IDEAS home Printed from https://ideas.repec.org/a/cup/jinsec/v8y2012i04p429-457_00.html
   My bibliography  Save this article

Public governance of healthcare in the United States: a transaction costs economics (TCE) analysis of the 2010 reform

Author

Listed:
  • SPITHOVEN, ANTOON

Abstract

This article aims to address the lack of transaction costs economics (TCE) studies in health economics. It provides a content analysis of ObamaCare and 25 lawsuits that challenge the 2010 reform. It shows that the cultural environment determines the strength of features of governance structures and in line with this the strength of their instruments. Following Williamson's TCE model of governance structures, the zero transaction costs criterion is supplanted by the remediableness criterion. Assuming that ObamaCare might be ruled to be constitutional, the regulation of healthcare is found to be a comparative efficient governance structure in addressing adverse selection. However, the TCE analysis also reveals that ObamaCare itself is subject to some flaws in efficiency and effectiveness, namely: unbalanced adaptation mechanisms, unbalanced incentives and weak enforcement devices.

Suggested Citation

  • Spithoven, Antoon, 2012. "Public governance of healthcare in the United States: a transaction costs economics (TCE) analysis of the 2010 reform," Journal of Institutional Economics, Cambridge University Press, vol. 8(4), pages 429-457, December.
    • Handle: RePEc:cup:jinsec:v:8:y:2012:i:04:p:429-457_00
    as

    Download full text from publisher

    File URL: https://www.cambridge.org/core/product/identifier/S1744137412000082/type/journal_article
    File Function: link to article abstract page
    Download Restriction: no
    ---><---

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:cup:jinsec:v:8:y:2012:i:04:p:429-457_00. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Kirk Stebbing (email available below). General contact details of provider: https://www.cambridge.org/joi .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.