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The Neoliberal Concept of Bulgarian Healthcare: Diversity or Cognitive Dissonance


  • Elka Todorova

    (University of National and World Economy, Sofia, Bulgaria)

  • Emilia Chengelova

    (Institute of Philosophy and Sociology, BAS, Sofia, Bulgaria)


The paper examines the issue of the neoliberal nature of Bulgarian health care system, which introduced at once and in non-gradual way, formed varieties of combined neoliberal and anti-neoliberal theses. This is tracked in an analysis of data from ISSP surveys in Bulgaria (2021, 2022) regarding health care inequalities. Since the two surveys use certain identical questions, comparisons were made related to the performance and attitudes towards health care, vaccination, the role of the state authorities, etc. The results defend the thesis that neoliberal attitudes to health care are bend to nonliberal expectations in a way that exemplifies a type of “roll back†neoliberalism (Peck 2002).

Suggested Citation

  • Elka Todorova & Emilia Chengelova, 2022. "The Neoliberal Concept of Bulgarian Healthcare: Diversity or Cognitive Dissonance," Nauchni trudove, University of National and World Economy, Sofia, Bulgaria, issue 5, pages 165-179, December.
  • Handle: RePEc:nwe:natrud:y:2022:i:5:p:165-179

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    More about this item


    neoliberalism; health care; health care attitudes; health inequalities; income inequalities;
    All these keywords.

    JEL classification:

    • L12 - Industrial Organization - - Market Structure, Firm Strategy, and Market Performance - - - Monopoly; Monopolization Strategies
    • L13 - Industrial Organization - - Market Structure, Firm Strategy, and Market Performance - - - Oligopoly and Other Imperfect Markets
    • L14 - Industrial Organization - - Market Structure, Firm Strategy, and Market Performance - - - Transactional Relationships; Contracts and Reputation
    • H57 - Public Economics - - National Government Expenditures and Related Policies - - - Procurement
    • H75 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Government: Health, Education, and Welfare


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