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Letters Efficiency of user charges

Reducing user fees often reduces supply of services

BMJ 2010; 341 doi: (Published 29 September 2010) Cite this as: BMJ 2010;341:c5300
  1. April L Harding, senior economist1
  1. 1World Bank, Washington, DC 20037, USA
  1. harding.april{at}

    Thomson and colleagues’ analytical framework for understanding the impact of user fees is useful for developing countries.1 However, for developing countries with weak public delivery systems, user fees …

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