BMJ 1994;308:1717 (25 June)
Letters
Equity in the NHS
EDITOR, - Margaret Whitehead's picture of health services before the establishment of the NHS reminds us of the dangers of market forces operating in health care.1 She indicates clearly that we are now well along the road to requiring certain sections of the population to pay directly for the consequences of ill health. What causes the greatest concern, though, is that the main financial burden is falling on the most disadvantaged in society.
The continuing care of older people has in effect been taken out of the public sector and privatised. As this has been accomplished without any public debate most of the population are unaware of the profound effect it will have on financial arrangements for old age. It has been allowed to occur despite repeated statements from the Department of Health and ministerial pronouncements that long term care in the NHS, free to patients, still has a place.2,3 . . . [Full text of this article]

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