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this is a decent long read, regardless of whether you agree with the conclusions. Surprised to have seen it on The Register.
My big beef lies with anyone who thinks the question of `how we move forward with healthcare provision in this country to meet the unique needs of the next 25+ years` has a simple answer. Be that Farage with a `insurance based` plan or these lads http://nhap.org/
2nd biggest beef lies with anyone who doesn't realise quite how well the NHS works based on most worldwide healthcare quality and value for money metrics.
There's an irony here in that part of the problem facing the NHS isn't just baby boomer demography but the fact that because of advances in treatment AND research etc. that the NHS has helped develop - the longer lives gained as a result are creating issues elsewhere.
it's astonishing really that one of the first universal healthcare systems developed has stood the test of time as well as it has, for all the faults it does have.
It'd be interesting to see what a proper review that designed our healthcare system fit for the next 70 years would actually come up with - I doubt it would look too much like the NHS as we knew it before or after Andrew Lansley's reforms. Obviously, we'll never find out as after the last top-down reorg, no-one'll have the bottle to go near wholesale reform for a long time.
Whatever reforms happen, the bottom line is that no healthcare system has it all cracked. None. And ones that are celebrated as such (i.e. Israel) are often made possible as a result of exclusion of folk on an ability to pay basis. That the NHS has universality and quality on such a scale continues to amaze.
usually for being absolutely awful.
really hate all these 'public service' companies hiving money off from the state and invariably doing a worse job than was done before.
a private firm took over running my local GP. Then they washed their hands of it and another private firm came in. Then the GP surgery shut down and everyone had to find a new one. Success all round!