By Maureen Mackintosh, Meri Koivusalo

This booklet analyzes the increasing worldwide and native commercialization of future health care. It argues for the need and risk of powerful coverage responses to advance high quality, universally inclusive overall healthiness structures all over the world. The e-book goals to motivate a extra humane, inclusive, egalitarian, and moral framework for coverage formula.

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Extra info for Commercialization of Health Care: Global and Local Dynamics and Policy Responses (Social Policy in a Development Context)

Example text

16. 43. ’ 1 Multinational companies (MNCs) exert influence over the rate of commercialization and corporatization of health care worldwide, through direct investment and through their influence on regulatory decision-making. However, multinational health care companies have shown an uneven process of expansion in the last five years in what they perceive as risky and highly politicized markets. Health policy needs to be informed by a good understanding of MNCs’ strategies of market development and regulatory influence.

Commercialization has not only influenced health systems’ operation, but has also influenced how health systems are defined. While health systems do cover different functions, the strong separation frequently made between public health measures (‘public good’) and health services (‘private good’) is not useful in the context of health systems functions. A narrow economic definition of public goods limits the scope of public health measures and provides an insufficiently explored presumption of an expanding role for markets in health services.

Yet more interventions do not always imply better care. The laissez-faire approach too often proposed at present for the commercial ‘sector’ should be replaced by active policies to direct research and development more towards public health needs, and to conserve scarce resources through rational use of drugs and technology. Too close a focus on interventions and outcomes, furthermore, obscures the importance for evidence-based health systems of local gathering and evaluation of information. Data collection and surveillance functions rely on traditional aspects of medical care such as accurate diagnosis, pathology departments and undertaking obductions, crucial aspects of health systems rarely contributing directly to health outcomes.

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