nos-trum. pronunciation: \nos'-trum\. noun. Etymology: Latin, neuter of noster our, ours.
1. a medicine of secret composition recommended by its preparer but usually without scientific proof of its effectiveness.
2. a usually questionable remedy or scheme.
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Saturday, July 10, 2010

Britain's Health Service Giving Control Back To Doctors

While the US is ramping up it's government-regulated health care system, Britain is deciding after 50 years that approach aint workin' too well.

Very interesting "shakeup" in the National Health Service (NHS) in the UK.  According to BBC News (July 9), quoting Nigel Edwards, the acting chief executive of the NHS. describing how primary care groups are "set to be handed responsibility for most health services:"
"I think the concept here is lots of individual decisions by G"Ps - when they make referrals and send people to hospital - will be added up and we will have a greater market dynamic," he said.
Dr Mike Dixon, chairman of the NHS Alliance, a group of doctors who support GPs getting involved in commissioning, agreed.  "Staff on the front-line know what is good care and what is bad care. They are more sensitive to the needs of patients and I think this will lead to better outcomes."
Maybe President Obama's new appointee to run Medicare and Medicaid, Dr. Donald Berwick, won't "love" the NHS so much any more.

As I posted earlier about Canada and Germany, the nations who have a large experience of government-run health care are finding themselves running out of money--and  in the UK, falling quality indicators--are being driven back to market-based and de-centralized approaches.

And the US is moving in the opposite direction.  Good luck to us.

Doc D

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