Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

The State in Health: Global Capitalism, Conspiracy, Cock-Up and Competitive Change in the NHS

The State in Health: Global Capitalism, Conspiracy, Cock-Up and Competitive... This article analyses the changing NHS, and in particular both Conservative and New Labour reforms since the 1990s, from the viewpoint of political economy. It is argued that the publiclyfunded NHS can be functional for the capitalist economy, especially in the age of globalisation; but that this raises worries about equity in access to healthcare and priorities within health services. Such a ‘neo-Marxist’ view of the healthcare state is founded on the diminished progressiveness of general taxation, increased tendency to invest in the ‘productive’ and increased ‘exploitation’ of public health services and their workers. Health sector reform is viewed comparatively, with reasons for the ‘private’ USA contrasting with the ‘public’ UK reassessed. European health sector reform is seen to be at a crossroads vis-a-vis these two models http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Public Policy and Administration SAGE

The State in Health: Global Capitalism, Conspiracy, Cock-Up and Competitive Change in the NHS

Public Policy and Administration , Volume 16 (4): 23 – Oct 1, 2001

Loading next page...
 
/lp/sage/the-state-in-health-global-capitalism-conspiracy-cock-up-and-400r6Pjcxn

References (48)

Publisher
SAGE
Copyright
Copyright © by SAGE Publications
ISSN
0952-0767
eISSN
1749-4192
DOI
10.1177/095207670101600406
Publisher site
See Article on Publisher Site

Abstract

This article analyses the changing NHS, and in particular both Conservative and New Labour reforms since the 1990s, from the viewpoint of political economy. It is argued that the publiclyfunded NHS can be functional for the capitalist economy, especially in the age of globalisation; but that this raises worries about equity in access to healthcare and priorities within health services. Such a ‘neo-Marxist’ view of the healthcare state is founded on the diminished progressiveness of general taxation, increased tendency to invest in the ‘productive’ and increased ‘exploitation’ of public health services and their workers. Health sector reform is viewed comparatively, with reasons for the ‘private’ USA contrasting with the ‘public’ UK reassessed. European health sector reform is seen to be at a crossroads vis-a-vis these two models

Journal

Public Policy and AdministrationSAGE

Published: Oct 1, 2001

There are no references for this article.