ABSTRACT

Together the chapters in this book expose the movement towards privatization in multiple forms while demonstrating that such a movement has many negative consequences for staff, residents, families, and managers and for the public more generally in terms of cost, quality, access and democracy. In this conclusion, we set out some ways we saw for combating these various forms of privatization. This final chapter provides examples of how this movement is not inevitable. Indeed it can be prevented by providing non-market alternatives not only in ownership but also in work organization. And privatization can be reversed through collective strategies for change. Unions and community groups have been particularly important in this resistance.