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Systemic healthcare failure as a symptom of market failure in Sierra Leone

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  • Jackson, Emerson Abraham
Abstract
This article provides an examination of market failure, focusing on the health service system (HSS) in Sierra Leone. Market failure in the country’s HSS is a real concern, and has gone unchecked for decades by successive governments. In view of the prevailing conditions, it is noted that government failure is to be blamed for poor conditions experienced in the health sector. The issue of squeezed funding for management of the HSS must be revisited in order to address critical health concerns in the country. Most important to this is the continued rent-seeking that health professionals have thrived on as a free-riding venture, increasing their profit share, while (non-deliberately) depriving the poor and needy of affordable services in state-funded hospitals and healthcare centres. While rent-seeking has been on the rise, conditions of service have fallen behind those needed for health professionals to maintain a decent standard of living, hence the need for government to intervene to mitigate its continuing failure in the country’s HSS.

Suggested Citation

  • Jackson, Emerson Abraham, 2019. "Systemic healthcare failure as a symptom of market failure in Sierra Leone," MPRA Paper 96767, University Library of Munich, Germany.
    • Handle: RePEc:pra:mprapa:96767
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    References listed on IDEAS

    as
    1. Jackson, Emerson Abraham & Jabbie, Mohamed, 2019. "Understanding Market Failure in the Developing Country Context," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, pages 1-10.
    2. Albanesi, Stefania, 2007. "Inflation and inequality," Journal of Monetary Economics, Elsevier, vol. 54(4), pages 1088-1114, May.
    3. Thierry Verdier & Daron Acemoglu, 2000. "The Choice between Market Failures and Corruption," American Economic Review, American Economic Association, vol. 90(1), pages 194-211, March.
    4. Jackson Emerson Abraham, 2017. "Economics of NHS Cost-Saving and its Morality on the ‘Living Dead’," Journal of Heterodox Economics, Sciendo, vol. 4(1), pages 1-10, June.
    5. Joseph Hanlon, 2005. "Is the International Community Helping to Recreate the Pre-Conditions for War in Sierra Leone?," WIDER Working Paper Series RP2005-50, World Institute for Development Economic Research (UNU-WIDER).
    6. R. G. Lipsey & Kelvin Lancaster, 1956. "The General Theory of Second Best," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 24(1), pages 11-32.
    7. Robert W. Turner, 2002. "Market Failures and the Rationale for National Parks," The Journal of Economic Education, Taylor & Francis Journals, vol. 33(4), pages 347-356, December.
    8. Stubbs, Thomas & Kentikelenis, Alexander & Stuckler, David & McKee, Martin & King, Lawrence, 2017. "The impact of IMF conditionality on government health expenditure: A cross-national analysis of 16 West African nations," Social Science & Medicine, Elsevier, vol. 174(C), pages 220-227.
    9. Samuel Bowles & Herbert Gintis, 1996. "Efficient Redistribution: New Rules for Markets, States, and Communities," Politics & Society, , vol. 24(4), pages 307-342, December.
    Full references (including those not matched with items on IDEAS)

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    Cited by:

    1. Jackson, Emerson Abraham, 2020. "Importance of the Public Service in Achieving the UN SDGs," MPRA Paper 101806, University Library of Munich, Germany, revised 02 Jun 2020.
    2. Emerson JACKSON & Mohamed JABBIE, 2020. "Twin Deficits Hypothesis as an Indication of Government Failure in Sierra Leone: An Empirical Investigation (1980-2018)," Journal of Economic Policy Researches, Istanbul University, Faculty of Economics, vol. 7(1), pages 42-68, January.
    3. Jackson, Emerson Abraham & Jabbie, Mohamed, 2020. "Import Substitution Industrialization [ISI]: An approach to Global Economic Sustainability," MPRA Paper 102316, University Library of Munich, Germany, revised 03 Jul 2020.
    4. Jackson, Emerson Abraham & Tamuke, Edmund & Jabbie, Mohamed, 2019. "Disaggregated Short-Term Inflation Forecast (STIF) for Monetary Policy Decision in Sierra Leone," MPRA Paper 96735, University Library of Munich, Germany, revised 26 Nov 2019.

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    More about this item

    Keywords

    Market Failure; Government Failure; Health Care; Sierra Leone;
    All these keywords.

    JEL classification:

    • H40 - Public Economics - - Publicly Provided Goods - - - General
    • Q30 - Agricultural and Natural Resource Economics; Environmental and Ecological Economics - - Nonrenewable Resources and Conservation - - - General

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