Contracting in or contracting out?

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Third Thoughts on Contracting Out

L i k e many libertarians, I used to accept without question the idea that contracting out for government services was a good idea. After all, it puts production back into the hands of relatively efficient private producers. However, after reviewing the literature o n contracting out for law enforcement services (Benson 1990, pp. 17999), I had some second thoughts, concluding that while contrac...

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The Fiscal Gains from Contracting Out: Transfers or Efficiency Improvements

Contracting out is a policy that yields unambiguous fiscal gains to the governments that practise it . However, the majority these gains represent transfers from employees through reduced wages or increased work intensity. Some of these transfer losses are passed on to central governments through increased tax evasion. In this paper, the social costs and benefits of reductions in public sector ...

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Prison health care: is contracting out healthy?

US prison health care has recently been in the news and in the courts. A particular issue is whether prisons should contract out for health care. Contracting out has been growing over the past few decades. The stated motivation for this change ranges from a desire to improve the prison healthcare system, sometimes in response to a court mandate, to a desire to reduce costs. This study is a firs...

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Contracting Out Non-State Providers to Provide Primary Healthcare Services in Tanzania: Perceptions of Stakeholders

Background In the attempt to move towards universal health coverage (UHC), many low- and middle-income countries (LMICs) are actively seeking to contract-out non-state providers (NSPs) to deliver health services to a specified population. Research on contracting-out has focused more on the impact of contracting-out than on the actual processes underlying the intervention and contextual factors ...

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ژورنال

عنوان ژورنال: BMJ

سال: 1978

ISSN: 0959-8138,1468-5833

DOI: 10.1136/bmj.1.6122.1279-a