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A distinctive model of privatisation is being rolled out in health care systems across Europe as the private sector seeks to recapture a larger share of the public and social health insurance budget for health care. The mechanism of this is “reforms” which break up centralised systems and scale down public provision, while opening up collective budgets for private providers. While such changes are being implemented at varying speeds in different countries, the restructuring since 1989 of a tax-funded health care system along market lines in England offers a case study of these “reforms” in action. The British coalition government elected in 2010 is pressing even faster for these changes in controversial new legislation.
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John Lister (2011) studied this question.
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