surprising; previous years (1980 to 1987) had been marred by a prolonged
economic recession, which saw living standards plummet, unemployment
escalate (employment decreased by nearly 6% and 25% in manufacturing),
and massemigration rise (O’Donnell, 1998).
Fearful of national insolvency and of a declining tax base, the document
authors deployed an apparently objective and technical narrative of ‘efficiency’ to justify and legitimise real cuts in healthcare expenditure. They
argued that the state was spending too much, given that more affluent
countries were spending less