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Thank God for the NHS

27 March 2010
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American healthcare makes our system look good, writes Ross Clark. But however revolutionary Barack Obama’s health reforms are, Americans will still pay through the nose

Health insurance is fine for healthy Americans aged up to 65 with good jobs which come with subsidised — and tax-deductible — cover. But then they tend not to be the people who require the most healthcare. As for the rest, they end up relying on the state.

With most goods and services I favour private provision. But the funding of healthcare is different. There is such a huge variation in the amount of healthcare which will be required by the neediest and the least needy in their lifetimes that a tax-funded, universal insurance scheme is really the only effective option — unless we are happy to see poor kids die of preventable diseases. That is where the Obama reforms fall down: they are still based around private insurance schemes — which will require Americans to pay through their noses for healthcare for decades to come.

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