Intended for healthcare professionals

Letters User fees for NHS primary care in England

The best argument against fees is that they are targeting the wrong problem

BMJ 2023; 380 doi: https://doi.org/10.1136/bmj.p621 (Published 21 March 2023) Cite this as: BMJ 2023;380:p621
  1. Stephen Black, data scientist
  1. Black Box Data Science, Bedford, UK
  1. steve.i.black{at}gmail.com

Majeed outlines the conventional argument against user fees in the NHS,1 but he misses a more important one: fees designed to reduce healthcare demand are targeting the wrong problem.

Sajid Javid, for example, argues that the reason fees are necessary is that demand for healthcare is insatiable, and high demand is the cause of the major problems in the NHS.2 …

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