a larger role for the private sector in health care review of arguments carol propper professor economics university bristol katherine green cmpo april 1999 working paper no 99 009 centre market and public organisation department mary paley building 12 priory road bs8 1tn tel 0117 954 6943 email office ac uk 1 executive summary is dominant financier most oecd countries but last two decades extent finance has increased these now accounts around quarter all on delivery side dominance much less strong mixed provision common many recent reforms have sought to increase against this backdrop examines case empirical evidence support an starts with brief overview current position it then