Home > big state, healthcare, NHS, things could be so much better > Why can’t the NHS be run like Tesco?

Why can’t the NHS be run like Tesco?

Came across an excellent post from the Adam Smith Institute the other day that’s definitely worth sharing:

We’re lucky there’s no such thing as the National Food Service [NFS], modelled on the National Health Service, to ensure equal access to affordable food supplies.

[…] It’s not hard to imagine the disaster befalling our kitchens and restaurants if the industry was organised into an NFS in pursuit of an equality agenda. GPs (Grocery Practitioners) would be the gatekeepers to food supplies, assessing everyone’s basic dietary requirements and issuing coupons according to guidelines from Whitehall under budgets set by the Treasury. PCTs (Primary Comestible Trusts) would oversee the distribution of food parcels, adopting best practices as judged by NICE (National Institute for Cuisine Excellence). There’d be nationally set waiting-list targets to see consultants on wine and cheese.

Fortunately, nobody is seriously proposing a National Food Service – yet. But, equally, nobody is seeking lessons from the supermarkets on delivering efficient health care in rapid response to changing consumer demands. Which is too bad.

I think this article makes its central point very clearly: that there is absolutely no credible reason why the NHS needs to be organised the way it is, i.e. through central government dictat and controlled by all-powerful vested interests. The equally important grocery industry is as near to free-market capitalism as you can get in this country, and yet somehow the less well off have plenty of options on where to shop and have not starved en masse.

The time for a free-market health service that truly reflects the needs of the customer – not the producers – is now. Will anyone do anything to bring this about before the current system collapses under its ever-increasing burden…?

I’m not holding my breath…

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