Comments on: Public healthcare in Vietnam drops ‘the public’ https://www.policyforum.net/public-healthcare-in-vietnam-drops-the-public/ The APPS Policy Forum a public policy website devoted to Asia and the Pacific. Tue, 07 Apr 2020 01:25:16 +0000 hourly 1 https://wordpress.org/?v=6.1.7 By: Minh https://www.policyforum.net/public-healthcare-in-vietnam-drops-the-public/#comment-12135 Wed, 30 Jan 2019 00:59:25 +0000 https://www.policyforum.net/?p=30116#comment-12135 In reply to Chris Harrington.

Thanks Chris. After living a couple of years in New Zealand, I also have seen the shortcoming of a open-ended financing healthcare system but apparently it is much better than a highly commercialised one. In the education and healthcare areas, the Vietnamse reform is government-led. The Vietnamese government have resisted some of the IMF ideology primary in the reform of stat-owned enterprises of which the state desires to retain tigh control.

]]> By: Chris Harrington https://www.policyforum.net/public-healthcare-in-vietnam-drops-the-public/#comment-12132 Fri, 25 Jan 2019 07:04:59 +0000 https://www.policyforum.net/?p=30116#comment-12132 Thanks Minh Vo for a political analysis of Vietnam’s response to increasing wealth and fear of unsustainable health costs. After living in Vietnam, it became clear that doctors in public hospitals are very poorly paid and their clinical practices are a mixture of traditional medicine, a south east asian style of prescription dispensing and contemporary medicine that is highly variable in terms of quality.

Greater marketisation is not the answer but I’m not sure the wealthy West with its open ended financing systems are much better in terms of constraining demand driven interventions and putting the emphasis on primary care and prevention.

I also wonder whether this is Government led or the IMF? Certainly Việt Nam to date has resisted most of the extreme ideology of the IMF, which now iitself is presenting a less market driven suite of options than in previous decades.

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