Both public and private procurement bodies can perform equally well. They must be have clear and well-thought-out specifications, and these specifications must be effectively enforced by a body independent of the procurement agency (such as the government). However, if private procurement enterprises are much more difficult to control than public ones, social and public health objectives may be neglected. Privatizing procurement will have far-reaching effects, for it is easier in today’s international context to move from public to private status, or to adopt a policy of deregulation, than to reverse these actions.