Toward an Efficiency Rationale for the Public Provision of Private Goods

Abstract We analyse the political economy of the public provision of private goods when individuals care about their social status. Status concerns motivate richer individuals to vote for the public provision of goods they themselves buy in markets: a higher provision level attracts more individuals to the public sector, enhancing the social exclusivity of market purchases. Majority voting may lead to a public provision that only a minority of citizens use. Users in the public sector may enjoy better provision than users in the private system. We characterise the coalitions that can prevail in a political equilibrium.

Download Full-text

Toward an efficiency rationale for the public provision of private goods

Economic Theory ◽

10.1007/s00199-013-0790-y ◽

2013 ◽

Vol 56 (2) ◽

pp. 375-408 ◽

Cited By ~ 5

Author(s):

Hanming Fang ◽

Peter Norman

Keyword(s):

Public Provision ◽

Private Goods ◽

The Public

Download Full-text

Medical Autonomy and Modern Healthcare

10.1093/oso/9780190684549.003.0007 ◽

2017 ◽

Author(s):

Jessica Flanigan

Keyword(s):

Product Liability ◽

Medical Decision ◽

Medical Providers ◽

Public Officials ◽

Public Provision ◽

Self Medication ◽

Medical Decisions ◽

The Public ◽

Patient’S Rights ◽

Access Information

Though rights of self-medication needn’t change medical decision-making for most patients, rights of self-medication have the potential to transform other aspects of healthcare as it is currently practiced. For example, if public officials respected patient’s authority to make medical decisions without authorization from a regulator or a physician, then they should also respect patient’s authority to choose to use unauthorized medical devices and medical providers. And many of the same reasons in favor of rights of self-medication and against prohibitive regulations are also reasons to support patient’s rights to access information about pharmaceuticals, including pharmaceutical advertisements. Rights of self-medication may also call for revisions to existing standards of product liability and prompt officials to rethink justifications for the public provision of healthcare.

Download Full-text

Attitudes toward Health Systems Financing in Chile

INQUIRY The Journal of Health Care Organization Provision and Financing ◽

10.1177/00469580211020187 ◽

2021 ◽

Vol 58 ◽

pp. 004695802110201

Author(s):

Pablo A. González ◽

Laura L. Gutiérrez ◽

Juan Carlos Oyanedel ◽

Héctor Sánchez-Rodríguez

Keyword(s):

Health Systems ◽

Health Care Providers ◽

Structural Equation ◽

Public Attitudes ◽

Equation Modeling ◽

Care Providers ◽

Public Provision ◽

The Public ◽

People’S Attitudes ◽

Willingness To Contribute

This article presents an exploratory model to classify public attitudes towards health systems financing and organization. It comprises 5 factors (pay-as-you-use, solidarity, willingness to contribute, mixed financing, and public provision) measured by 17 indicators, selected through Exploratory Structural Equation Modeling (ESEM) applied to a sample of Chilean adults. Based on this model, cluster analysis proposed 2 groups: “Taxes-public” and “Insurance-choice,” representing 47% and 53% of interviewees, respectively. The results show differences between groups concerning the evaluation of both health care providers and insurers. The second cluster tends to evaluate them more harshly, showing less willingness to contribute further, less solidarity, more agreement with the current financing arrangement in terms of the mixture and its insurance (as opposed to purchasing of service based on health problems), and more support for choice of provider. These results highlight the need to consider people’s attitudes in the public discussion of health systems financing.

Download Full-text