By Nicos Poulantzas
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However, multinational health care companies have shown an uneven process of expansion in the last five years in what they perceive as risky and highly politicized markets. Health policy needs to be informed by a good understanding of MNCs’ strategies of market development and regulatory influence. This chapter presents findings from ten key informant interviews in five multinational health care companies and four interviews with trade unions, supported by analysis of company publications and evidence from market research reports, published academic research on aspects of contracting, regulation and pricing at a global and national level, and the press.
Yet the evidence base for the benefits of system-wide commercialization of health systems is largely lacking. We therefore end this chapter with some propositions, rooted in the research presented in the book, that can contribute to a better ‘common sense’ for international and national health policy. ‘Common sense’ and ‘good sense’ in health policy and politics First a brief reflection on our concepts of ‘common sense’ and ‘good sense’. : 330), and identified within it a core of ‘good sense’, rooted in experience and systematic thought.
There are significant differences between the European and Asian markets in terms of companies’ approaches to health insurance. In many European countries the market for private health insurance is slow-moving, and the European companies agreed that this was a difficult field for market development. One Swedish company made clear that they did not want a major development of private insurance in Europe: ‘I hope not – should have the French solution – should use it as a top up’, so that the private insurance is supplementary and public and private coexist.