The OECD has created a Joint Network on Fiscal Sustainability of Health Systems. This article, developed as input to that project, seeks to summarise both why budgeting for healthcare is particularly challenging and why the challenge is often misunderstood. I argue that sustainability is a...

What don’t I mean by expenditure limitation? This paper is not about why governments should chose to limit spending. If governments wish to increase spending, that is obviously their prerogative. Moreover, they are, on the evidence, very good at it. Governments need no advice on doing what...