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Alternative Systems of Health Care Provision Author(s): Timothy Besley, Miguel Gouveia and Jacques Drèze Reviewed work(s): Source: Economic Policy, Vol. 9, No. 19 (Oct., 1994), pp. 199-258 Published by: Wiley on behalf of the Centre for Economic Policy Research, Center for Economic Studies, and the Maison des Sciences de l 'Homme Stable URL: http://www.jstor.org/stable/1344496 . Accessed: 24/12/2012 16:11
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Alternative systems of health care provision
Timothy Besley and MiguelGouveia and of Princeton University University Pennsylvania
1. I[ntroduction Around the developed world, many health care systems are in crisis. Populations feel either that the cost of running their systems is too high or that the quality of provision is declining. Possibly these are two sides of the same coin. If there is a fundamental tendency for costs to rise, something must give; either consumers will consume less or budget shares will have to rise. However, from a policy point of view this will create a state of flux. Society will look for ways to get more for
Alternative Systems of Health Care Provision Author(s): Timothy Besley, Miguel Gouveia and Jacques Drèze Reviewed work(s): Source: Economic Policy, Vol. 9, No. 19 (Oct., 1994), pp. 199-258 Published by: Wiley on behalf of the Centre for Economic Policy Research, Center for Economic Studies, and the Maison des Sciences de l 'Homme Stable URL: http://www.jstor.org/stable/1344496 . Accessed: 24/12/2012 16:11
Your use of the JSTOR archive indicates your acceptance of the Terms & Conditions of Use, available at . http://www.jstor.org/page/info/about/policies/terms.jsp
.
JSTOR is a not-for-profit service that helps scholars, researchers, and students discover, use, and build upon a wide range of content in a trusted digital archive. We use information technology and tools to increase productivity and facilitate new forms of scholarship. For more information about JSTOR, please contact support@jstor.org.
.
Wiley, Centre for Economic Policy Research, Center for Economic Studies, Maison des Sciences de l 'Homme are collaborating with JSTOR to digitize, preserve and extend access to Economic Policy.
http://www.jstor.org
This content downloaded on Mon, 24 Dec 2012 16:11:43 PM All use subject to JSTOR Terms and Conditions
Alternative systems of health care provision
Timothy Besley and MiguelGouveia and of Princeton University University Pennsylvania
1. I[ntroduction Around the developed world, many health care systems are in crisis. Populations feel either that the cost of running their systems is too high or that the quality of provision is declining. Possibly these are two sides of the same coin. If there is a fundamental tendency for costs to rise, something must give; either consumers will consume less or budget shares will have to rise. However, from a policy point of view this will create a state of flux. Society will look for ways to get more for
References: Abel-Smith, B. (1964). The Hospitals:1800-1948. London: Heinemann. Arrow, K. J. (1963). 'Uncertainty and the Welfare Economics of Medical Care ', AmericanEconomic Review. (1971). 'A Utilitarian Approach to the Concept of Equality in Public Expenditures ', Quarterly Journal of Economics. Austen-Smith, D. (1993). 'Interest Groups: Money, Information and Influence ', in D. C. Mueller Oxford: Basil Blackwell. (ed.): Handbookof Public Choice, Baumol, W. (1993). 'Health Care, Education and the Cost Disease: A Looming Crisis for Public Choice ', Public Choice. Becker, G. (1983). 'A Theory of Competition Among Pressure Groups for Political Influence ', Quarterly Journal of Economics. Besley, T.J. (1988). 'Optimal Reimbursement Insurance and the Theory of Ramsey Taxation ', Journal of HealthEconomics. Besley, T. and S. Coate (1991). 'Public Provision of Private Goods and the Redistribution of Income ', Economic Review. American (1994), 'An Economic Model of Representative Democracy ', typescript. Blomqvist, A. (1994). 'Introduction: Economic Issues in Canadian Health Care ', in A. Blomqvist and in Toronto: D. M. Brown (eds.): Limitsto Care:Reforming Canada 'sHealth System an Age of Restraint, C.D. Howe Institute. Health Carein Europe- Future Casparie, A. F., H. E. G. Hermans. and J. H. Paelink (1990). Competitive Hants, U.K.: Dartmouth. Prospects, CBO (1992). EconomicImplicationsof Rising Health Care Costs,Congressional Budget Office Study, October 1992. Coate, S. (1993). 'Altruism, the Samaritan 's Dilemma and Government Transfer Policy ', forthcoming in American Review. Economic Review Culyer A.J. (1989). 'The Normative Economics of Health Care Finance and Provision ', Oxford Policy. of Economic Cutler, D. (1994a). 'A Guide to Health Care Reform ', Journal of Economic forthcoming. Perspectives, (1994b). 'Market Failure in Small Group Health Insurance ', typescript. Danzon, P. (1992). 'Hidden Overhead Costs: Is Canada 's System Really Less Expensive? ', Health Affairs. Dreze, J. H. (1994). 'Loss-Reduction through Deductibles in Health Insurance ', unpublished notes, CORE, Louvain-la-Neuve. Economic Reportof thePresident(1994), Washington D.C.: US Government Printing Office. Ellis, R. P. and T. G. McGuire (1993). 'Supply-Side and Demand-Side Cost-Sharing in Health Care ', Perspectives. Journal of Economic Feldstein, M. (1973). 'The Welfare Loss of Excess Health Insurance ', Journal of PoliticalEconomy. 2nd. Ed., New York:Wiley. Feldstein, P. (1983). Health CareEconomics, Garfinkel, I. (1973). 'Is in-kind Redistribution Efficient? ', Quarterly Journal of Economics. and theWelfare State,Allen and Goodin, R. andJ. LeGrand (1987). Not OnlyThePoor:TheMiddleClasses Unwin. Gouveia, M. (1993). 'Majority Rule and the Public Provision of Health Care ', University of Pennsylvania, CARESSWorking Paper No. 93-26. This content downloaded on Mon, 24 Dec 2012 16:11:43 PM All use subject to JSTOR Terms and Conditions Health care 257 Hall, M. A. and G. F. Anderson (1991). 'Health Insurers ' Assessment of Medical Necessity ', typescript, Arizona State University. Health Hurst, J. (1992). The Reformof Health Care- A Comparative Analysis of Seven OECDCountries, Policy Studies No. 2, Paris: OECD. Hylland, A. and R. J. Zeckhauser (1979). 'Distributional Objectives Should Affect Taxes But Not Program Choice ', ScandinavianJournal of Economics. Ibern, P. (1990). 'Trends and Evolution of the Spanish Health Care System ' in Casparie et aL (1990). Ikegami, N. (1991). 'Japanese Health Care: Low Cost Through Regulated Fees ', HealthAffairs. Ireland, N. (1990). 'The Mix of Social and Private Provision of Goods and Services ',Journal of Public Economics. Amsterdam: North-Holland. Jones-Lee, M. W. (Ed.) (1982). The Valueof Life and Safety, Kimberly,J. R andJ. Rodwin (1984). 'The Future of Health Policy: Constraints, Controls and Choices ', inJ. de Kervasdoue,John R. Kimberlyand Victor G. Rodwin (eds.), TheEnd of Illusion:TheFutureof HealthPolicyin Western Industrialized Nations, Berkeley: University of California Press. Kirkman-Liff, B. (1994). 'Health Care Reform in the Netherlands, Germany and the United Kingdom ', in A. Blomqvist and D. M. Brown (eds.) (1994). and Laffont, J.-J. and J. Tirole (1993). A Theory Incentivesin Procurement Regulation,Cambridge MA: of MIT Press. Oxford: Basil Blackwell. McKeown, T. (1979). TheRole of Medicine: Dream,Mirageor Nemesis?, Madrian, B. (1992). 'Employment-Based Health Insurance andJob Mobility:Is There Evidence ofJobLock? ' typescript, MIT. Manning, W. G., J. Newhouse, N. Duan, E. Keeler, A. Liebowitz and M. Marquis (1987). 'Health Insurance and the Demand for Medical Care: Evidence from a Randomized Experiment ', American Economic Review. Mueller, D. (1989). Public Choice Cambridge: Cambridge University Press. II, Newhouse, J. (1992). 'Medical Care Costs: How Much Welfare Loss? ',Journal of Economic Perspectives. Nichols, A. L. and R.J. Zeckhauser (1982). 'Targeting Transfers through Restrictions on Recipients ', American Economic Review,(Papers and Proceedings). OECD (1984) Tax Elasticities CentralGovernment PersonalIncomeTax Systems, Paris: OECD. of (1993a). OECDHealthData, Paris: OECD. (1993b). OECDHealth Systems Facts and Trends,1960-1991, Paris: OECD. Economic Review. Pauly, M. (1968). 'The Economics of Moral Hazard ', American (1986). 'Taxation, Health Insurance, and Market Failure in the Medical Economy ', Journal of Economic Literature. (1992). 'The Normative and Positive Economics of Minimum Health Benefits ', in P. Zweifel and H. E. Frech III (eds.): HealthEconomics Boston: Kluwer. Worldwide, Peterson, N. (1986). 'A Public Choice Analysis of Parallel Public-Private Provision of Health Care ', in A. Culyer and B. Jonsson (eds.): Publicand PrivateHealth Services, Oxford, Basil Blackwell. New York, Harper Collins. Phelps, C. (1992). HealthEconomics, Rawls,J. (1971). A Theory Justice,Harvard University Press, Cambridge, Massachusetts. of Scheffler, R. and E. Nauenberg (1991). 'Health Care in the United States During the 1980 's: Lessons for Great Britain ', in A. McGuire, P. Fenn and K. Mayhew (eds): Providing Health Care:TheEconomics Oxford: Oxford University Press. of Alternative Systems Finance and Delivery, of and Amsterdam: North-Holland. Sen, A. K. (1985). Commodities Capabilities, Stigler, G. (1970). 'Director 's Law of Public Income Redistribution ', Journal of Law and Economics. Stiglitz, J. E. (1974). 'The Demand for Education in Public and Private School Systems ', Journal of PublicEconomics. Tobin, J. (1970). 'On Limiting the Domain of Inequality ', Journal of Law and Economics. Usher, D. (1977). 'The Welfare Economics of the Socialization of Commodities ', Journal of Public Economics. Van Doorslaer, E. and A. Wagstaff (1992). 'Equity in the Delivery of Health Care: Some International Comparisons ', Journal of HealthEconomics. Wagstaff, A. and E. Van Doorslaer (1992). 'Equity in the Financing of Health Care: Some International Comparisons ', Journal of HealthEconomics. I: SincetheWar:Volume Problems HealthCare:TheNationalHealth Webster, C. (1988). TheHealthServices of Service 1957, London: Her Majesty 's Stationery Office. before Weisbrod, B. (1991). 'The Health Care Quadrilemma: An Essayon Technological Change, Insurance, Literature. Quality of Care, and Cost Containment ', Journal of Economic Weitzman, M. (1977). 'Is the Price System or Rationing More Effective in Getting a Commodity to those Who Need It Most? ', BellJournalof Economics. Wilsford, D. (1991). Doctorsand the State:The Politicsof Health Carein Franceand in the UnitedStates, Durham: Duke University Press. This content downloaded on Mon, 24 Dec 2012 16:11:43 PM All use subject to JSTOR Terms and Conditions 258 Timothy Besleyand Miguel Gouveia Wilson, L. S., and M. Katz (1983). 'The Socialization of Commodities ', Journal of PublicEconomics. to Winter, R. A. (1992). 'Moral Hazard and Insurance Contracts ', in G. Dionne (Ed): Contributions Dordrecht: Kluwer. InsuranceEconomics, Woolhander, S. and D. Himmelstein (1991). 'The Deteriorating Administrative Efficiency of the US Health Care System ', TheNew EnglandJournal of Medicine. This content downloaded on Mon, 24 Dec 2012 16:11:43 PM All use subject to JSTOR Terms and Conditions