M: Susan, just check the map and see how far we have to 20 before we get to the town.
W: I think we’ll have to go another twenty miles. Our speed is now 40 miles per hour, so we’ll get there pretty soon.
Looking at how far we’ll be able to fund the Health Service in the 21st century raises any number of thorny issues. (46)Many of the options have already been rehearsed in the press: excluding some treatments from the NHS, charging for certain drugs and services, and developing voluntary or compulsory health insurance schemes.
Compared to its European Union counterparts Britain operates a low-cost health system: we spend about 7 per cent of GDP on health, compared with 9 per cent in the Netherlands and 10 per cent in France and Germany. In terms of health outcomes versus spend, we compare pretty favourably.
I don’t see private health care providing much of the solution to current problems. (47) More likely is a shift from universal health coverage to top-up schemes which give people basic health entitlements but require them to finance other treatment through private financing, or opt-out schemes which use tax relief to encourage individuals t
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