Suspicion of The Profit Motive

We have discussed how governments are often skeptical of the profit motive in healthcare provision. This is also true for watchdog organizations and media outlets, who are often quick to criticize any private-sector return as a violation of the public trust. This dynamic was clearly on display in Oxfam's critique of Lesotho's Hospital PPP. A good technique for addressing this criticism is to try to reframe the conversation around the results of the PPP. Criticisms of this nature tend to center, by necessity, on concerns about the nature of the profit motive as a corrosive force. In some cases, cost curves may take time to bend, resulting in a temporary increase in costs in exchange for significantly improved service-as was the case in Lesotho. But, because a successful PPP can provide better service at a more palatable cost in the long run, the results should speak for themselves, as long as PPP representatives are able to communicate those results with consistency and discipline.