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The politics of health-care reform in the Netherlands since 2006

Published online by Cambridge University Press:  26 January 2011

Hans Maarse  and
Aggie Paulus
Hans Maarse*
Affiliation:
Faculty of Health, Medicine and Life Sciences, Department of Health Organisation, Policy and Economics, University of Maastricht, The Netherlands
Aggie Paulus
Affiliation:
Faculty of Health, Medicine and Life Sciences, Department of Health Organisation, Policy and Economics, University of Maastricht, The Netherlands
*
Correspondence to: Hans Maarse, Faculty of Health, Medicine and Life Sciences, Department of Health Organisation, Policy and Economics, University of Maastricht, PO Box 616, 6200 MD Maastricht, The Netherlands. Email: h.maarse@maastrichtuniversity.nl
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Abstract

This article comments on Schut and van de Ven's overview of the results of purchaser competition in Dutch health care, which concludes that the glass can be seen as half full or half empty. Although it is true that results have been achieved, we believe that the evidence is incomplete and in some respects flimsy. More importantly, however, Schut and van de Ven neglect the political context of the market reform introduced in 2006. The reform is far from finished and there has been a constant need for political compromise. Optimism about the market's potential also seems to be on the wane. Several insurer and provider initiatives have provoked political resistance. As a result, there are good reasons to argue that the reform's future is uncertain.

Type
Debate
Information
Health Economics, Policy and Law , Volume 6 , Issue 1 , 26 January 2011 , pp. 125 - 134
Copyright
Copyright © Cambridge University Press 2011

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