ABSTRACT There has been no free market in American medicine for some 60 years. Voluntary, mutually advantageous exchanges between buyers and sellers have been impaired by government intervention. The patient-doctor relationship has been eroded or superseded by third-party contracts, as true insurance has been turned into prepayment schemes.
Kenya has had a history of health financing policy changes since its independence in 1963. Recently, significant preparatory work was done on a new Social Health Insurance Law that, if accepted, would lead to universal health coverage in Kenya after a transition period. Questions of economic feasibility and political acceptability continue to be discussed, with […]