life: Some psychometric evidence. In The value of life and safety, ed. M.W. Jones-Lee. Amsterdam: North-Holland.Google Scholar
  6. McLachlan, G., and A.K. Maynard. 1982. The public/private mix for health. London: Nuffield Provincial Hospitals Trust.Google Scholar
  7. Torrance, G.W. 1986. Measurements of health state utilities for economic appraisal: A review. Journal of Health Economics 5(1): 1–30.CrossRefGoogle Scholar
  8. Williams, A. 1985a. The nature, meaning and measurement of health and illness: An economic viewpoint. Social Science and Medicine 20(10): 1023–1027.CrossRefGoogle Scholar
  9. Williams, A. 1985b. The economics of coronary artery bypass grafting. British Medical Journal 291: 326–329.CrossRefGoogle Scholar

Copyright information

© Macmillan Publishers Ltd. 2018

Authors and Affiliations

  • Alan Williams
    • 1
  1. 1.