Policy fixes, public funds, and political frustration

In Western nations health reform has become a ceaseless quest in which myriad ameliorative strategies compete for policy prominence. Although health policy researchers and analysts mainly focus on measures to improve the workings of the health care system (for example, evidencebased medicine and information technology) or to transform it (for instance, priority setting and managed competition), in practice, the reforms at center stage are those that sustain the system by pumping additional resources into it. The quaint discipline of public finance deserves fresh attention in debates about health reform

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