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This is a study of the Irish medical care system from the standpoint of health \neconomics. Though there is some technical material. particularly in Chapters 6 \nand 7, for the most pan the study is accessible to the general reader. \nThe medical care delivery and financing systems of Europe and North \nAmerica grew up Over the twentieth century with little concern for or attention \nto the implicit incentive 51 Iectures they contained. Instead! the growth patterns \nof these systems depended on each country's unique history. as well as ideology, \nparty politics expediency and the relative strengths of such factors as the \nmedical professions, civil servants, and religious organisations. As a consequence \nof inattention to incentives, medical care systems grew increasingly inenicient in \ntheir overall economic rationality and explosively inflationary. In the past decade, \nin most of these countries Ihere has been an intense re-examination of \nmedical care structures and at least the beginnings or systcmatic reform.
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