Unhealthy policy: The political economy of Canadian public-private partnership hospitals

@article{Whiteside2011UnhealthyPT,
  title={Unhealthy policy: The political economy of Canadian public-private partnership hospitals},
  author={Heather Whiteside},
  journal={Health Sociology Review},
  year={2011},
  volume={20},
  pages={258 - 268}
}
Abstract Public–private partnerships (P3s) with the for-profit private sector are increasingly used in Canada to deliver public infrastructure and support services within the health care sector (e.g., hospitals, clinics, community health centres). This paper examines the emergence and legacy of P3s in the Canadian health care sector, classifying them as a form of neoliberal accumulation by dispossession and discussing their inability to live up to proponents’ promises. Economic and social costs… 
View on Taylor & Francis
22 Citations
Highly Influential Citations
1
Background Citations
6

22 Citations

Citation Type

Citation Type

Public‐Private Partnerships in Canada: Reflections on twenty years of practice
Across Canada, governments of all level have increasingly embraced public-private partnerships (PPPs) as their preferred approach to deliver large-scale public infrastructure. After twenty years of…
The privatisation of Medicare and the National Health Service, and the global marketisation of healthcare systems
TLDR
This volume is one small attempt to understand privatisation, and make sense of these diametrically opposed views of the healthcare sectors of many countries.
Organizing survival and resistance in austere times: shifting disability activism and care politics in Ontario, Canada
Following the 2008 financial crisis, all levels of Canadian government implemented austerity measures that dramatically restructured welfare, employment, and social service infrastructures. This has…
Public-Private Partnerships and the Design Process: Consequences for Architects and City Building
Governments are increasingly using public–private partnerships (PPPs) to deliver public infrastructures and facilities. The prime motivation to embark on these partnerships is often to deliver…
Routinize, Institutionalize, Depoliticize: how global privatization policies are implemented locally in Canada
The invention of markets within the public sector and the enabling of long-term, profitable partnerships between subnational governments and transnational corporations is no easy task, as the dismal…
Conceptualising European Privatisation Processes After the Great Recession
A wave of privatisation is unfolding in Europe in the wake of the financial crisis, but it has yet to receive serious scholarly attention. This paper examines the case of Ireland, where an austerity…
How do adoption choices influence public private partnership outcomes? Lessons from Spain and Portugal transport infrastructure
Purpose Maximising real efficiency benefit (REB) is currently being replaced with access to private finance as core public–private partnership (PPP) adoption motive. This later choice focusses on…
Pay to skip the line: The political economy of digital testing services for HIV and other sexually transmitted infections.
What is privatization? A political economy framework
This paper presents a political economic framework for understanding privatization. Its claims are illustrated empirically through examples from contemporary Europe. Theoretically, it starts with the…
Healthcare choice: Bourdieu’s capital, habitus and field
TLDR
It is argued that sociological analyses of healthcare choice must take greater account of the ‘field’ in which choices are made in order to better explain the structuring of choice.
...
1
2
3
...

References

SHOWING 1-10 OF 65 REFERENCES
Health Care Markets in Australia: Ownership of the Private Hospital Sector
  • K. White, F. Collyer
  • Political Science, Medicine
    International journal of health services : planning, administration, evaluation
  • 1998
Over the past decade, the Australian hospital sector has undergone a massive economic and administrative reorganization with ramifications for both the private and the public sectors. Changes such as…
Public‐private partnerships in Canada: Theory and evidence
Abstract: This article develops some theory on and examines the implementation and performance of Canadian public-private partnerships (P3s). It focuses primarily on infrastructure projects and…
Risks in Public-Private Partnerships: Shifting, Sharing or Shirking?
Public-private partnerships (PPPs) have now become a popular way of providing infrastructure. A commercial relationship between government and business is not necessarily a new phenomenon, but…
The challenge of public-private partnerships: Learning from international experience
Contents: 1. Introduction 2. The Public-Private Interface: Surveying the History 3. The United Kingdom Private Finance Initiative: The Challenge of Allocating Risk 4. Getting the Contract Right 5.…
Public-Private Partnership units : what are they, and what do they do
As governments turn to the private sector to provide services once delivered by the public sector, they must learn new skills. An increasingly common way to provide the new capacities needed is to…
British Columbia's Capital Asset Management Framework: Moving from Transactional to Transformative Leadership on Public-Private Partnerships, or a "Railroad Job"?
: The Liberal government of British Columbia has had more success in terms of the number of public-private partnerships they have managed to initiate than any other provincial government in Canada.…
PFI in the NHS—is there an economic case?
TLDR
The private finance initiative substantially increases the cost of hospital building and will be met locally through cuts in clinical spending and nationally through subsidies from NHS capital budgets.
Building on Values: The Future of Health Care in Canada
Most Western countries, with the exception of the USA, have a system of general health care insurance covering all citizens, usually funded through taxes. The philosophy behind general health care…
Liberalism, Neoliberalism, and Urban Governance: A State‐Theoretical Perspective
This paper discusses the recurrence and the recurrent limitations of liberalism as a general discourse, strategy, and regime. It then establishes a continuum of neoliberalism ranging from a project…
Revitalizing Medicare: Shared Problems, Public Solutions
TLDR
Medicare still enjoys broad support, but Canadians have become increasingly concerned that care will not be available for them when they need it, and how those funds are used will be critical to its future.
...
1
2
3
4
5
...