Abstract
This paper attempts to explain why Hospital Autonomy (HA)
Reforms in Pakistan could not succeed in achieving its stated
objectives. Use of sense making technique is employed which
consists of frame, cue and relationship. Frame of the reforms is
developed using constructs like governance system of Pakistan,
its connection to the past, legacy of bureaucracy, accountability
traditions and the status of rule of law in Pakistan. The study
shows that the current structure is strongly influenced by its
colonial heritage, with most of the ingredients of the governance
system persisting till today. The HA reforms, imposed by IFIs,
were likely to challenge the unchallenged position of
bureaucracy in the context of Pakistan. Though initially it dented
the coveted position of bureaucracy, but later the bureaucracy
was able to bounce back and reclaim the lost territory. These
reforms hurt the public badly as user charges were increased
and subsidies disappeared.
Key Words: governance system of Pakistan, colonial impact, accountability,
rule of law, Pakistan, power, Hospital autonomy reforms
Aamir Saeed. (2013) Governance System of Pakistan: Continuation of Colonial Policies, Journal of Political Studies, Volume 20, Issue 1.
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