Dr. Ginsburg tells the patient and the parents that they will be setting up what is, in effect, a social contract, based on candor, trust and confidentiality.
A new social contract must be based on trust, mutual interest and listening to each other, creating value together and negotiating how to distribute value more equitably.
"In the oil business, sovereign governments can and sometimes do renege on oil contracts, which are always ultimately based on trust".
In contrast to a transactional, market-related approach organised around commissioner choice of provider and associated contracting, commissioning was largely relational, based on trust and collaboration with incumbent providers.
"There must be a better economic and social contract between financial institutions and the public based on trust and a just distribution of risks and rewards".
"There must be a better economic and social contract between financial institutions and the public, based on trust and just distribution of risks and rewards," Brown said.
How useful are these contracts if the transactions are not ultimately based on trust between bankers and borrowers who know each other?
"No one is building this based on trust," Kerry said.
In especially Japanese fashion, the partnership is based on trust rather than a signed contract.
No legal instrument (no written contract) is made between Grameen Bank and its borrowers; the system works based on trust.
They conclude that despite the rhetoric of market based reform and the emphasis on using transactional mechanisms such as contracts, in practice commissioners in the NHS tend to operate in a more relational way with providers, based on trust and collaboration.
