Letters Top-up insurance to fund the NHS?

An “invest to save” approach to health

BMJ 2016; 355 doi: https://doi.org/10.1136/bmj.i5944 (Published 08 November 2016) Cite this as: BMJ 2016;355:i5944
  1. Michael J Shaw, consultant in gender dysphoria
  1. Northern Region Gender Dysphoria Service, Benfield House, Newcastle upon Tyne NE6 4QD, UK
  1. michael.shaw{at}ntw.nhs.uk

Wrigley makes a compelling ethical and moral case for a universal health service, free at the point of use.1 Goodman eloquently sets out an important arm of the financial case—introducing top-up requires an additional administrative cost.2 Given the complexity of healthcare provision, this will …

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