Actuarial Mathematic, Second Edition by Browers Gerber Hickman

By Browers Gerber Hickman

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With some exceptions at the margins, the funding of health care is broadly comprehensive and equal across the country. Furthermore, the NHS as a funding mechanism has ensured a remarkably successful series of preventive and surveillance services—specific examples being immunisation programmes, health visiting services and testing for neonatal disease. From this point of view, the NHS is a moderate success. The paper does correctly identify a flaw, however, in that there is no clear statement or description of the range of services which should be funded by this system.

What are the issues in the system which lead to inefficient 30 NICHOLAS BEAZLEY 31 use of both time and money? These are important questions in any arena, and particularly so in a system that is very largely funded out of taxation. Lack Of Competition The fact that some of these questions cannot be answered is in part a reflection of the second issue: the lack of competition. Supporters of the NHS frequently assume that the low levels of management activity, and in particular the virtual absence of any need for billing systems, are significant advantages in themselves.

A single-payer system in Jackson Hole clothing’, Health Affairs, Spring 1994, pp. 81-95. htm. , ‘Design of health insurance purchasing cooperative’, Health Affairs, Supplement 1993, p. 60. 5 Enthoven, Health Affairs, Supplement 1993, p. 35. , An End to Welfare Rights: The Rediscovery of Independence, London: IEA, Health and Welfare Unit, 1999.

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