Some Things Are Rarely Discussed in Public – on the Discourse of Corruption in Healthcare; Comment on “We Need to Talk About Corruption in Health Systems”

Document Type : Commentary


School of Law and Criminology, University of West London, London, UK


In an editorial titled “We Need to Talk About Corruption in Health Systems” the authors Hutchinson, Balabanova, and McKee hope to encourage a wider conversation about corruption in the health sector. Such conversations are difficult to hold for at least five reasons; it is hard to define corruption; corruption may allow some fragile health systems to subsist, shifting blame – are those involved in anti-corruption research colluding with corrupt officials; the legitimacy of studying corruption; and, that far too little is known about how to tackle corruption. This commentary explores those reasons and concludes that the authors make a strong case for a more open and directed discussion about corruption.


Main Subjects

  1. Hutchinson E, Balabanova D, McKee M. We need to talk about corruption in health systems. Int J Health Policy Manag. 2019;8(4):191-194. doi:10.15171/ijhpm.2018.123
  2. Jain A, Nundy S, Abbasi K. Corruption: medicine’s dirty open secret. BMJ. 2014;348:g4184. doi:10.1136/bmj.g4184
  3. Transparency International - What is Corruption? Accessed April 30, 2019.
  4. Transparency International. Global corruption barometer 2013 report.  Accessed October 31, 2018. Published 2013.
  5. Andersson S,  Heywood P. The politics of perception: use and abuse of Transparency International’s approach to measuring corruption. Polit Stud. 2009;57(4):746-767. doi:10.1111/j.1467-9248.2008.00758.x
  6. United Nations. Convention against Corruption. New York: United Nations; 2003.
  7. Gaitonde R, Oxman AD, Okebukola PO, Rada G. Interventions to reduce corruption in the health sector. Cochrane Database Syst Rev. 2016(8):Cd008856. doi:10.1002/14651858.CD008856.pub2
  8. Marquette H, Peiffer C. Corruption and Collective Action. U4 Research Paper 32.  Published 2015.
  9. Bedirhanoğlu P. The neoliberal discourse on corruption as a means of consent building: reflections from post-crisis Turkey. Third World Quarterly. 2007;28(7):1239-1254.
  10. Heeks R, Mathisen H. Understanding success and failure of anti-corruption initiatives. Bergen: Chr. Michelsen Institute (U4 Brief); 2011.
  11. Khan MH. Introduction: Political Settlements and the Analysis of Institutions. Afr Aff (Lond). 2018;117(469):636-655. doi:10.1093/afraf/ady051
  12. Mackey TK, Vian T, Kohler J. The sustainable development goals as a framework to combat health-sector corruption. Bull World Health Organ. 2018;96(9):634-643. doi:10.2471/blt.18.209502
  13. Zyglidopoulos S, Hirsch P, Martin de Holan P, Phillips N. Expanding Research on Corporate Corruption, Management, and Organizations. Los Angeles, CA: SAGE Publications; 2017.
Volume 8, Issue 9
September 2019
Pages 560-562
  • Receive Date: 30 April 2019
  • Revise Date: 10 June 2019
  • Accept Date: 10 June 2019
  • First Publish Date: 01 September 2019