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Equality, Efficiency, and Market Fundamentals: The Dynamics of International Medical Care Reform

  • Cutler, David
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    Public opinion surveys uniformly show low support for medical-care systems in developed countries. The longstanding conflict between equal access to care and efficient service provision partly explains this dissatisfaction. But the trade-off is particularly acute in medical care, as new technologies developed over time have increased the cost of care and made the equity commitment even more expensive. Countries first dealt with rising costs by maintaining equal access and restricting total spending. Efficiency suffered, however. As a result, many countries are considering a move away from spending controls and toward incentive-based medical-care reform.

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    File URL: http://dash.harvard.edu/bitstream/handle/1/2640584/cutler_equality.pdf
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    Paper provided by Harvard University Department of Economics in its series Scholarly Articles with number 2640584.

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    Date of creation: 2002
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    Publication status: Published in Journal of Economic Literature
    Handle: RePEc:hrv:faseco:2640584
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