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Other Invisible Hand Delivering Public Services Through Choice and Competition

ISBN-10: 0691129363
ISBN-13: 9780691129365
Edition: 2007
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Description: How can we ensure high-quality public services such as health care and education? Governments spend huge amounts of public money on public services such as health, education, and social care, and yet the services that are actually delivered are  More...

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Book details

List price: $59.95
Copyright year: 2007
Publisher: Princeton University Press
Publication date: 8/19/2007
Binding: Paperback
Pages: 208
Size: 5.25" wide x 8.50" long x 0.27" tall
Weight: 0.154
Language: English

How can we ensure high-quality public services such as health care and education? Governments spend huge amounts of public money on public services such as health, education, and social care, and yet the services that are actually delivered are often low quality, inefficiently run, unresponsive to their users, and inequitable in their distribution. In this book, Julian Le Grand argues that the best solution is to offer choice to users and to encourage competition among providers. Le Grand has just completed a period as policy advisor working within the British government at the highest levels, and from this he has gained evidence to support his earlier theoretical work and has experienced the political reality of putting public policy theory into practice. He examines four ways of delivering public services: trust; targets and performance management; "voice"; and choice and competition. He argues that, although all of these have their merits, in most situations policies that rely on extending choice and competition among providers have the most potential for delivering high-quality, efficient, responsive, and equitable services. But it is important that the relevant policies be appropriately designed, and this book provides a detailed discussion of the principal features that these policies should have in the context of health care and education. It concludes with a discussion of the politics of choice.

Acknowledgements
Introduction
Ends and Means
Choice and Competition
School Education
Health Care
New Ideas
The Politics of Choice
Afterwords
David Lipsey
Further Reading
Bibliography

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