drivers of private management of public health services aim to convince their efficiency to impose a model in which what counts is the turnover although that may affect the right to health protection. This speech contains weaknesses, as no independent study that assessed this model as an alternative to public provision essentially known. Rigorous evaluation of health policies without conflicts of interest in this approach leaves a leap of faith because there is no evidence to support such claims.
However, there is evidence to the contrary. In the UK, where the model of private provision is more widespread, references criticized for being a more expensive system, due to the need for suppliers to obtain benefits are numerous; rapidly in capacity and a reduction in the number of professionals is produced and gets worse health outcomes.The public systems like Spain are more oriented to achieve a high degree satisfaction and health for all citizens are more equitable and ensure cohesion among people and territories. In addition, correct market failures in health care because, unlike what happens in the purchase of other services or products, there is a clear asymmetry in the information it produces inequality and limits the ability of decision.
This means that private health care providers involved for what they define as health needs of their patients (customers), so that in practice much affects the freedom of choice, one of the essential rules Marketplace. In addition, attendance may contain some beneficial or undesirable effects in terms of population, as with the inverse selection of patients, loss of immunity for some vaccines or overdiagnosis. Essentially, comprehensive private management, which applies in Valencia, implies, if only in theory, greater cost control, admitting that the budget the concessionaires who manage business risk and never contracts is estimated will not reflect how the risk assumed by the supplier when business forecasts do not go. Do not remind you of what is happening with toll roads?
In health, it still remains difficult to close health centers and, therefore, the risk is transferred to the public payer. This has already happened in our country and may recur in the future of these privatized institutions. Repeated review of the conditions of contract will leave the government with no alternatives that fail to change the agreed rules, accepting the gains the market decide. Another element to consider is the limited number of companies capable entering this market with a clear risk of oligopoly, as the National Competition Commission has warned.Faustino White is health minister of Asturias. The full version of this platform is available in elpais.com.
Private healthcare is not more efficient
No comments:
Post a Comment