A View from Abroad
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چکیده
In a number of ways, the United ingdom’s National Health Service NHS) is a unique experiment, springng from the fusion at the end of World ar II of a number of synergistic eleents: a powerful desire for social hange; a determination on the part of he populace not to repeat the experince of the broken promises after orld War I; the presence on the table n 1945 of a plan for social service reorm, including health care, a plan ade, remarkably, in the middle of the ar; and the arrival on the scene of a ingle-minded, charismatic politician ho saw the establishment of a naional health service as his mission 1,2]. Health care provision the world over s in difficulty as inflation in this sector xceeds inflation in economies in genral, as a result in turn of new technoogical innovation running at a starling pace, demographic change, and ncreasing expectations [3,4]. The later, whatever the existing structure for rovision, introduce or increase politial pressure for change. In no country oes there appear to be a consensus on hat changes, fundamental or marinal, should be made to improve deivery of health care. The United Kingom is no exception in this, except erhaps in one important respect. It ay be said with some confidence that hough there are, as there always have een, some dissenters, there is a conensus that the basic philosophy repreented by the NHS of a “cradle to rave, free at the point of use, essenially paid for out of taxation, no small rint exclusion clauses system” should tand without significant dilution. This appears to be deeply embedded p
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تاریخ انتشار 2004