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This report, which calls for an end to today’s centralised health service and the adoption of competing european style social insurance has been endorsed by prominent health experts. The main thrust is that the government should neither provide nor finance health. It should mearly regulate. Instead hospitals and doctors should be made fully independant of whitehall, as local trusts. Families would subscribe to one of a number of social insurers, who would then buy the services from one of the indeependant providers. Ex- minister Frank Fields says that “if the present government’s reforms do not soon show signs of success, a system of competing health suppliers regulated by government and run on insurance lines will begin to be practical politics.”

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