60年过去了——谁关心NHS?

H. Evans
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引用次数: 8

摘要

政客们将竭尽全力说服投票的公众,让他们相信国民医疗服务体系在他们手中是安全的。除非各政党承担巨大风险,否则不可能向选民提出可供选择的政策模式。然而,与此同时,我们看到,即使是工党政府也在吸引私人资金进入医疗服务领域,并赋予患者使用私营部门服务的权利。这项开创性的新研究表明,尽管政治家们对提出激进的医疗保健新模式没有信心,但媒体、政界、学术界和政策智库中的精英舆论已经不再喜欢由政府提供和资助的中央计划医疗服务的想法。到目前为止,精英们对医疗保健领域的自由市场并不感冒。尽管以市场为基础的体系的某些方面已被接受,但“市场失灵”的观念仍十分突出——尤其是在政治阶层中。然而,作者展示了一些舆论形成者如何准备变得更加激进。她认为,假以时日,这些团体可能会有效地推动一种愿景,即医疗保健市场不受政府干预,也不受政府授予的专业垄断的令人窒息的力量的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sixty Years On - Who Cares for the NHS?
Politicians will go to any lengths to persuade the voting public that the National Health Service is safe in their hands. Alternative policy models cannot be placed before the electorate unless political parties take huge risks. Yet, at the same time, we see even a Labour government drawing private finance into the health service and giving patients rights to use the private sector. This groundbreaking new study shows that, although politicians do not feel confident in proposing radical new models of healthcare, elite opinion in the media, in political circles, in academia and in policy think tanks has fallen out of love with the idea of a centrally planned health service provided and financed by government. Elite opinion does not, as yet, warm to a free market in healthcare. Although aspects of a market-based system are accepted, ideas of 'market failure' loom large - especially amongst the political class. Nevertheless, the author shows how some groups of opinion formers are prepared to be more radical. These groups, she believes, may in time be effective in promoting a vision of a market in healthcare that is free from government interference and from the stifling power of government-granted professional monopolies.
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