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Among OECD countries, there has been a growing advocacy of health system reforms involving a greater use of market and quasi-market relationships and incentives, in order to introduce a degree of self-regulating capacity within health care systems. This advocacy (and the corresponding reforms) are framed in the context of universal national programs offering a guaranteed package of care, in general financed publicly through taxation or earmarked social security contributions. The centraldoi:10.1071/ah990103 pmid:10558292 fatcat:f5o7frdtqjfbldcbg6b3blosom