• AcademyHealth: Competition matters

    The research by Marty Gaynor, Rodrigo Moreno-Serra, and Carol Propper on the effects of hospital competition in the UK is worth knowing about. If you don’t, read my AcademyHealth post.



    • Has anyone done the same sort of thing with the Taiwan system?

    • “I must admit, I’m a bit jealous that the UK has made great strides in improving its delivery system, at least in the way documented by the work of Gaynor et al. Most of the policy debate in the US pertains to how to provide affordable health insurance. Our peer countries have all addressed that issue, though costs remain a concern throughout the world. Having done so, there is more room in the political and policy discourse of those other countries for health system improvement, such as that achieved with more hospital competition in the UK. I look forward to the day when we’re able to more fully focus on that as well.” Sadly, I’m not so sure that day will ever come. I hate to be pessimistic, but Francis Fukuyama may well be right: we have a problem, a problem with no discernible solution “short of an outright system collapse”.