Article: The New Public Management theory and European health-care reforms.

New Public Management (NPM) reforms followed the ascendancy of neoliberal ideas of the early 1980s in the U.S. and the U.K. and responded to fiscal and budget crises in such places as Europe and Canada. Successful foreign experiments, such as New York Mayor Rudolph Guiliani's ability to restore order in New York, were increasingly publicized in Europe, proving to the public that government services could be successfully delivered for less. The role of the state was also being questioned in areas where the quality of public services was deteriorating: in education, for instance, while high school budgets and staff were increased, academic outcomes worsened, and social ills ...

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