Abstract
A number of sequential events spanning the last fifty years has given proponents of capitalism, advocating minimal state involvement in the economy, decisive victory, not only over socialism but over heavy government engagement in the economy The main contention of this piece is to prove that the failures of government and public sector did not necessarily make a strong case for the market reforms which was being promoted in SSA and other transition economies. In fact what is often distorted or misrepresented as the successes of unfettered markets are on closer examination evidences in favour of strong government and developmental states which have been able to overcome the so-called ‘Weingast Paradox'. Drawing from the historical experience and the successes of a few countries in Far East Asia in addition to the successes of China and India, we make strong case for government-driven economic development after policy-makers have been subjected to the constraints of political and economic institutions.
Highlights
The limits of market-based reformsHelen Dickinson1*, Sara Shaw2,3, Jon Glasby1, Judith Smith3 From The Limits of Market-based Reforms Birmingham, UK. 1 October 2012 Open Access
The initial introduction of an internal market into the English NHS in the 1990s saw the separation of the functions of service delivery and the purchasing and planning of these
Market-based competition is one of the main tools that are available to health care commissioners working within the NHS in England
Summary
Every health and social care system around the world is concerned with how it can provide care in a way that ensures both high quality and cost-effective care for people. Porter et al examine the extent to which local commissioners have adopted a market-oriented model of commissioning of care for people with long term conditions They conclude that despite the rhetoric of market based reform and the emphasis on using transactional mechanisms such as contracts, in practice commissioners in the NHS tend to operate in a more relational way with providers, based on trust and collaboration. Taken together the papers presented in this supplement clearly raise questions about the future of reforms in England – and across the world – that attempt to introduce and embed markets in health and social care Whilst they offer diversity in terms of their theoretical, disciplinary and/or empirical focus, they offer remarkably similar conclusions about the limited potential of markets in health and social care to deliver aspirations for improvements in both the quality and cost of care. Those involved in developing and attempting to deliver marketbased reforms would do well to pay heed to the concerns that authors raise
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