A recently published book, 'The Economics of Health Reconsidered' by Tom Ri
ce, provides a strong critique of the role of markets in health care. Many
of the issues of 'market failure' raised by Rice, however, have been, to va
rying extents, recognised previously in the health economics literature (at
least outside the U.S.). What perhaps sets Rice's book apart from previous
attempts to document such issues is its elegance and the methodical manner
in which this critique is delivered. Significantly the critique is based s
olely on conventional economic arguments. There has, however, been an emerg
ing strand of the health economics literature not acknowledged in Rice's bo
ok which has approached some of these issues of market failure from a diffe
rent perspective. Notably this research has involved, in part, borrowing fr
om the ideas and methodological traditions of other disciplines. The emphas
is in this work has been to expand the scope and the concerns of economic a
nalysis in health care.