What would the world’s best health system look like? ( Mark Britnell “In search of the perfect health system”, (published by Macmillan Education and Palgrave ISBN 978-1-137-49661-4) 2015 by Mark Britnell)
Rising health costs, ageing populations and the impact of out of date technology are just some of the challenges faced by the health systems of developed countries
The Multimedia library in The Economist has a discussion between Mr Hunt and Mark Britnell. No mention of overt rationing as being essential, and no acknowledgement of the need for exit interviews. Anne McElvoy, the interviewer, needs to be more aware of how the profession are feeling. It’s possibly too late anyway, but the truth would help. Mr Britnell is doubtless looking for another post in an advisory role, but without honesty the doctors will laugh, and continue with their disengagement.
Update 28th December 2018:
New Zealand Health Care Services are in reality now, with co-payments and overtly rationed services. This change was led by a National Socialist administration led by Robert Muldoon.
Wikipedia describes the NZ system. which in 2012: “spent 8.7% of GDP on health care, or US$3,929 per capita. Of that, approximately 77% was government expenditure. In a 2010 study, New Zealand was shown to have the lowest level of medication use in 14 developed countries (i.e. used least medicines overall), and also spent the lowest amount on healthcare amongst the same list of countries, with US$2510 ($3460) per capita, compared to the United States at US$7290.”