Williams, OD orcid.org/0000-0002-7144-8780 (2020) COVID-19 and Private Health: Market and Governance Failure. Development, 63 (2-4). pp. 181-190. ISSN 1011-6370
Abstract
The COVID-19 pandemic has produced mass market failure in global private health, particularly in tertiary care. Low-and-middle income countries (LMICs) dependent on private providers as a consequence of neglect of national health systems or imposed conditionalities under neoliberal governance were particularly effected. When beds were most needed for the treatment of acute COVID-19 cases, private providers suffered a liquidity crisis, itself propelled by the primary effects of lockdowns, government regulations and patient deferrals, and the secondary economic impacts of the pandemic. This led to a private sector response—involving, variously, hospital closures, furloughing of staff, refusals of treatment, and attempts to profit by gouging patients. A crisis in state and government relations has multiplied across LMICs. Amid widespread national governance failures—either crisis bound or historic—with regards to poorly resourced public health services and burgeoning private health—governments have responded with increasing legal and financial interventions into national health markets. In contrast, multilateral governance has been path dependent with regard to ongoing commitments to privately provided health. Indeed, the global financial institutions appear to be using the COVID crisis as a means to recommit to the roll out of markets in global health, this involving the further scaling back of the state.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Keywords: | Neoliberalism; Private health; Market failure; Governance failure; LMICs |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Education, Social Sciences and Law (Leeds) > School of Politics & International Studies (POLIS) (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 30 Sep 2021 12:47 |
Last Modified: | 30 Sep 2021 12:47 |
Status: | Published |
Publisher: | Springer Nature |
Identification Number: | 10.1057/s41301-020-00273-x |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:178612 |