Quasi-market
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Quasi-markets are markets which can be supervised and organisationally designed that are intended to create greater desire and more efficiency in comparison to conventional delivery systems, while supporting more accessibility, stability and impartiality than traditional markets. Quasi-markets also can be referred to as internal or planned markets.Lewis, Paul. (2017)
Quasi-markets: An Overview and Analysis
/ref> A market is a form of exchange mechanism of goods and services that is used to align supply and demand commonly by using the act of price adjusting. As such, a market also can be considered a self adjusting financial incentive device that impacts the behaviour of each producers and purchasers so that both parties agree on the terms of an exchange. Quasi-markets are also an exchange system; they aim to comply with the characteristics of competitive markets by attempting to be self-correcting, inducement structures that impact purchasers and producers behaviours. Quasi-markets differ, however, by possessing characteristics and aspects at both the supply and demand stages that are not shared traditional markets. In the context of supply, quasi-markets are a market system, due to each producer competing to draw the maximum amount of consumers whilst competing with other producers. In the public sector, producers are often non-government companies (
NGO A non-governmental organization (NGO) or non-governmental organisation (see spelling differences) is an organization that generally is formed independent from government. They are typically nonprofit entities, and many of them are active in h ...
's). Producers can also be segments or sectors of a specific firm that internally exchange their services inside a certain form of quasi-marketplace; this is known as an internal market. it is important to acknowledge that internal markets are not open markets, this is because manufacturers with their goods and services will normally need third party consumer permissions to enter a market. In terms of demand, quasi-markets are structured to create and enhance consumer benefits and advantages, requiring producers to be responsive to the given alternatives. Inside the private sectors inner markets, pricing has a direct effect on internal resource allocation, although it does not directly have an impact on a firms bottom line. The implementation of a quasi-market suggests that each purchaser and producer are separate entities and that there are multiple producers. This process in which some companies are given consumer status and the exclusive perks that come along side such status and where the firms are given consumer status and less limitations and boundaries, and encouragement of self governance is referred to as a purchaser-provider split.


Example

A notable example would be the
NHS The National Health Service (NHS) is the umbrella term for the publicly funded healthcare systems of the United Kingdom (UK). Since 1948, they have been funded out of general taxation. There are three systems which are referred to using the " ...
Internal Market introduced by the
National Health Service and Community Care Act 1990 The National Health Service and Community Care Act 1990 (c 19) introduced an internal market into the supply of healthcare in the United Kingdom, making the state an 'enabler' rather than a supplier of health and social care provision.Health and S ...
: under this system, the purchase and provision of healthcare in the UK was split up, with government-funded GP fundholders "purchasing" healthcare from
NHS trust An NHS trust is an organisational unit within the National Health Services of England and Wales, generally serving either a geographical area or a specialised function (such as an ambulance service). In any particular location there may be several ...
s and district health authorities, who competed against one another for the fundholding GPs' custom. There was a marginal rise in the rate of increase in NHS productivity, to set against higher transaction costs, but healthcare remained free at the point of service and financed through taxation.
Kenneth Arrow Kenneth Joseph Arrow (23 August 1921 – 21 February 2017) was an American economist, mathematician, writer, and political theorist. He was the joint winner of the Nobel Memorial Prize in Economic Sciences with John Hicks in 1972. In economics ...
's famous essay "Uncertainty and the Welfare Economics of Medical Care" outlines the difficulties of applying principles of competition in the medical care industry. The system was regarded by some as a success: the 1997
Labour Labour or labor may refer to: * Childbirth, the delivery of a baby * Labour (human activity), or work ** Manual labour, physical work ** Wage labour, a socioeconomic relationship between a worker and an employer ** Organized labour and the labour ...
government did not entirely abolish it on taking office.
GP Fundholding GP Fundholding was created in 1991 as part of the quasi-market created in the National Health Service The National Health Service (NHS) is the umbrella term for the publicly funded healthcare systems of the United Kingdom (UK). Since 1948, t ...
was abolished, but replaced by primary care trusts as purchasers of healthcare. As Klein says this was "universalising fundholding while repudiating the concept". In October 2014 a row broke out over whether
University Hospitals Birmingham NHS Foundation Trust The University Hospitals Birmingham NHS Foundation Trust provides adult district general hospital services for Birmingham as well as specialist treatments for the West Midlands. The trust operates the Queen Elizabeth Hospital in Edgbaston ( ...
should be allowed to turn away patients from outside its immediate catchment area. Chief Executive Dame Julie Moore said the NHS is neither an effective market nor a managed system. She argued that her hospital was suffering financially because of its success in attracting patients from outside the City.


Criticism

Critics of quasi-markets argue that they can lead to problems of so-called "
cream skimming Cream skimming is a pejorative conceptual metaphor used to refer to the perceived business practice of a company providing a product or a service to only the high-value or low-cost customers of that product or service, while disregarding clients th ...
". For example, the introduction of open enrollment in UK secondary schools after 1988 (whereby parents could choose which secondary school to send their child to, rather than being limited to the nearest) led to popular schools being oversubscribed. This allowed these schools to select which pupils they would accept, leading some to discriminate against children from low-income backgrounds or non-traditional family structures (e.g. inviting "both" of a child's parents to an informal meeting with the headteacher so as to determine by stealth whether the child comes from an "appropriate" family). Open enrollment also led popular schools to expand their intake, leading to the growth of very large schools with resulting discipline problems, at the expense of smaller schools and rural schools.


See also

*
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* ''
Motivation, Agency, and Public Policy ''Motivation, Agency, and Public Policy'' is a non-fiction book written by the economist Julian Le Grand. The book, which argues in favor of increasing tax choice, was described by ''The Economist'' as "accessible – and profound" and by ''The ...
'' *
New public management New Public Management (NPM) is an approach to running public service organizations that is used in government and public service institutions and agencies, at both sub-national and national levels. The term was first introduced by academics in the ...
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*
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The Other Invisible Hand ''The Other Invisible Hand'' is a non-fiction book written by the economist Julian Le Grand. The primary focus of his book is increasing taxpayer sovereignty by developing a market in the public sector. The title of the book refers to Adam ...
''


References

{{Reflist


Further reading

* Le Grand, J. (2002) ''The Labour Government and the National Health Service''. Oxford Review of Economic Policy Public economics Market (economics)