Getting management accounting off the ground: post-colonial neoliberalism in healthcare budgets

Taking Modell's [(2014) The societal relevance of management accounting: an introduction to the special issue. Accounting and Business Research , 44 (2), 83-103] 'societal relevance of management accounting' agenda forward, and based on a cost accounting initiative in a Sri Lankan hospital, this paper examines how management accounting is implicated in societal relevance. It reports on a post-colonial neoliberal state's use of cost-saving experiments and the resultant emancipation of the individuals involved. It conducts a bottom-up analysis, from micro events in the hospital to policymaking at the level of the Provincial Council. This analysis suggests that cost accounting acts as a mediating instrument: it begins to loosen the old Keynesian post-colonial bureaucratic budget confinements, creates a social space for individuals to consider cost-saving experiments, and addresses wider policy concerns about hospital resource management. The story is illuminated by Gilles Deleuze's and Zigmund Bauman's ideas on post-panoptic societies: old confinements are being problematised and new flexible, 'liquid' spaces created, in which individuals are emancipated in terms of their ability to influence resource management within and beyond the organisational constituency.