What is the relative importance of public vs. private sector funding, especially for really impoverished countries?
The importance of the public sector in fields like health care is very well established. There is no way the private sector can do as much. Those who think privately financed medicine could do it all are mistaken. Private insurers don’t have the incentive to cover the most vulnerable people because it’s always against the interests of an insurance company to cover someone who is more likely to become ill. However, I quite agree that we have to consider how to improve the quality of public sector health care delivery. The market gets its incentives from the profit motive, but it is rather neglectful in the field of health care. When it comes to the public sector, you have to provide the same incentive in other ways. That requires active public discussion on health care provision; it requires constant vigilance about the quality of hospital, medical, nursing services, etc. This incentive has to be provided through the medium of public discussion and criticism. In the past, health has oft
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