Intended for healthcare professionals

Letters Sustainability of the NHS

No magic way to curb rising healthcare costs

BMJ 2023; 381 doi: (Published 06 June 2023) Cite this as: BMJ 2023;381:p1283
  1. Arnaud Chiolero, epidemiologist and professor of public health,
  2. Stéphane Cullati, senior lecturer in epidemiology and public health
  1. Population Health Laboratory (#PopHealthLab), University of Fribourg, Fribourg, Switzerland
  1. achiolero{at}

There are no systems in which healthcare has been made “magically cheaper,” as Salisbury rightly states.1 Demand for healthcare is increasing and costs are rising. This is an effect of ageing populations and of the apparently endless growth of preventive, diagnostic, and treatment possibilities. Further, in many high income countries including the UK the gain in healthy and disability free life expectancy …

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