Markets, the mechanism of choice, are designed to allocate the spoils to the winner. That's OK with supermarkets and car makers – it's not OK for the state. We can't have and can't allow schools and hospitals to fail and be replaced by the fittest.Yes we can. Hospitals and schools don't exist for their own benefit but for that of patients and of students. If patients can be treated more effectively by closing down a hospital and replacing it with a new one then why not do it?
Thursday, July 23, 2009
Why Institutions Exist.
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5 comments:
For that matter I probably go to three or four different supermarkets a week, and I usually decide that day which to choose. Why can't parents decide which school their child is going to go to every morning?
Matthew - are you criminally stupid?
"For that matter I probably go to three or four different supermarkets a week, and I usually decide that day which to choose. "
Well you won't build up your loyalty points if you do that.
I used to collect Nectar points. After about five years I managed to get enough to get a free one way on the Heathrow Express. But I always forget to carry the cards around.
jaz - I dunno. How do you define criminally stupid?
I encouraged my Mum to tranfer an important operation from one nearby hospital with a poorish reputation to a better one. Patient Choice did seem to mean something, she only had to wait one week longer. The first hospital had one less unit of demand while the second gained one ( paid for, presumably, by Mums PCT ).
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