From Pine View Farm

The Fee Hand of the Market 1

The Brits, seduced by market ideology, which claims that adding marketeers into the mix is always better, have been experimenting with their health care system.

It’s not working. Service is deteriorating, costs are increasing, and the extra money is ending up in the pockets of the marketeers.

And when the private sector does deliver clinical services, it has tended to do so at a more expensive rate than the NHS. According to the health select committee, the work carried out by the first wave of independent sector treatment centres (ISTCs) was 12% more expensive than it would have been had it been undertaken by the NHS. After its first three years of operation, the Manchester ISTC was delivering just 63% of the contracted work it had been paid for.

The business lobby insists that this is all part of the necessary birthing process of the market, but this grand design will turn us into consumers of healthcare, creating ever greater demand. Couple this problem with the fact that private investor-owned firms are profit maximisers, not cost minimisers, and you have a recipe for spiralling healthcare costs. The $2.6 trillion US healthcare system is a great example of this combination.

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1 comment

  1. Karen

    March 16, 2010 at 8:20 am

    Surely they aren’t going to follow our example of “what not to do” when it comes to medical care.

    They really should leave well enough alone.