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Macroscope
Opinion
Anthony Rowley

The coronavirus crisis reveals what’s gone wrong with health care investment

  • Amid the Covid-19 panic, the cry has gone up for better health care and other services. But the question of how all these priorities are to be financed by public or private enterprise remains largely unaddressed

Reading Time:3 minutes
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Nurses gather for a strike over their lack of personal protective equipment outside Montefiore hospital in the Bronx, New York, on April 2. Photo: EPA-EFE
However fatal its effects on humans, the coronavirus will probably not result in the death of capitalism. But, hopefully, it will provoke a more realistic appraisal of the respective merits of state and market capitalism and produce a better balance between private and public enterprise.

This is a debate in which market economies of the West should be prepared to engage more openly with China, where something more resembling a market economy with Chinese characteristics than a strict command economy has evolved. There are lessons to be learned on both sides.

In times of crisis like now, governments (and central banks) come to be seen as public saviours, thus paving the way for more dirigiste approaches. Western societies should take advantage of this to reorient economic and financial priorities from consumption towards long-term investment.
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The pursuit (or cult) of market capitalism has led to underinvestment in essential services such as health care, sanitation, infrastructure and the environment, as financial markets that are skewed towards short-term gain have neglected the need to develop suitable vehicles for social investment.

This latter point is particularly important because it also highlights the failure of capital markets (which have for too long been preoccupied with devising sophisticated but ultimately risky financial products) to come up with a balanced and sustainable development financing model.

For example, as the coronavirus takes its toll on public health and the economy, the cry has gone up for better health care, improved sanitation, better housing and other services. But the question of how all these and other very real priorities are to be financed remains largely unaddressed.

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