chapter  3
24 Pages

The Market: A Biography of the QALY

An enduring question in health policy and political debates about health is the extent to which market mechanisms and processes might be adequate to fulfi l the health care needs of populations and individuals. As we discussed in previous chapters, debates around economic considerations and implementation of competitive or buyer-driven formats of organisation have dominated much of the health care fi eld since the 1970s, and issues around the marketisation and commodifi cation of health care continue to spark public debates in contemporary democracies, seen most recently in the controversies about President Obama’s 2010 health care reform bill in the US and Andrew Lansley’s proposed reform for the NHS in England.