Research report
1 May 1998

Professor Evans argues that the evidence from market innovations over the last forty years demonstrates inferior system performance bringing greater inequity, increased inefficiency, cost inflation and higher levels of public dissatisfaction.


In this report, Professor Robert Evans, Professor of Economics at the University of British Columbia, opens with a statement, quoted from an article in Scientific American, that “fundamental economic principles...put efficient, competitive health care markets in the same class as powdered unicorn horn.”

The author explodes the myth that private, competitive markets, as described in economic textbooks or could exist anywhere in the world. The inherent characteristics of health and health care, where public and private action have always been combined, preclude such a possibility.

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