A piaci koordináció kudarcára adott válasz az egészségügyi ellátórendszerben: Nagy-Britannia és az Egyesült Ãllamok ellátórendszerének összehasonlító elemzése

Translated title of the contribution: Alternative ways of evolution for health care systems in response to the failure of market coordination: Comparison of the health care in Great Britain and the United States

Klára Bíró, Judit Zsuga, R. Ádány

Research output: Contribution to journalArticle

Abstract

The current study compares two health care systems that emerged in the setting of similar economic background. Both in Great Britain and in the United States market-lead capitalist economic system is established. Although it may be supposed that similarly to other sectors, market coordination should form the basis of the organization of health care, we show that since the basic principles of market coordination are violated with respect to the health care sector, namely there is a lack of perfect competition, complete market, perfect information and market failures may be present, a health care governed purely by market coordination is inherently headed toward failure. In Great Britain this turn was witnessed at the time of the Second World War when the Beverage Committee articulated its recommendations. This set the foundation of the current health care system organized by the National Health Service, as it contained recommendations to finance health care from taxes, to extend coverage to everyone and to place the infrastructure of hospitals into the property of the government. By this a fully government financed health care sector was established. On the other hand the failure of the United States' market-led individually insured private health care system only became apparent in the 1960s, by generating social problems that mandated the need for government intervention. Thus the systems of Medicaid and Medicare were established to provide health care for the poor and the elderly. As a result of the reforms of the past years the convergence of these systems may be witnessed, the system of Great Britain moved toward a more market-oriented approach, while the role of governmental interventions increased in the United States as it is expressed in the Affordable Care Act moved by President Obama. Upon comparing the two systems we also describe the peculiarities of the Hungarian health care system, and we try to draft the possible scope of interventions that could lead to a more sustainable health care system.

Original languageHungarian
Pages (from-to)371-386
Number of pages16
JournalTarsadalomkutatas
Volume29
Issue number3
DOIs
Publication statusPublished - Sep 1 2011

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health care
market
co-ordination
comparison
social problem
market failure
economic system
health services
Social Problems
World War
finance
taxes
health service
president
coverage
act
infrastructure
organization
reform
lack

ASJC Scopus subject areas

  • Sociology and Political Science
  • Law
  • Development

Cite this

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title = "A piaci koordin{\'a}ci{\'o} kudarc{\'a}ra adott v{\'a}lasz az eg{\'e}szs{\'e}g{\"u}gyi ell{\'a}t{\'o}rendszerben: Nagy-Britannia {\'e}s az Egyes{\"u}lt {\~A}llamok ell{\'a}t{\'o}rendszer{\'e}nek {\"o}sszehasonl{\'i}t{\'o} elemz{\'e}se",
abstract = "The current study compares two health care systems that emerged in the setting of similar economic background. Both in Great Britain and in the United States market-lead capitalist economic system is established. Although it may be supposed that similarly to other sectors, market coordination should form the basis of the organization of health care, we show that since the basic principles of market coordination are violated with respect to the health care sector, namely there is a lack of perfect competition, complete market, perfect information and market failures may be present, a health care governed purely by market coordination is inherently headed toward failure. In Great Britain this turn was witnessed at the time of the Second World War when the Beverage Committee articulated its recommendations. This set the foundation of the current health care system organized by the National Health Service, as it contained recommendations to finance health care from taxes, to extend coverage to everyone and to place the infrastructure of hospitals into the property of the government. By this a fully government financed health care sector was established. On the other hand the failure of the United States' market-led individually insured private health care system only became apparent in the 1960s, by generating social problems that mandated the need for government intervention. Thus the systems of Medicaid and Medicare were established to provide health care for the poor and the elderly. As a result of the reforms of the past years the convergence of these systems may be witnessed, the system of Great Britain moved toward a more market-oriented approach, while the role of governmental interventions increased in the United States as it is expressed in the Affordable Care Act moved by President Obama. Upon comparing the two systems we also describe the peculiarities of the Hungarian health care system, and we try to draft the possible scope of interventions that could lead to a more sustainable health care system.",
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