Spanish Healthcare Sector Management in the COVID-19 Crisis Under the Perspective of Austrian Economics and New-Institutional Economics
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2022
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Front. Public Health
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This is a study of Political Economy, Law & Economics, and Public Choice, applied
to COVID-19 crisis management, and how the Spanish healthcare sector has
operated under stressful conditions. Market and state failures are evaluated and
some improvements are offered, according to the theories of Austrian Economics and
New-Institutional Economics. At the macro level, the premise is the decentralization of
the Spanish healthcare system a long time ago, to provide a better service to citizens,
according to the idiosyncrasies of the Autonomous Communities (similar to federal
states). The crisis has evidenced the failures of the Spanish system and its semi-federal
model, without coordination to manage the trouble. Also, the General Government’s
recentralization attempt has failed too, proving Mises’s theorem on the impossibility of
economic calculation in intervened and coactive systems, with problems of shortages,
lack of coordination, etc.; Buchanan-Tullock’s theorem on the unfinished agenda of state
interventionist and it suppression of private sector was also proven. At the micro level,
health institutions (hospitals and health centers) have fallen into the paradox of media
overexposure and the fake-news risk, because the more information they have tried to
transmit, the more confusion they have caused, reducing the value of the supposed
transparency and accountability, in addition to decreasing citizen wellbeing, giving way
to a higher level of dissatisfaction and more risk of a syndemic. To perform the analysis
of accountability and wellbeing perceived, this paper has used quantitative contrast
techniques on secondary sources, such as the surveys of Centro de Investigaciones
Sociológicas (part of the Public Sector) or Merco rankings (independent institution).
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Sánchez-Bayón A, González-Arnedo E and Andreu-Escario Á (2022) Spanish Healthcare Sector Management in the COVID-19 Crisis Under the Perspective of Austrian Economics and New-Institutional Economics. Front. Public Health 10:801525. doi: 10.3389/fpubh.2022.801525
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