Most of the population thinks that NHS treatment should be available without any limitation imposed by shortage of money.  But in the cold hard world all healthcare everywhere is rationed.

Cutting up the money

• Letter to Matt Hancock on profound concern over £5m cut to PrEP in England July 8, 2020
• Potential treatments for COVID-19 could be manufactured for $1 a day or less April 15, 2020
• SHA COVID-19 Blog 2 March 23, 2020
• New laws to implement NHSE’s Long Term Plan October 16, 2019
• US-style healthcare is already with us June 8, 2019
• Phone app that could destroy our GP system December 13, 2018
• Under-pressure GPs are delivering ‘remarkable outcomes’ on cancer October 30, 2018
• Government funding cuts leave sexual health and HIV care at ‘breaking point’ October 2, 2018
• Consultation survey for the NHS England Integrated Care Provider Contracts – all answers are here September 24, 2018
• appeal against NHS England’s new Integrated Care Provider contract: by Jenny August 19, 2018
• A new framework for best HIV care: BHIVA Standards of Care revised and updated (2018) April 26, 2018
• HYPOTHECATION — MAGIC BULLET, PLACEBO OR SOMETHING WORSE? April 2, 2018
• The People’s Plan for Greater Manchester May 7, 2017
• NHS SUSTAINABILITY UNDER THREAT – LORDS COMMITTEE April 5, 2017
• The Myth of the ‘Demographic Time Bomb’ November 14, 2016
• Cut the horse manure! Where’s the evidence? May 8, 2016
• The best reason yet to save the NHS October 22, 2015
• Is the private sector always bad? January 30, 2015
• Our health and their development: overlapping interests? March 6, 2014
• The north loses out yet again under NHS funding proposals October 22, 2013
• Chas. F. Thackray Ltd: suppliers to the surgeons September 8, 2013
• A New Kind of Doctor 2 Liberal Retreat October 9, 1988
• To measure NHS progress March 7, 1974
• The Guillebaud Report January 10, 1956
• Care UK’s self-pay charges April 5, 2013
• Expenditure on health June 28, 2013

• 10 popular health economic fallacies 1998
• Access to healthcare and NHS charges
• Basic Health Economics
• Centre for Market and Public Organisation Bristol
• Competition, choice and quality in general practice
• Competition in Healthcare – excellent summary by Jonny Tomlinson
• Competition in Hospital Services OECD 2012
• Competition in the NHS will transform services Sean Worth 2012
• Competition markets and quality in health care: complete garbage by Carol Propper and Jennifer Dixon
• Cost of the Internal Market
• Does competition between hospitals improve the quality of care? – Hospital death rates and the NHS internal market. Journal of Public Economics 2004
• Economics of healthcare in England and the USA

• European Observatory on Health Systems and Policies

• Evidence about competition 2011
• Going for the Gold: The Redistributive Agenda behind Market-Based Health Care Reform 1997
• Health Reform Evaluation Programme
• An historical perspective on competition in health  Henry E Sigerist and NHS reform
• Historiography of the Market for Health
• Markets and Competition in the NHS
• Monitor has much work to do to produce a cogent analysis of pricing in healthcare

• Morality and markets in the NHS 2014

• More on competition in healthcare
• OFT calls for greater patient choice and competition in dentistry market
• Payment by results
• Quality in Health and Social Care
• Renewing the National Health Service in Scotland 1997
• Uncertainty and the Welfare Economics of Medical Care Kenneth Arrow 1963

Adam Roberts: Future funding scenarios for the NHS and social care in England

“Market mechanisms yield distributional advantages for particular influential groups.
(1) A more costly health care system yields higher prices and incomes for suppliers—physicians, drug companies, and private insurers.
(2) Private payment distributes overall system costs according to use (or expected use) of services, costing wealthier and healthier people less than finance from (income-related) taxation.
(3) Wealthy and unhealthy people can purchase (real or perceived) better access or quality for themselves, without having to support a similar standard for others.
Thus there is, and always has been, a natural alliance of economic interest between service providers and upper-income citizens to support shifting health financing from public to private sources. Analytic arguments for the potential superiority of hypothetical competitive markets are simply one of the rhetorical forms through which this permanent conflict of economic interest is expressed in political debate.