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Welfare, Choice and Solidarity in Transition

Author

Listed:
  • Kornai,János
  • Eggleston,Karen
Abstract
Reform of the welfare sector is an important yet difficult challenge for all countries in transition from socialist central planning to market-oriented democracies. Here a scholar of the economics of socialism and post-socialist transition and a health economist take on this challenge. This 2001 book offers health sector reform recommendations for ten countries of Eastern Europe, drawn consistently from a set of explicit guiding principles. After discussing sector-specific characteristics, lessons of international experience, and the main set of initial conditions, the authors advocate reforms based on organized public financing for basic care, private financing for supplementary care, pluralistic delivery of services, and managed competition. Policymakers need to achieve a balance, both assuring social solidarity through universal access to basic health services and expanding individual choice and responsibility through voluntary supplemental insurance. The authors also consider the problems that undermine effectiveness of market-based competition in the health sector.

Suggested Citation

  • Kornai,János & Eggleston,Karen, 2010. "Welfare, Choice and Solidarity in Transition," Cambridge Books, Cambridge University Press, number 9780521159371, September.
    • Handle: RePEc:cup:cbooks:9780521159371
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    Cited by:

    1. Kornai, János & Maskin, Eric & Roland, Gérard, 2022. "A puha költségvetési korlát - I [The soft budget constraint I]," Közgazdasági Szemle (Economic Review - monthly of the Hungarian Academy of Sciences), Közgazdasági Szemle Alapítvány (Economic Review Foundation), vol. 0(1), pages 75-93.
    2. Peter T. Leeson & Colin Harris & Andrew Myers, 2021. "Kornai goes to Kenya," Public Choice, Springer, vol. 187(1), pages 99-110, April.
    3. Eggleston, Karen & Wang, Jian & Rao, Keqin, 2008. "From plan to market in the health sector?: China's experience," Journal of Asian Economics, Elsevier, vol. 19(5-6), pages 400-412.
    4. Kornai, János & Chavance, Bernard, 2013. "Irregular Memoirs of an Intellectual Journey: questions about the state of economics," Revue de la Régulation - Capitalisme, institutions, pouvoirs, Association Recherche et Régulation, vol. 14.
    5. Karen Eggleston & Winnie Yip, 2004. "Hospital Competition under Regulated Prices: Application to Urban Health Sector Reforms in China," International Journal of Health Economics and Management, Springer, vol. 4(4), pages 343-368, December.
    6. Jutz, Regina, 2020. "Health inequalities in Eastern Europe. Does the role of the welfare regime differ from Western Europe?," Social Science & Medicine, Elsevier, vol. 267(C).
    7. János Kornai, 2009. "The soft budget constraint syndrome in the hospital sector," International Journal of Health Economics and Management, Springer, vol. 9(2), pages 117-135, June.
    8. Li, Mingqiang & Li, Zhihui & Yip, Chi-Man (Winnie), 2022. "Informal payments and patients’ perceptions of the physician agency problem: Evidence from rural China," Social Science & Medicine, Elsevier, vol. 298(C).
    9. Katarzyna Kowalska, 2005. "Kontraktowanie i koszty transakcyjne w nowej ekonomii instytucjonalnej," Gospodarka Narodowa. The Polish Journal of Economics, Warsaw School of Economics, issue 7-8, pages 45-64.
    10. Marko Matejic, 2017. "Reconfiguration of acute care hospitals in post-socialist Serbia: spatial distribution of hospital beds," International Journal of Health Planning and Management, Wiley Blackwell, vol. 32(2), pages 160-184, April.
    11. J. Kornai & E. Maskin & G. Roland, 2004. "Understanding the Soft Budget Constraint," Voprosy Ekonomiki, NP Voprosy Ekonomiki, issue 11.
    12. Anupa Bir & Karen Eggleston, 2003. "Physician Dual Practice: Access Enhancement or Demand Inducement?," Discussion Papers Series, Department of Economics, Tufts University 0311, Department of Economics, Tufts University.
    13. Eggleston, Karen & Bir, Anupa, 2006. "Physician dual practice," Health Policy, Elsevier, vol. 78(2-3), pages 157-166, October.
    14. Barbel Held, 2015. "Comparison Of Public, Non-Profit And Private Hospitals," Equilibrium. Quarterly Journal of Economics and Economic Policy, Institute of Economic Research, vol. 10(1), pages 155-178, March.

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