Intended for healthcare professionals

Letters Markets in health care

Markets will never work

BMJ 2010; 340 doi: (Published 30 March 2010) Cite this as: BMJ 2010;340:c1731
  1. David Barer, consultant and professor in stroke medicine1
  1. 1Gateshead, Tyne and Wear NE9 6SX
  1. d.h.barer{at}

    Gubb would promote choice and “efficiency” in the NHS by increasing “market concentration,”1 yet in a system starved of resources for so long, many patients would prefer to be spared the choice.

    The most obvious drawbacks of introducing a competitive market into the NHS are:

    • The obscene spectacle of a rich country overproviding—and then presumably culling—services and …

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