This paper discusses the development of public expenditure in the Netherlands since 1850. Why did public expenditure increase from 14% GDP in 1850, nearly 20% in 1921, 30% GDP in 1950 and over 60% GDP in 1983? Dutch public expenditure has fallen to less than 50% GDP in 2003. Why did this...

In cost-effectiveness analysis (CEA) it is usually assumed that a QALY is of equal value to everybody, irrespective of the patient's age. However, it is possible that society assigns different social values to a QALY according to who gets it. In this paper we discuss the possibility of weighting...