IDEAS home Printed from https://ideas.repec.org/a/sae/reorpe/v53y2021i4p654-674.html
   My bibliography  Save this article

Putting the Neoliberal Transformation of Turkish Healthcare System and Its Problems into a Historical Perspective

Author

Listed:
  • Emrah Konuralp
  • Sermin Bicer

Abstract

The principal objective of this article is to analyze how the Health Transformation Program (HTP), the latest reform to have overhauled the Turkish healthcare system, has been designed according to the project of global neoliberal capital accumulation. This reform is in line with the transformation of the Turkish economy, which has been ongoing since the 1980s. With this aim in mind, this research examines how neoliberalism affects both the provision of healthcare services and household healthcare expenditures in Turkey. The article concludes that, as well as the HTP transferring public funds to the private sector and promoting the rent-seeking characteristic of the Turkish bourgeoisie, the financial burden of healthcare services on primarily the middle and lower-income groups in Turkey has increased dramatically and led to a rise in out-of-pocket expenditures. JEL Classification : H51, I14

Suggested Citation

  • Emrah Konuralp & Sermin Bicer, 2021. "Putting the Neoliberal Transformation of Turkish Healthcare System and Its Problems into a Historical Perspective," Review of Radical Political Economics, Union for Radical Political Economics, vol. 53(4), pages 654-674, December.
  • Handle: RePEc:sae:reorpe:v:53:y:2021:i:4:p:654-674
    DOI: 10.1177/04866134211005083
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/04866134211005083
    Download Restriction: no

    File URL: https://libkey.io/10.1177/04866134211005083?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Yardim, Mahmut S. & Uner, Sarp, 2018. "Equity in access to care in the era of health system reforms in Turkey," Health Policy, Elsevier, vol. 122(6), pages 645-651.
    2. Burcay Erus & Nazli Aktakke, 2012. "Impact of healthcare reforms on out-of-pocket health expenditures in Turkey for public insurees," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 13(3), pages 337-346, June.
    3. Eric Helleiner, 2019. "The life and times of embedded liberalism: legacies and innovations since Bretton Woods," Review of International Political Economy, Taylor & Francis Journals, vol. 26(6), pages 1112-1135, November.
    4. Ruggie, John Gerard, 1982. "International regimes, transactions, and change: embedded liberalism in the postwar economic order," International Organization, Cambridge University Press, vol. 36(2), pages 379-415, April.
    5. Erol Taymaz & Kamil Yılmaz, 2008. "Integration with the Global Economy: The Case of Turkish Automobile and Consumer Electronics Industries," Koç University-TUSIAD Economic Research Forum Working Papers 0801, Koc University-TUSIAD Economic Research Forum.
    6. Asena Caner & Deniz Karaoglan & Gülbiye Yasar, 2020. "Does Health Reform Reduce Inequalities? Primary Healthcare of Young Children in Turkey," Working Papers 1399, Economic Research Forum, revised 20 Aug 2020.
    7. Mike Dent, 2006. "Patient choice and medicine in health care," Public Management Review, Taylor & Francis Journals, vol. 8(3), pages 449-462, September.
    8. Hacer Özgen Narcı & İsmet Şahin & Hasan Yıldırım, 2015. "Financial catastrophe and poverty impacts of out-of-pocket health payments in Turkey," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 16(3), pages 255-270, April.
    9. Erus, Burcay & Yakut-Cakar, Burcu & Cali, Sanda & Adaman, Fikret, 2015. "Health policy for the poor: An exploration on the take-up of means-tested health benefits in Turkey," Social Science & Medicine, Elsevier, vol. 130(C), pages 99-106.
    10. Nelson, Kenneth & Fritzell, Johan, 2014. "Welfare states and population health: The role of minimum income benefits for mortality," Social Science & Medicine, Elsevier, vol. 112(C), pages 63-71.
    11. Hui Jin & Isabel Rial, 2016. "Regulating Local Government Financing Vehicles and Public-Private Partnerships in China," IMF Working Papers 2016/187, International Monetary Fund.
    12. Songul Cinaroglu & Onur Baser, 2019. "Does the unification of health financing affect the distribution pattern of out‐of‐pocket health expenses in Turkey?," International Journal of Social Welfare, John Wiley & Sons, vol. 28(3), pages 293-306, July.
    13. Forster, Timon & Kentikelenis, Alexander E. & Stubbs, Thomas H. & King, Lawrence P., 2020. "Globalization and health equity: The impact of structural adjustment programs on developing countries," Social Science & Medicine, Elsevier, vol. 267(C).
    14. Esping-Andersen, Gosta, 1999. "Social Foundations of Postindustrial Economies," OUP Catalogue, Oxford University Press, number 9780198742005.
    15. Burhan Can Karahasan & Firat Bilgel, 2017. "Access to Healthcare, Utilization and Health Outcomes in Turkey," Working Papers 1089, Economic Research Forum, revised 04 2017.
    16. Rotarou, Elena S. & Sakellariou, Dikaios, 2017. "Neoliberal reforms in health systems and the construction of long-lasting inequalities in health care: A case study from Chile," Health Policy, Elsevier, vol. 121(5), pages 495-503.
    17. Susan A. McDaniel & Neena L. Chappell, 1999. "Health Care in Regression: Contradictions, Tensions and Implications for Canadian Seniors," Canadian Public Policy, University of Toronto Press, vol. 25(1), pages 123-132, March.
    18. Costas Lapavitsas & Jeff Powell, 2013. "Financialisation varied: a comparative analysis of advanced economies," Cambridge Journal of Regions, Economy and Society, Cambridge Political Economy Society, vol. 6(3), pages 359-379.
    19. Eren Vural, Ipek, 2017. "Financialisation in health care: An analysis of private equity fund investments in Turkey," Social Science & Medicine, Elsevier, vol. 187(C), pages 276-286.
    20. Susan P Sparkes & Rifat Atun & Till Bӓrnighausen, 2019. "The impact of the Family Medicine Model on patient satisfaction in Turkey: Panel analysis with province fixed effects," PLOS ONE, Public Library of Science, vol. 14(1), pages 1-13, January.
    21. Damien Cahill, 2014. "The End of Laissez-Faire?," Books, Edward Elgar Publishing, number 14727.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Schulze-Cleven, Tobias, 2006. "The Politics of an Experimental Society: Creating Labor Market Flexibility in Europe," Institute for Research on Labor and Employment, Working Paper Series qt92x040tt, Institute of Industrial Relations, UC Berkeley.
    2. Alexander Kentikelenis & Erik Voeten, 2021. "Legitimacy challenges to the liberal world order: Evidence from United Nations speeches, 1970–2018," The Review of International Organizations, Springer, vol. 16(4), pages 721-754, October.
    3. Songul Cinaroglu, 2017. "A Fresh Look at Out-of-Pocket Health Expenditures after More than a Decade Health Reform Experience in Turkey: A Data Mining Application," International Journal of Economics and Financial Issues, Econjournals, vol. 7(5), pages 33-40.
    4. Yerramilli, Pooja & Fernández, Óscar & Thomson, Sarah, 2018. "Financial protection in Europe: a systematic review of the literature and mapping of data availability," Health Policy, Elsevier, vol. 122(5), pages 493-508.
    5. Karim Knio, 2022. "Rethinking the Multilateral Order Between Liberal Internationalism and Neoliberalism/Neoliberalisation Processes," Politics and Governance, Cogitatio Press, vol. 10(2), pages 6-14.
    6. Abdullah TİRGİL & Fatih Cemil ÖZBUĞDAY, 2020. "Does Public Health Insurance Provide Financial Protection Against Out-Of-Pocket Health Payments? Evidence from TurkeyAbstract: Turkey hasinitiated comprehensive reformsto increase equity among its cit," Sosyoekonomi Journal, Sosyoekonomi Society, issue 28(45).
    7. Ali Burak Güven, 2016. "Rethinking Development Space in Emerging Countries: Turkey's Conservative Countermovement," Development and Change, International Institute of Social Studies, vol. 47(5), pages 995-1024, September.
    8. Songul Cinaroglu, 2019. "Politics and health outcomes: A path analytic approach," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(1), pages 824-843, January.
    9. Burcay Erus, 2020. "Out of pocket health expenditures in Turkey following introduction of co‐payments along with improved primary care services," International Journal of Health Planning and Management, Wiley Blackwell, vol. 35(2), pages 433-440, March.
    10. Stefanova, Boyka & Zhelev, Paskal, 2022. "Revisiting China’s market economy status: state capitalism within the WTO liberal trading system," MPRA Paper 114865, University Library of Munich, Germany.
    11. Erus, Burcay & Hatipoglu, Ozan, 2017. "Physician payment schemes and physician productivity: Analysis of Turkish healthcare reforms," Health Policy, Elsevier, vol. 121(5), pages 553-557.
    12. Ngai, L. Rachel & Pissarides, Christopher A., 2009. "Welfare policy and the distribution of hours of work," LSE Research Online Documents on Economics 28698, London School of Economics and Political Science, LSE Library.
    13. Dani Rodrik, 2018. "Populism and the economics of globalization," Journal of International Business Policy, Palgrave Macmillan, vol. 1(1), pages 12-33, June.
    14. Sam Hickey & Tom Lavers & Miguel Niño-Zarazúa & Jeremy Seekings, 2018. "The negotiated politics of social protection in sub-Saharan Africa," WIDER Working Paper Series wp-2018-34, World Institute for Development Economic Research (UNU-WIDER).
    15. Frances McGinnity & Emma Calvert, 2008. "Yuppie Kvetch? Work-life Conflict and Social Class in Western Europe," Papers WP239, Economic and Social Research Institute (ESRI).
    16. repec:spo:wpmain:info:hdl:2441/8807 is not listed on IDEAS
    17. Vigvári, Gábor, 2022. "Transzformáció és a populizmus a visegrádi országokban [Transformation and populism in the V4 countries]," Közgazdasági Szemle (Economic Review - monthly of the Hungarian Academy of Sciences), Közgazdasági Szemle Alapítvány (Economic Review Foundation), vol. 0(3), pages 339-366.
    18. Erik Stam & Roy Thurik & Peter van der Zwan, 2010. "Entrepreneurial exit in real and imagined markets," Industrial and Corporate Change, Oxford University Press and the Associazione ICC, vol. 19(4), pages 1109-1139, August.
    19. Cohen, Joseph N., 2008. "Managing the Faustian bargain: monetary autonomy in the pursuit of development in Eastern Europe and Latin America," MPRA Paper 22435, University Library of Munich, Germany.
    20. Seán Ó Riain & Amy Erbe Healy, 2024. "Workplace regimes in Western Europe, 1995–2015: Implications for intensification, intrusion, income and insecurity," Economic and Industrial Democracy, Department of Economic History, Uppsala University, Sweden, vol. 45(2), pages 415-446, May.
    21. Mahmud Rice, James & Goodin, Robert E. & Parpo, Antti, 2006. "The Temporal Welfare State: A Crossnational Comparison," Journal of Public Policy, Cambridge University Press, vol. 26(3), pages 195-228, December.

    More about this item

    Keywords

    healthcare reform; neoliberal transformation in healthcare; Turkish healthcare system; out-of-pocket expenditures; equity in healthcare;
    All these keywords.

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:reorpe:v:53:y:2021:i:4:p:654-674. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: http://www.urpe.org/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.