This volume explores the deep-rooted tensions between publicly-funded health care systems and the dynamics of public markets to deliver privately-financed health care. International authorities in the field lay bare the limitations of market-led health reform and demonstrate the indispensable role of a vibrant public authority in the renewal of modern health care systems. Issues covered include: * cost-containment and privatisation strategies in an international perspective * the role of business and the private sector in setting the agenda for health care reform * the restructuring of Anglo-Saxon health systems and the shift in state/market boundaries in Canada, US, Britain and Australia * the frontier of health care reform in terms of health and social cohesion, and the role of patient choice in health care reform Health Reform also reflects on the challenges facing health care in the advanced economies. More than simply the organization and financing of health care services, what is at stake is the establishment of social arrangements which produce health. Both as informed analysis and provocative reflection, Health Reform will be of great interest to students and researchers in health economics and policy, public economics, politics and political economy. Barry Appleton, Peter Botsman, University of Western Sydney, Francois Champagne, Universite de Montreal, John Church, University of Calgary, Andre-Pierre Contandriopoulo