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Addressing the dramatic changes in healthcare systems since the early 1990s, this work questions whether these major "reforms" are driven by the health needs of the wider population or, in fact, by non-health considerations such as financial and political concerns of governments and global institutions. This major new study presents the key issues facing health professionals today and is aimed at medics and administrators alike. The book's use of a common analytical framework produces a consistent critical analysis of different situations in various countries, making its approach wholly unlike previous studies of the topic of modern healthcare.