sábado, fevereiro 4

How the Health and Social Care Bill 2011 Would end

entitlement to comprehensive health care in England

Allyson M Pollock, David Price, Peter Roderick, Tim Treuherz, David McCoy, Martin McKee , Lucy Reynolds

The National Health Service (NHS) in England has been a leading international model of tax-financed, universal health care. Legal analysis shows that the Health and Social Care Bill currently making its way through the UK Parliament1 would abolish that model2 and pave the way for the introduction of a US-style health system by eroding entitlement to equality of health-care provision. The Bill severs the duty of the Secretary of State for Health to secure comprehensive health care throughout England and introduces competitive markets and structures consistent with greater inequality of provision, mixed funding, and widespread provision by private health corporations. The Bill has had a turbulent passage. Unusually, the legislative process was suspended for more than 2 months in 2011 because of the weight of public concern.3 It was recommitted to Parliament largely unaltered after a “listening exercise”. These and more recent amendments to the Bill do not sufficiently address major concerns that continue to be raised by Peers and a Constitution Committee of the House of Lords,4, 5 where the Bill now faces one of its last parliamentary hurdles before becoming law.

The Lancet, Volume 379, Issue 9814, Pages 387 - 389, 4 February 201