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oai:bura.brunel.ac.uk:2438/54782014-11-01T12:45:35Zcom_2438_23com_2438_58col_2438_3672col_2438_266

Marsland, D Evans, Helen 2011-07-01T10:46:27Z 2011-07-01T10:46:27Z 2006 http://bura.brunel.ac.uk/handle/2438/5478 This thesis was submitted for the degree of Doctor of Philosophy and awarded by Brunel University. This study examines notions of government and market failure in British healthcare by tracking and analysing the changing views of opinion formers. Presenting original data that highlights the attitudes of today's opinion formers towards populist notions in health economics it provides a unique insight into the limits and boundaries of contemporary debate. Significantly, the research concludes that swathes of elite opinion no longer support the National Health Service (NHS) in its traditional nationalised guise. While opinion formers instead now believe in a much greater plurality of public and private healthcare today's elite not only question the idea of state healthcare but they also remain sceptical of a purist libertarian market. Indeed, in noting that healthcare has always attracted the interventionist attentions of those with state power, the study questions in fundamental ways the meaning of such terms as 'market' and 'private sector'. In highlighting the timeless propensity for medical and health professionals to seek legislative favour, it argues that the world has never actually seen anything resembling a real market in the bio-medical paradigm and its forbears. Healthcare has always been a deeply corporatist venture run in association with a range of mystical, military, religious, or purely political statist elites. The study begins with an historical overview of healthcare from the military hospitals of the Roman period, through the religiosity of the Middle Ages, the mutuality of the nineteenth century, the statism of the National Health Service and the recent rise of public private partnerships. Examining such concepts as monopoly, consumer ignorance, moral hazard and externality, it also analyses notions of public versus private goods in the context of today's healthcare. Submitted by Lesh Gowreesunker (lesh.gowreesunker@brunel.ac.uk) on 2011-07-01T10:46:16Z No. of bitstreams: 1 Fulltext.pdf: 12861262 bytes, checksum: 4084aa977587722ec27c425da92fc5e4 (MD5) Approved for entry into archive by Lesh Gowreesunker(lesh.gowreesunker@brunel.ac.uk) on 2011-07-01T10:46:27Z (GMT) No. of bitstreams: 1 Fulltext.pdf: 12861262 bytes, checksum: 4084aa977587722ec27c425da92fc5e4 (MD5) Made available in DSpace on 2011-07-01T10:46:27Z (GMT). No. of bitstreams: 1 Fulltext.pdf: 12861262 bytes, checksum: 4084aa977587722ec27c425da92fc5e4 (MD5) en Brunel University School of Health Sciences and Social Care PhD Theses School of Health Sciences and Social Care http://bura.brunel.ac.uk/bitstream/2438/5478/1/FulltextThesis.pdf Politics, coercion and power: An analysis of economic failure in healthcare systems Thesis