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Does PFM need to be rebuilt?

Contemporary public financial management (PFM) is, according to an emerging school of thought, in a parlous condition and needs a complete rebuild. I disagree. An influential recent formulation of the views of this school of thought can be found in the 2020 report Advice, Money, Results (AMR). This report issues a challenge to contemporary PFM […]

Unit Cost Budgeting? (1/4)

Funding public services based on output unit costs is a great idea. However, it only works for selected government services. The idea that the entire government budget should be based on output unit costs is therefore misguided. This series of four blog pieces looks at why this is a tool with strictly limited application in […]

Population Aging & Health Spending

There is a widespread notion that demographic aging will be the most important single factor driving health expenditure up over coming decades – or that, at a minimum, its impact on spending will be as great as any of the other forces which may be at work to increase spending. This is, however, wrong. Why […]

Bioscience Revolution To Drive Health Spending Up

In Bigger Government: The Future of Government Expenditure in Advanced Economies I show that government spending is set to increase greatly over the coming three decades in all advanced countries because of powerful external forces and pressures which will operate irrespective of the political orientations of governments. Overshadowing everything else will be very large long-term […]