Balancing Public and Private Health Care Systems: The by Randolph Quaye

By Randolph Quaye

Balancing private and non-private overall healthiness Care Systems seems to be at a well timed second, given frequent present dialogue approximately fairness in fit care and the function of the country in healthcare making plans. according to the area financial institution advice that the main of price restoration be integrated in healthcare financing recommendations, African international locations embraced the main of public-private partnerships in healthcare. It used to be argued then, and nonetheless now, means out in their wellbeing and fitness conundrum is for governments to play a smaller function in healthcare. the current publication explores different financing preparations in Ghana, Tanzania, and Uganda. It introduces new scholarship on post-colonial healthcare recommendations in Africa, particularly in the course of a decade of market-oriented healthcare reform. Drawing upon present examine and case stories, in addition to contemporary paintings by means of the writer himself on African healthcare platforms, this publication units out to research the consequences of a few of the innovations for the way forward for healthcare financing in Africa.

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Thomas argued that the authoritarian state emerged in response to the underdeveloped nature of the productive force. Given the absence of any developed elite class, the class that had access to political power under colonialism used the state machinery as a mechanism for consolidating its position and power (Quaye, 1996). Given the long history of military intervention in Africa, it can be argued that the military and the state bureaucracy cannot be viewed simply as instruments of a single ruling class, because the specific structural alignments which developed in the post-colonial situation rendered the relationship between the state and the social classes more complex.

The Kenyan experience does suggest that insurance programs by themselves do not adequately address the barrier to access. In some case, as demonstrated by the Kenyan study, it might actually discourage the timely utilization of health services with severe implications for health. Another drawback in terms of the use of health insurance is that it is by its very nature regressive. In other African countries, governments prefer a flat rate contribution such as the 3% contribution by employees and employers in the Tanzanian case than that based on need and income earnings.

In 1999, the Tanzanian Parliament passed a bill establishing the National Health Insurance Scheme for civil servants. It was anticipated that the scheme would be mandatory and would cover a small percentage of the public sector workers. It has been four years since the introduction of the social health insurance. In this paper, I surveyed a cross section of Tanzanians attending a professional meeting last year to reflect on this new financing strategy. Specifically, in this chapter, I explore the perspectives of Tanzanians on the newly introduced social health insurance.

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