Buchanan on Cost and Health Available to Purchase

Discusses James Buchanan′s contribution to the important topic of cost‐containment in the area of health care. Historical and ideational in its thrust, it seeks also to make a more general contribution by showing how the methodology of public choice can be applied to a specific issue in economic and social policy. Examines the precise body of theory which Buchanan brings to bear when attempting a politico‐economic calculus of consent. Considers the causes of the rise in the cost of health and assesses Buchanan′s anxieties in respect of the burden. Discusses Buchanan′s solutions and explores alternatives to the options he endorses. Concludes that Buchanan′s answers may not appeal to all readers, but they are a fruitful area of research and speculation.