Abstract
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.
| Original language | English |
|---|---|
| Pages (from-to) | 412-437 |
| Number of pages | 26 |
| Journal | Administration and Society |
| Volume | 44 |
| Issue number | 4 |
| DOIs | |
| State | Published - May 2012 |
Bibliographical note
Funding 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).
UN SDGs
This output contributes to the following UN Sustainable Development Goals (SDGs)
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SDG 1 No Poverty
Keywords
- Israel
- health care systems
- policy paradox
- privatization
ASJC Scopus subject areas
- Sociology and Political Science
- Public Administration
- Marketing
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