Kristian Niemietz.
October 2014.
Institute of Economic Affairs.
"Competition is a discovery process. Competition puts different organisational models and work practices to the test, and enables us to discover what works best in which circumstances. The main benefit of competition is not that it makes us ‘work harder’. The main benefit of competition is that it creates knowledge about what is most effective and meets the needs and wishes of patients.
We discover where co-operation should take the form of a loose network of independent actors, and where it should take the form of more rigid contractual relationships. Through competition, suppliers find out in what areas consumers want a broad range of choice at the point of buying (such as in a supermarket), and where they prefer a specialist purchaser to make a pre-selection for them (such as in a speciality store). Competition is the ultimate field test for different ideas about ‘what works’, and the fastest way to weed out bad practice.
It is a popular claim that healthcare cannot be left to market forces because it is ‘too complex’. The exact opposite is true. If healthcare were a simple matter, the question of whether it should be provided by a public sector monopoly or a competitive process would be far less important. It is not despite, but precisely because of the fact that healthcare is so complex, and our knowledge of it so limited, that we stand to benefit hugely from deploying the knowledge- creation machine that is competition. "
No hay comentarios:
Publicar un comentario