Reconsidering the Role of Competition
in Health Care Markets: Introduction
Thomas Rice
University of California, Los Angeles
Brian Biles
George Washington University
E. Richard Brown
University of California, Los Angeles
Finn Diderichsen
Karolinska Institutet
Hagen Kuehn
Wissenschaftszentrum Berlin für Sozialforschung
In recent years there has been a surge of interest in reforming the
organization and delivery of health systems by relying more on mar-
ket competition. Although much of the impetus has emanated from the
United States, the phenomenon is worldwide (Brown 1998). Recog-
nizing the significance of these trends, in May 1998 we organized an
international conference in Berlin on “Reconsidering the Role of Com-
petition in Health Care Markets.” The two-day meeting was jointly
sponsored by the UCLA Center for Health Policy Research, the Karo-
linska Institutet in Sweden, and the Wissenschaftszentrum Berlin für
Sozialforschung (WZB; in English, the Berlin Science Center for
Social Research). The conference, which was hosted by the WZB, included
thirty-one individuals from ten countries. This special section presents
a summary of the main issues on which the meeting focused, followed
by ten brief reports on the interplay of markets and government in
specific developed countries. It concludes with a short analysis of the
implications of the forgoing material on health care policy interna-
tionally and two commentaries that bring additional perspective to
these issues.
Journal of Health Politics, Policy and Law, Vol. 25, No. 5, October 2000. Copyright © 2000 by
Duke University Press.
Funding for this special section and the conference upon which it is based was generously pro-
vided by the Commonwealth Fund and the Volvo Corporation of North America. The views
represented herein reflect only those of the authors, and not necessarily their organizations or
the funding agencies.