Americans! Don't copy the British healthcare system!

Daniel Hannan

The NHS produces some of the worst health outcomes in the industrialised world. Britain is the Western state where you'd least want to have cancer or a stroke or heart disease. Ours is now a country where thousands of people are killed in hospitals for reasons unrelated to their original condition. If this is our "greatest creation", Heaven help us.

As for the second slogan, which Prezza renders as "need and not ability to pay", there is no health system in Europe or North America that leaves the indigent untended. What is at issue is not whether we force poor people to pay, but whether we prevent wealthier people from doing so. The British system treats everyone equally, it's true: we queue equally, we wait weeks for operations equally, we are expected to be equally grateful for any attention we get

Let me put it like this. Imagine that, in 1945, we had created a National Food Service. Suppose that, in the name of "fairness" and "need and not ability to pay", sustenance had been rationed by the state. Conjecture that every citizen had been allocated one butcher, one baker, one café and so on. We all know where that would have led: to bureaucracy, to duplication, to surpluses in one field and scarcity in another, to racketeering, to hunger.

No one, not even Prescott, is suggesting that we socialise food distribution - even though food is at least as basic human need as healthcare...

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