The political economy of health care

By Julian Tudor Hart

Subjects: Health Care Delivery, General, HEALTH & FITNESS, National health services, great britain, Medical economics, Public Health, National health services, Diseases, Great Britain. National Health Service, State Medicine, Health Policy, Health Care Issues, Economics, Great Britain, MEDICAL

Description: Drawing on clinical experience dating from the birth of the NHS in 1948, Julian Tudor Hart, a politically active GP in a Welsh coal mining community, charts the progress of the NHS from its 19th century origins in workers' mutual aid societies, to its current forced return to the market. His starting point is a detailed analysis of how clinical decisions are made. He explores the changing social relationships in the NHS as a gift economy, how these may be affected by reducing care to commodity status, and the new directions they might take if the NHS resumed progress independently from the market.