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Iliffe and Manthorpe mention copayments with payments to GPs as an example. Not the best way to do it.
Surely the sensible, logical and equitable answer is copayments for resdential care services across health and social care means tested and costed in the same way. This would mean whether receiving care in hospital, in a care home or at home the financial impact for the user would be identical.
This would drive out many perverse incentives in the present system where a bed blocker in hospital is often a cost saving from the person's estate. Similarly individuals often decline social care because of the impact on their personal wealth and lead a perilous (and often wretched) life relying on the "free" saftey net of admission to hospital.
Realistically, with all major parties committed to reducing the public sector borrowing requirement and averse to large tax hikes the only way we can finance a comprehensive health and social care continuum will be by copayments.
So let us make them sensible and supportive of compassionate care for all vulnerable people.
No competing interests
09 August 2014
Noots Healthcare Trust
Edwinstowe Health Centre, Edwinstowe, Mansfield, Notts, NG21 9QS