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The fact that the National Health Service – or more accurately the Nationalised Health Service – is in deep trouble should not surprise anyone.
In the heady days after WW2, widespread nationalisation became a fundamental part of the Labour party programme of ‘creating a country fit for heroes.’ The state took control of a wide range of prime assets and industries. Steel, coal, docks along with air, sea, road and rail travel were commandeered ‘for the greater good.’ Even Thomas Cook & Son the travel agent was nationalised in a veritable blitzkrieg of compulsory purchase. Despite stiff resistance from the British Medical Association, the NHS was also formed in July 1948. Clement Attlee later admitted that he had overcome the objections of doctors by “stuffing their mouths with gold.” Little wonder then that health professionals are still the staunchest defenders of the NHS as well as its biggest critics.
All the nationalised assets rapidly developed similar...
The obvious solution therefore would be to extend private medical insurance to all but the most wealthy. Existing NHS trusts would continue to provide services as required but they would now be paid for services delivered rather than by block grant. All hospitals would therefore be encouraged to expand to meet the demand with patients given a degree of choice over which facility they used for approved treatments.
Competition puts revenue, not patients, at the centre of care. It's a legal requirement for firms to maximise shareholder value - not patient wellbeing. This is why the public consistently oppose privatisation; it converts a public health service to a "fantastic business"
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