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Putting the Neoliberal Transformation of Turkish Healthcare System and Its Problems into a Historical Perspective

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  • Emrah Konuralp
  • Sermin Bicer

Abstract

The principal objective of this article is to analyze how the Health Transformation Program (HTP), the latest reform to have overhauled the Turkish healthcare system, has been designed according to the project of global neoliberal capital accumulation. This reform is in line with the transformation of the Turkish economy, which has been ongoing since the 1980s. With this aim in mind, this research examines how neoliberalism affects both the provision of healthcare services and household healthcare expenditures in Turkey. The article concludes that, as well as the HTP transferring public funds to the private sector and promoting the rent-seeking characteristic of the Turkish bourgeoisie, the financial burden of healthcare services on primarily the middle and lower-income groups in Turkey has increased dramatically and led to a rise in out-of-pocket expenditures. JEL Classification : H51, I14

Suggested Citation

  • Emrah Konuralp & Sermin Bicer, 2021. "Putting the Neoliberal Transformation of Turkish Healthcare System and Its Problems into a Historical Perspective," Review of Radical Political Economics, Union for Radical Political Economics, vol. 53(4), pages 654-674, December.
  • Handle: RePEc:sae:reorpe:v:53:y:2021:i:4:p:654-674
    DOI: 10.1177/04866134211005083
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    1. Yardim, Mahmut S. & Uner, Sarp, 2018. "Equity in access to care in the era of health system reforms in Turkey," Health Policy, Elsevier, vol. 122(6), pages 645-651.
    2. Burcay Erus & Nazli Aktakke, 2012. "Impact of healthcare reforms on out-of-pocket health expenditures in Turkey for public insurees," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 13(3), pages 337-346, June.
    3. Eric Helleiner, 2019. "The life and times of embedded liberalism: legacies and innovations since Bretton Woods," Review of International Political Economy, Taylor & Francis Journals, vol. 26(6), pages 1112-1135, November.
    4. Ruggie, John Gerard, 1982. "International regimes, transactions, and change: embedded liberalism in the postwar economic order," International Organization, Cambridge University Press, vol. 36(2), pages 379-415, April.
    5. Erol Taymaz & Kamil Yılmaz, 2008. "Integration with the Global Economy: The Case of Turkish Automobile and Consumer Electronics Industries," Koç University-TUSIAD Economic Research Forum Working Papers 0801, Koc University-TUSIAD Economic Research Forum.
    6. Mike Dent, 2006. "Patient choice and medicine in health care," Public Management Review, Taylor & Francis Journals, vol. 8(3), pages 449-462, September.
    7. Forster, Timon & Kentikelenis, Alexander E. & Stubbs, Thomas H. & King, Lawrence P., 2020. "Globalization and health equity: The impact of structural adjustment programs on developing countries," Social Science & Medicine, Elsevier, vol. 267(C).
    8. Esping-Andersen, Gosta, 1999. "Social Foundations of Postindustrial Economies," OUP Catalogue, Oxford University Press, number 9780198742005.
    9. Rotarou, Elena S. & Sakellariou, Dikaios, 2017. "Neoliberal reforms in health systems and the construction of long-lasting inequalities in health care: A case study from Chile," Health Policy, Elsevier, vol. 121(5), pages 495-503.
    10. Eren Vural, Ipek, 2017. "Financialisation in health care: An analysis of private equity fund investments in Turkey," Social Science & Medicine, Elsevier, vol. 187(C), pages 276-286.
    11. Susan P Sparkes & Rifat Atun & Till Bӓrnighausen, 2019. "The impact of the Family Medicine Model on patient satisfaction in Turkey: Panel analysis with province fixed effects," PLOS ONE, Public Library of Science, vol. 14(1), pages 1-13, January.
    12. Damien Cahill, 2014. "The End of Laissez-Faire?," Books, Edward Elgar Publishing, number 14727.
    13. Asena Caner & Deniz Karaoglan & Gülbiye Yasar, 2020. "Does Health Reform Reduce Inequalities? Primary Healthcare of Young Children in Turkey," Working Papers 1399, Economic Research Forum, revised 20 Aug 2020.
    14. Hacer Özgen Narcı & İsmet Şahin & Hasan Yıldırım, 2015. "Financial catastrophe and poverty impacts of out-of-pocket health payments in Turkey," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 16(3), pages 255-270, April.
    15. Erus, Burcay & Yakut-Cakar, Burcu & Cali, Sanda & Adaman, Fikret, 2015. "Health policy for the poor: An exploration on the take-up of means-tested health benefits in Turkey," Social Science & Medicine, Elsevier, vol. 130(C), pages 99-106.
    16. Nelson, Kenneth & Fritzell, Johan, 2014. "Welfare states and population health: The role of minimum income benefits for mortality," Social Science & Medicine, Elsevier, vol. 112(C), pages 63-71.
    17. Hui Jin & Isabel Rial, 2016. "Regulating Local Government Financing Vehicles and Public-Private Partnerships in China," IMF Working Papers 2016/187, International Monetary Fund.
    18. Songul Cinaroglu & Onur Baser, 2019. "Does the unification of health financing affect the distribution pattern of out‐of‐pocket health expenses in Turkey?," International Journal of Social Welfare, John Wiley & Sons, vol. 28(3), pages 293-306, July.
    19. Burhan Can Karahasan & Firat Bilgel, 2017. "Access to Healthcare, Utilization and Health Outcomes in Turkey," Working Papers 1089, Economic Research Forum, revised 04 2017.
    20. Susan A. McDaniel & Neena L. Chappell, 1999. "Health Care in Regression: Contradictions, Tensions and Implications for Canadian Seniors," Canadian Public Policy, University of Toronto Press, vol. 25(1), pages 123-132, March.
    21. Costas Lapavitsas & Jeff Powell, 2013. "Financialisation varied: a comparative analysis of advanced economies," Cambridge Journal of Regions, Economy and Society, Cambridge Political Economy Society, vol. 6(3), pages 359-379.
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    More about this item

    Keywords

    healthcare reform; neoliberal transformation in healthcare; Turkish healthcare system; out-of-pocket expenditures; equity in healthcare;
    All these keywords.

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality

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