Managed competition

People don't like change. That includes materiel managers, administrators, and clinical providers. Managed competition or managed care will work if, and only if, the American professions and the American public recognize the value of highly educated and qualified clinical and nonclinical providers and if the health care industry responds in kind.     

Disequilibrium,power and economic systems

Summary This is a review article of D.B.J. Schouten's new book Macht en wanorde, Een vergelijking van economische stelsels (Power and Disorder, A Comparison of Economic Systems). After having summarised the book's contents, three points are discussed: (a) does the book offer a comparison of economic systems as its subtitle suggests; (b) how does Schouten's theory relate to disequilibrium analysis and does it give a better understanding of disequilibria than disequilibrium analysis; (c) is Schouten's proposal of a centrally-guided rate of return policy indeed to be preferred above a centrally-guided wage policy in order to overcome the basic problem in capitalist market economies of slow and sometimes perverse adjustments?D.B.J. Schouten,Macht en wanorde, Een vergelijking van economische stelsels, (Power and Disorder, A Comparison of Economic Systems), H.E. Stenfert Kroese b.v., Leiden/Antwerpen, 1980: Pp. 270. Dfl. 47,50.I am indebted to Professor Th. van de Klundert for useful comments.