There are so many low cost high volume treatments that could be rationed out by exclusion. From nit treatment to alternative food products. Some of them should go for pragmatic reasons, and some for the encouragement of autonomy. Wales will be the last region to recognise this, and this is the region where Private Medical Insurance ( PMI )will cost more, eventually, as low volume high cost treatments are the only other option. The two tier system will emerge first in Wales as those who can afford it buy choice, either directly or through PMI.
The Times 3rd June reports: Paracetamol on prescription costs NHS millions
The NHS spent more than £70 million giving paracetamol to patients in England last year despite it being available over the counter at a fraction of the cost.
GPs issued more than 21,740,000 prescriptions at £3.23 per item even though the pills are sold for as little as 19p in shops. The figure, revealed in response to a parliamentary question by Grahame Morris, the Labour MP, shows that the bill fell from £84.86 million in 2015/16 and £86.88 million the year before. Over five years the cost was nearly £400 million.
NHS England has announced plans to develop new national guidelines on prescriptions for medicines such as gluten-free foods and travel vaccines that are available in supermarkets and chemists. Mr Morris said it was irrational to provide paracetamol on prescription. “At a time when the government is placing extreme funding pressure on our health service, we should seek avenues to make savings where they will not affect patient services,” he said. “There will be a number of low-cost readily available drugs which could be supplied in such a manner.”