Egalitarianism, however, places a heavier emphasis on enforced and measured equity for every person in every thing. Paramount in this ideology is impartiality on every front: equal opportunity, access, public welfare, prices and services for all. This philosophy often partially rejects the idea of market mechanisms because of market failure as the market is regarded as a possibly faulty apparatus for disbursing public benefit. Proponents of egalitarianism view a free marketplace as biased because it allows some players to gain a greater share of power or profit-generating information than others.
Which of these two ideals should Thailand pursue as it seeks to bring greater equity into its health care system? Is the 30 baht per visit scheme the best way to assure equity in our health care system?
In fact, equity should be created by mixing the two appropriately in the Thai context. One example of a libertarianism model may be found in the strongly market-oriented health care system in Singapore. In that country, individuals make their own choices of health care based on the many available services throughout the country, in both the private and public sectors, motivated in part by financial constraints as well. However, provision of subsidised health care is made for the financially poor but, such health care is confined to certain wards in government hospitals and outpatient clinics.
Which of these two ideals should Thailand pursue as it seeks to bring greater equity into its health care system? Is the 30 baht per visit scheme the best way to assure equity in our health care system?
In fact, equity should be created by mixing the two appropriately in the Thai context. One example of a libertarianism model may be found in the strongly market-oriented health care system in Singapore. In that country, individuals make their own choices of health care based on the many available services throughout the country, in both the private and public sectors, motivated in part by financial constraints as well. However, provision of subsidised health care is made for the financially poor but, such health care is confined to certain wards in government hospitals and outpatient clinics.
Executive Director, Institute of Future Studies for Development
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