Reform of the welfare sector is an important yet difficult challenge for countries in transition from socialist central planning to market-oriented democracies. Here a scholar of the economics of socialism and post-socialist transition, and a health economist take on this challenge. They offer health sector reform recommendations for ten countries of Eastern Europe, drawn from nine guiding principles. The authors conclude that policymakers need to achieve a balance, both assuring social solidarity through universal access to basic health services and expanding individual choice and responsibility through voluntary supplemental insurance.
Review of the hardback: 'To judge from its title, Janos Kornai and Karen Eggleston have written a book about health care reform in Eastern Europe. In fact, they have done much more. Following their own axiom of transparency, they begin by setting out goals of health care and other social support systems in a fresh way, and go on to apply the goals to the practical tasks of health care financing and organization. In so doing, they make a large contribution to a small literature, a comparative analytical treatment of many countries' health care systems together with advice for the would-be reformer.' Joseph P. Newhouse, Harvard University
Review of the hardback: 'A book bringing together a lifelong student of socialism and a highly-trained health economist was likely to produce either a major disconnect or to provide intellectual fireworks through novel ways of dissecting the issues and provocative insights into old problems. Lovers of fireworks should read on.' Nicholas Barr, London School of Economics and Political Science
Review of the hardback: '[It] gives the reader a number of provocative insights into the health care challenges of the coming decade in Eastern Europe.' Health Affairs
Review of the hardback: 'The authors' intrinsic knowledge of the political economy of transition countries, their profound understanding of the historic context of the region, and their comprehensive approach to this rather complex topic make the work especially valuable for decision-makers and opinion leaders in Europe. In this context, the book fills a considerable void.' Health Affairs
"Highly readable..." Slavic Review
"The authors' intrinsic knowledge of the political economy of transition countries, their profound understanding of the historic context of the region, and their comprehensive approach to this rather complex topic make the work especially valuable for decisionmakers and opinion leaders in Eastern Europe, the book fills a considerable void...Kornai and Eggleston have gone beyond simply writing about health reform-in fact, they have created a new framework on how to think about health reform in Eastern Europe...This book succeeds in dissecting many of these issues and gives the reader a number of provocative insights into the health care challenges of the coming decade in Eastern Europe." Health Affairs Nov/Dec 01