The political economy of health care: Where the NHS came from and where it could lead
Julian Tudor Hart
Abstract
Drawing on clinical experience dating from the birth of the NHS in 1948, the author, a politically active GP in a Welsh coal mining community, charts in this book the progress of the NHS from its nineteenth-century origins in workers' mutual aid societies, to its current forced return to the market. The book's starting point is a detailed analysis of how clinical decisions are made. It explores the changing social relationships in the NHS as a gift economy, how these may be affected by reducing care to commodity status, and the new directions they might take if the NHS resumed progress indepen ... More
Drawing on clinical experience dating from the birth of the NHS in 1948, the author, a politically active GP in a Welsh coal mining community, charts in this book the progress of the NHS from its nineteenth-century origins in workers' mutual aid societies, to its current forced return to the market. The book's starting point is a detailed analysis of how clinical decisions are made. It explores the changing social relationships in the NHS as a gift economy, how these may be affected by reducing care to commodity status, and the new directions they might take if the NHS resumed progress independently from the market. The essential principle in the book is that patients need to develop as active citizens and co-producers of health gain in a humanising society and the book's aim is to promote it wherever people recognise that pursuit of profit may be a brake on rational progress.
Keywords:
political economy,
health care,
NHS,
clinical decisions,
social relationships
Bibliographic Information
Print publication date: 2010 |
Print ISBN-13: 9781847427830 |
Published to Policy Press Scholarship Online: March 2012 |
DOI:10.1332/policypress/9781847427830.001.0001 |