Letters Beginning of the end for England’s NHS? Yes

Defending the NHS with poorly reasoned rhetoric won’t save it

BMJ 2013; 346 doi: http://dx.doi.org/10.1136/bmj.f2460 (Published 24 April 2013) Cite this as: BMJ 2013;346:f2460
  1. Stephen Black, management consultant
  1. 1PA Consulting, London SW1W 9SR, UK
  1. steve.black{at}paconsulting.com

The NHS reforms initiated by Andrew Lansley deserve much criticism, but David Hunter’s opposition to reform is ineffective because it appeals to emotions and doesn’t draw on credible evidence.1

For example, rather than discuss the evidence about whether competition among providers is good for patients,2 Hunter goes straight to the easy rhetorical point that this will lead to a system governed by “naked greed,” as in the …

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