Does regional decentralization threaten the commitment to regional equality in government outcomes? We attempt to shed light on this question by drawing on unique evidence from the largest European unitary states to have engaged in countrywide health system decentralization: Italy and Spain. We...

How does fiscal decentralisation affect the development of a health system? Evidence from health care decentralisation in Europe can offer some insights to the question above. This paper addresses the effects of health care decentralisation in Europe, and reviews some of the key questions on the...

The dialogue links a portrait of health reform politics in the US from the seventies to 2008 by Ted Marmor with a comparable, parallel essay by Antonia Maioni about Canada's struggles. The pairing is also unusual in having the North Americans comment on each other's portrayal. They do not...