Equity in the NHS

doi:10.1136/bmj.308.6945.1717

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A Ritch

City Hospital, Birmingham B18 7QH.

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 …