Marianna Fotaki

What market-based patient choice can’t do for the NHS

Choice in healthcare does not often work in ways that economic models predict and policy makers expect, writes Marianna Fotaki. For example, the evidence that choice leads to greater efficiency is not persuasive.  The theory of market imperfections in healthcare demonstrates the problems of replicating such simplistic assumptions about human behaviour in policy settings.

The Coalition government is committed to a […]

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    Narcissistic elites are undermining the institutions created to promote public interest

Narcissistic elites are undermining the institutions created to promote public interest

Narcissism is increasingly being observed among management and political elites. Recognising how it underpins policy making and how it becomes increasingly prevalent in socially destructive ways is key to re-engaging citizens with the political process, writes Marianna Fotaki. Derived from the ancient Greek myth of a beautiful youth Narcissus, who died through falling in love with his own image, the […]

What the NHS can learn from the introduction of markets in social care

The Health and Social Care Act was controversially enacted by the coalition government, introducing competition into the NHS. Looking at the market in state funded social care that was created over 20 years ago, Marianna Fotaki draws lessons for the NHS and about how markets in state funded care services operate when resources are constrained. She finds that the introduction of […]