Thursday, March 1, 2001

Kriengsak Chareonwongsak Self-reliance is a healthy thing

Professor Dr Kriengsak Chareonwongsak
Executive Director, Institute of Future Studies for Development (IFD)
kriengsak@kriengsak.com, http://www.ifd.or.th

This article was first published in the Bangkok Post on March 4, 2001 After the Thai Rak Thai Party had formed a coalition government and had announced the 30- baht per visit health care policy, actual implementation of the program has always encountered problems. These problems have included, the medical services provided do not cover all diseases, the level of service and medicine given to patients is unsatisfactory, and inadequate budgets are given to hospitals that take part in the program. In addition, there is the further problem incurred when  transferring patients from small hospitals to larger hospitals.  

Philosophies of social equity are usually into two streams: libertarianism and egalitarianism. Libertarians see no need to guarantee individual equity for everyone. Instead, they seek to establish minimum standards and then give individuals the freedom to make their own decisions for standards above the minimum. The libertarian view on the other hand, often places a heavier focus on freedom of choice rather than on ensuring equality in exact numerical proportions. In such a system, efficient market mechanisms are held to be necessary for the establishment of equity.

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