Photo: Direct Relief, Flicker Creative Commons
The Kenyan government launched its national long-term development plan, Vision 2030, in 2008 with the aim of transforming Kenya into a newly-industrialised, middle-income country providing a high quality of life to all citizens by 2030, in a clean and secure environment.
Constructed around three key pillars – economic, social and political – the blueprint has been designed to address all aspects of the country’s infrastructure and economy, with a key component of the social pillar consisting of ambitious healthcare reforms. Ultimately, the government’s goal is to ensure continuous improvement of health systems and to expand access to quality and affordable healthcare to tackle the high incidence of non-communicable diseases that affect the region.
Hospitals in France deliver services for acute care. Except for surgery, the consumption of hospital care is predominantly public. The sector accounts for half of the national consumption of medical goods and services and is mostly funded through the Health Insurance system.
The public hospital sector has been facing recurrent deficits over the last three decades, associated with weak managerial print and uneven performance. Since the 80s, global budget was the norm, leading to rent seeking within and across public Hospitals in the absence of incentives for quality and efficiency. Thus, the French Government launched a massive reform initiative starting 2004 to strengthen hospital efficiency and quality of care in a resource-constrained environment.
The landmark piece of legislation that President Obama signed into law yesterday - The Wall Street Reform and Consumer Protection Act, 2010 - was a massive lift for all concerned. Students of governance always say that a crisis is one of the best opportunities for reform, yet the fact of the global financial crisis has not made the reform of financial services an easy lift in any country. And we all know why: banks are rich and they can hire the best lobbyists either to block or water down the reform. So, the reform process has been tough, but now we have the historic legislation.
Last Thursday night, Charlie Rose interviewed Barney Frank, the Chair of the Financial Services Committee of the US House of Representatives. Frank, together with Senator Dodd, his opposite number in the Senate, shepherded the new law through Congress over many tough months. Towards the end of the interview, Rose asked him to reflect on the lessons of the reform process itself. What had he learned? You might be surprised by one of the things he said; but, then, if you have been reading this blog, you might not be.
Here is what he said: