Privatizing the Welfarist State: Health Care Reforms in Malaysia

2003 ◽  
Vol 13 (1) ◽  
pp. 87-105 ◽  
Author(s):  
Chan Chee Khoon
Keyword(s):  
Health Care ◽  
Social Services ◽  
Health Care Industry ◽  
International Capital ◽  
Health Care Reforms ◽  
Shifting Balance ◽  
Public Sector Health ◽  
Action Type ◽  
The Government ◽  
Care Costs

In Malaysia, the shifting balance between market and state has many nuances. Never a significant welfare state in the usual mold, the Malaysian state nonetheless has been a dominant social and economic presence dictated by its affirmative action-type policies, which eventually metamorphosed into state-led indigenous capitalism. Privatisation is also intimately linked with emergence of an indigenous bourgeoisie with favored access to the vast accumulation of state assets and prerogatives. Internationally, it is conditioned by the fluid relationships of converging alliances and contested compromise with international capital, including transnational health services industries. As part of its vision of a maturing, diversified economy, the Malaysian government is fostering a private-sector advanced health care industry to cater to local demand and also aimed at regional and international patrons. The assumption is that, as disposable incomes increase, a market for such services is emerging and citizens can increasingly shoulder their own health care costs. The government would remain the provider for the indigent. But the key assumption remains: the growth trajectory will see the emergence of markets for an increasingly affluent middle class. Importantly, the health care and social services market would be dramatically expanded as the downsizing of public-sector health care proceeds amid a general retreat of government from its provider and financing roles.

America's Health Care Reforms

1994 ◽  
Vol 24 (1) ◽  
pp. 32-33 ◽  
Author(s):  
Jeffrey Braithwaite ◽  
Johanna Westbrook
Keyword(s):  
Health Care ◽  
New Deal ◽  
Insurance Coverage ◽  
Bill Clinton ◽  
Health Care Insurance ◽  
American Population ◽  
Health Care Reforms ◽  
Policy Makers ◽  
Care Costs ◽  
The New Deal

President Bill Clinton is currently proposing the most sweeping changes to American social policy since the New Deal by Roosevelt in the 1930s. Major concerns about escalating health care costs, a mushrooming health care bureaucracy and a growing proportion of the American population who can no longer afford adequate health care insurance coverage have motivated Clinton's plan for health care reform. Ideas about telemedicine, the electronic medical record and more comprehensive and advanced information systems are already being canvassed during the course of the debate. Australian clinicians and policy makers are following the American debate closely. So too, should health information managers. America watching should prove interesting, stimulating and professionally rewarding.

scholarly journals Synergism in Technology Assessment

1989 ◽  
Vol 5 (4) ◽  
pp. 477-479
Author(s):  
Ted R. Tyson
Keyword(s):  
Health Care ◽  
Health Care Costs ◽  
Technology Assessment ◽  
National Economy ◽  
Medical Technology ◽  
Health Care Industry ◽  
Patent Office ◽  
Care Industry ◽  
Care Costs ◽  
The U.S

In 1899, Charles H. Duell, Commissioner of the U.S. Office of Patents, urged President McKinley to abolish the Patent Office by saying, “Everything that can be invented has been invented.” Fortunately for the health care industry, there have been more significant “medical inventions” in the 89 years following Duell's utterance than in all of recorded history preceding it.There is now a crisis in medical technology, and it has not been caused by a lack of ideas from innovative clinicians, inventors, and scientists. Instead, it is a result of sincere, but often spasmodic, efforts to control health care costs, which in the minds of many observers threaten the national economy, if not the country's survival.

scholarly journals Reform of psychiatric services in Germany: hospital staffing directive and commissioning of community care

2004 ◽  
Vol 28 (6) ◽  
pp. 218-221 ◽  
Author(s):  
Heinrich Kunze ◽  
Thomas Becker ◽  
Stefan Priebe
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Social Services ◽  
Access To Health Care ◽  
Insurance Coverage ◽  
Legal Framework ◽  
Free Access ◽  
The Government ◽  
The Uk

The German mental health care system differs significantly from the system in the UK. There is no central organisation with overall responsibility as in the National Health Service (NHS), and the government is not entitled to prescribe details of policy or set specific targets. It can only determine the legal framework, define general goals and, with difficulties, influence the spending level. Responsibilities for mental health care, as for other fields of health care, are shared between federal authorities, the 16 states (Lander), local authorities, and semi-statutory organisations, which govern out-patient health care provided by psychiatrists in office-based practices. Virtually every citizen is health-insured and there is free access to health care for those who have no insurance coverage, in which case social services usually cover the costs. Social services also directly fund various services in the community. The fragmented system can be difficult to comprehend. However, many of the challenges are similar to those in other countries, and policy makers and practitioners elsewhere might be interested to know some of the lessons learnt in the German system.

scholarly journals Pengawasan Iklan Pelayanan Kesehatan Tradisional di Televisi

2017 ◽  
Vol 1 (2) ◽  
Author(s):  
Redi Panuju
Keyword(s):  
Health Care ◽  
Social Media ◽  
Health Services ◽  
Mass Communication ◽  
Health Care Industry ◽  
Deterrent Effect ◽  
Care Industry ◽  
Traditional Health ◽  
Traditional Health Care ◽  
The Government

Television is a mass communication media that is still in demand by the public to get information and entertainment. Although the era of cyber that grows social media is in sight, but television is the audiovisual media is the easiest convergence so that in the future any television remains connected to social media. Therefore, television will be a priority medium for the industry to market its products or services. Along with that television became the trust of the traditional health care industry to market its products and services. While some of the traditional health care industry is suspected of violating government regulations that prohibit its existence to publish and advertisement. The Indonesian Broadcasting Commission has the responsibility and authority to oversee the availability of such advertisements because the law authorises them. But apparently, the supervision is not effective, proven advertising of traditional health services increasingly rampant in television. This is because the KPI does not have the authority to impose sufficient sanctions to broadcasters so as to create a deterrent effect. Besides, it turns out that advertising from traditional health services is the primary income currently for television media, especially local television. The government is also facing a similar dilemma to impose severe sanctions because traditional health services still have a place in society. There needs to be a law-level regulation that can accommodate the problem

scholarly journals Budget Support for Active Aging Processes in the Context of the Sustainability of Public Finances

2020 ◽  
Vol 87 (4) ◽  
pp. 72-85
Author(s):  
O. S. Bilousovа
Keyword(s):  
Health Care ◽  
Social Services ◽  
Rural Areas ◽  
Financial Support ◽  
The Elderly ◽  
Active Aging ◽  
Public Finances ◽  
Budget Support ◽  
Demographic Aging ◽  
The Government

The article is devoted to the problems of budget support of active aging processes and sustainability of public finances of Ukraine. This problem is urgent because of the accelerating pace of demographic aging, cross-country migration, limited budgetary resources, which in their totality increase the burden on the younger generation, create financial risks for the government and households. This problem remains out of research focus in spite of the rising need to increase budget expenditures, maintain the long-term sustainability of public finances, enforce new regulatory measures on the labor market and the health care system, provide social and educational services, and reduce the poverty among the elderly. New approaches to citizen support should be in line with the European norms, which, in their totality, contribute to the active longevity of the population, reduction of the tax burden, relief of the pressure on the next generations and continuity between generations. The financial support of social services provided to the elderly is analyzed, with identifying its problematic aspects. In order to improve approaches to financing social services, a Matrix of Choice of Social Services for Active Aging and Forms of Financing is constructed. To expand the sources of funding for active aging processes, it is proposed to introduce co-financing of selected social projects by government and businesses. It is substantiated that the Sustainable Development Goals, as well as the provisions of the Active Aging Strategy, should be consistent and taken into consideration in formulating social and budgetary policies that need to be based on the targets of the Active Aging Index. In order to implement the budget mechanism “money goes after a person”, aimed to enhance the targeting of social assistance programs, amendments to the Budget Code of Ukraine, the Economic Code of Ukraine, the Laws of Ukraine “On social services”, “On improving the accessibility and quality of health care in rural areas” are proposed. Recommendations on using the compensatory mechanisms to enhance the ability of the government to provide the adequate financial support for active aging without breaking the sustainability of public finances are elaborated.

The False Claims Act: Health Care as the New Battleground

1996 ◽  
Vol 13 (4) ◽  
pp. 389-393
Author(s):  
Michael T. Trucco
Keyword(s):  
Health Care ◽  
Health Care Industry ◽  
Civil Action ◽  
Legislative History ◽  
False Claims Act ◽  
Services Delivery ◽  
Private Citizen ◽  
History Of ◽  
The Government ◽  
False Claim

The author provides a legislative history of the False Claims Act and discusses the potential impacts of the April 1993 amendments to the False Claims Act on the health care industry. The False Claims Act allows any private citizen with knowledge that a false claim had been submitted to the government for payment to bring a civil action in the name of the government to recover any damages suffered by the government. As an incentive, the person is entitled to a “bounty” plus costs. False claims in the health industry take three principal forms: nondelivery of services, delivery of unnecessary services, misrepresentation of services, charges, or costs. The author emphasizes that no specific intent to defraud is required. Items billed by a hospital in deliberate ignorance or reckless disregard for the truth or falsity of a bill are the only proof necessary.

scholarly journals Reversing the Negative Genomic Effects of Aging with Short-Term Calorie Restriction

2001 ◽  
Vol 1 ◽  
pp. 544-546
Author(s):  
Stephen R. Spindler
Keyword(s):  
Health Care ◽  
Health Care Costs ◽  
Baby Boom ◽  
Health Care Spending ◽  
Short Term ◽  
Age Related ◽  
The Government ◽  
Effects Of Aging ◽  
Care Costs ◽  
The U.S

According to government figures, total health care spending in the U.S. in 1999 was $1.316 trillion. The government projects an increase in health care costs to $2.176 trillion by 2008. If we project this growth rate to 2020, health care costs will reach $4.009 trillion. Today, people often spend more health care dollars during the last year of their lives than in all previous years combined. Medical treatment in the last few years of life is usually very expensive and often futile. With the baby-boom generation now moving through middle age, the prescription for the U.S. health care system will be disastrous unless we learn how to keep people healthier longer. This dramatic increase in health care costs leaves us with only one acceptable alternative to rationed health care or financial ruin — to discover interventions that make people functionally younger, healthier, and less susceptible to debilitating, age-related diseases.

Private Medical Care and the British Conservative Government: What Price Independence?

1986 ◽  
Vol 15 (3) ◽  
pp. 337-360 ◽  
Author(s):  
John Mohan
Keyword(s):  
Health Care ◽  
Private Sector ◽  
Medical Care ◽  
Government Policy ◽  
Health Care Industry ◽  
Private Health Care ◽  
Care Industry ◽  
Conservative Government ◽  
The Government ◽  
The Cost

ABSTRACTThis paper discusses issues raised by the uneven expansion of private health care in Britain in recent years. The problems being experienced by the industry have exposed divisions in the private health care industry and have provoked criticisms of the Government and requests for a greater degree of state support for, and regulation of, the industry. The paper therefore examines the scope for changes of government policy to facilitate further expansion. It argues that few of the alternatives are either technically adequate, in terms of solving the private sector's problems, or politically feasible, in the sense of being electorally justifiable. It concludes that policies to further private sector expansion could be implemented only at the cost of the private sector's independence, or at the expense of the Government's commitment to the NHS.

scholarly journals The possibilities of quantitative analysis of the relationship between the severity of the COVID-19 pandemic and the institutional characteristics of the countries of the world

2021 ◽  
Vol 6 (6-2) ◽  
pp. 133-144
Author(s):  
A. L. Demchuk ◽  
V. M. Kapistyn ◽  
A. Yu. Karateev ◽  
N. N. Emelyanova ◽  
I. V. Dashkina ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Quality ◽  
Statistical Correlation ◽  
Care Quality ◽  
Institutional Characteristics ◽  
Initial Stage ◽  
The Government ◽  
Restrictive Measures ◽  
Care Costs ◽  
Epidemiological Situation

The interrelation of the severity of the epidemiological situation in a particular country and its institutional characteristics (including the level of health care, quality of management, the level of public trust, cultural characteristics, etc.) is considered. As a result, using the developed index of the severity of the epidemiological situation, the institutional characteristics that most affect the effectiveness of the measures applied were determined. It was figured out that of the 16 characteristics considered, only two (the level of employment and trust in the government) have a medium statistical correlation with the severity of the pandemic. Three more characteristics (prevalence of secular-rational values, degree of urbanization, GDP PPP per capita) have a correlation close to the medium. The remaining characteristics (including health care costs, government efficiency, etc.) have either a weak correlation wiыth severity, or actually do not have it. The results obtained indicate insufficient use and reassessment of existing institutional capacities at the initial stage of the pandemic, as well as insufficient reliability of morbidity and mortality statistics in a number of countries. In conclusion, based on the analysis of statistical indicators, recommendations are given to improve the effectiveness of the use of institutional capacity to counter epidemiological threats, improve this potential, increase the effectiveness of protective and restrictive measures that reduce the severity of the epidemiological situation.

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