Open Access. Powered by Scholars. Published by Universities.®
- Publication
Articles 1 - 3 of 3
Full-Text Articles in Law
Workshop Democracy: Making Policy In Cote D'Ivoire, Max Levin
Workshop Democracy: Making Policy In Cote D'Ivoire, Max Levin
Max Levin
Development experts would benefit from a better understanding of how policy is made in developing countries. In this article, I describe how health policy is made in Cote d’Ivoire, from the perspective of a Westerner embedded in the Ministry of Health for 10 months. I provide a narrative of how one health system reform—performance-based financing—moved from policy idea to enacted reform. I describe the origins of the reform in Cote d’Ivoire, how the government came to support the reform, and then the mechanics of how the reform was enacted. I then present observations on how policymaking in Cote d’Ivoire differs …
Towards A New Moral Paradigm In Health Care Delivery: Accounting For Individuals, Meir Katz
Towards A New Moral Paradigm In Health Care Delivery: Accounting For Individuals, Meir Katz
Meir Katz
For years, commentators have debated how to most appropriately allocate scarce medical resources over large populations. In this paper, I abstract the major rationing schema into three general approaches: rationing by price, quantity, and prioritization. Each has both normative appeal and considerable weakness. After exploring them, I present what some commentators have termed the “moral paradigm” as an alternative to broader philosophies designed to encapsulate the universe of options available to allocators (often termed the market, professional, and political paradigms). While not itself an abstraction of any specific viable rationing scheme, it provides a strong basis for the development of …
Beyond I-Got-Mine-Jack Health Care, Erin Ryan
Beyond I-Got-Mine-Jack Health Care, Erin Ryan
Erin Ryan
This op-ed urges those who warn that health care reform will lead to rationing not to forsake the victims of the rationing we already have, with a personal story.