The size, structure and growth of health and pension programmes have, in recent years, been matters of concern to all OECD governments and societies. At issue are not only currently important social and economic questions, but also future difficulties which are likely to arise with the ageing of...

When setting spending priorities in education and health, countries all too often target expensive schemes which can be shown only to benefit specific sections of the population, often the non-poor. The building of certain urban hospitals and universities may fall into this category. Wherever...