It remains largely producer-driven: unaccountable doctors, minimal consumer choice and patients following money rather than the other way round.

ECONOMIST: In sickness and in health

The argument rests on anecdote, on the current failure, and on common sense, which says that a producer-driven system insulated from parents and children will fail.

ECONOMIST: America��s education choice

In 1991 Dana Gioia, a poet (and former marketing manager for General Foods), set off a fierce debate in American poetry circles with an attack on American academia for turning poetry into a smug, producer-driven lobby, concerned only with its own survival and indifferent to the fact that it had alienated a wider audience.

ECONOMIST: MODERN VERSE: Poetic injustice | The