Letters Health and Social Care Act

The tragedy of the commons for the NHS?

BMJ 2013; 346 doi: https://doi.org/10.1136/bmj.f2238 (Published 16 April 2013) Cite this as: BMJ 2013;346:f2238
  1. S J McNulty, consultant endocrinologist1
  1. 1St Helens and Knowsley Hospitals NHS Trust, Whiston L35 5DR, UK
  1. sid{at}doctors.org.uk

In 1968, Hardin wrote “the tragedy of the commons,” which explored the tension between common cost and private profit.1 Broadly speaking, the example concerns a common patch of grazing land shared by several herdsmen. Each …

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