Centre for Economic Policy Research Center for Economic Studies Maison des Sciences de l'Homme

Alternative Systems of Health Care Provision Author(s): Timothy Besley, Miguel Gouveia and Jacques Drèze Reviewed work(s): Source: Economic Policy, Vol. 9, No. 19 (Oct., 1994), pp. 199-258 Published by: Wiley on behalf of the Centre for Economic Policy Research, Center for Economic Studies, and the Maison des Sciences de l'Homme Stable URL: http://www.jstor.org/stable/1344496 . Accessed: 24/12/2012 16:11
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Alternative systems of health care provision
Timothy Besley and MiguelGouveia and of Princeton University University Pennsylvania

1. I[ntroduction Around the developed world, many health care systems are in crisis. Populations feel either that the cost of running their systems is too high or that the quality of provision is declining. Possibly these are two sides of the same coin. If there is a fundamental tendency for costs to rise, something must give; either consumers will consume less or budget shares will have to rise. However, from a