Public provision of health care, as under Medicare and Medicaid, traditionally “privatized” major production decisions. Providers of care, largely private physicians and hospitals (but also public hospitals), made significant decisions about public beneficiaries' access to care, the quality...

Privatization-the transfer of assets and service responsibility from the public to the private sector-has been expanding at the state and local level. Empirical studies document significant cost savings, apparently due to incentives introduced by competition. The outlook is for continued...

Public managers do and should grope along. They need to have a clear sense of mission for their agency. But they will never know precisely how to realize these purposes. Every new management task confronts even the most experienced manager with a new organizational, political, and cultural...

This paper examines two questions basic to welfare policy: (1) whether the amount of poverty-related transfers is sufficient to fill the poverty gap, and (2) which families actually get benefits and how much of their income deficit is filled by those benefits. Transfers are sufficient: the...