The Other Invisible Hand

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The book explores how to enhance the quality of public services like health care and education by promoting user choice and competition among providers. Julian Le Grand, drawing from his experience as a high-level policy advisor in the British government, presents evidence supporting his theoretical insights. He evaluates four service delivery methods—trust, performance management, "voice," and choice—concluding that policies fostering choice and competition are most effective when well-designed. The discussion culminates in an analysis of the political implications of these choices.