Waiting times tend to be formed in countries which combine public health insurance (with zero or low cost sharing) and constraints on surgical capacity. Under such circumstances non-price rationing in the form of waiting lists takes over from price rationing as a means of equilibrating supply and demand.
Optimum waiting times will not be zero. It is argued that, in principle, waiting times can be reduced through supply-side policies, if the volume of surgery is not considered adequate, or through demand-side policies, if the volume of surgery is considered to be adequate.
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