Furthermore, there is no single ideal balance of public and private service provision in a diverse and changing world. Equity, quality and efficiency are not always better or worse when government is dominant, or when the private sector has the larger role.
Reality is more subtle.
Instead, the report proposes examining initiatives that have worked and adjusting to meet the specifics of each new or changing situation. The best examples are a public-private mix in which both sides complement each other, playing different roles. The study found that the private sector are more cost-effective in delivering social services. Proponents of the public sector, on the other hand, have cited equity as the reason for strong government controls. In Indonesia, for example, the rich receive almost three times as much public health care as the poor.