This article addresses a policy paradox that characterizes many health care systems and the Israeli system in particular, that is, the existence of two parallel yet seemingly contradictory policy trends: reducing public financing for health care services while increasing governmental involvement in health-system management. The authors characterize this process as privatization through centralization; that is, to control welfare-state expenses and be able to reduce them, the government must first control the funding and management of welfare-state mechanisms and organizations. They develop a theoretical rationale for explaining this policy paradox and demonstrate it through analyzing the legislative changes that followed the legislation of the National Health Insurance Law in Israel.
|Number of pages||26|
|Journal||Administration and Society|
|State||Published - May 2012|
Bibliographical noteFunding Information:
The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This project was supported in part by the Israel National Institute for Health Policy and Health Services Research (NIHP).
- health care systems
- policy paradox
ASJC Scopus subject areas
- Sociology and Political Science
- Public Administration