Journal of public health policy
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Beginning with a reminder of the main features and effects of the profound changes to the NHS made by the Conservative government in 1990, this account then reviews the incoming Labour government's proposals as set out in the White Paper "The New NHS." An analysis, based on the formal response of the NHS Consultants' Association to the White Paper, welcomes many of the new initiatives but shows how the Conservative "Internal Market" is being modified, not removed, and the proposals fall short of restoring the public service ethos. In conclusion, the arguments and strategy being employed by the Association are described.
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J Public Health Policy · Jan 1999
Biography Historical ArticleCharles V. Chapin (1856-1941), "Dean of City Health Officers".
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J Public Health Policy · Jan 1998
ReviewUpdate on health care in Canada: what's right, what's wrong, what's left.
Americans wanting to understand health care in Canada must take into account three issues: first, what's right about the system, and always has been--it is an accessible system providing universal access to comprehensive medical care. What isn't wrong with the system, that is, the lies promulgated in the United States press about long waiting lines for care and Canadians pouring across the border for care unavailable in Canada, is included. The second issue is what's wrong, and has always been wrong, with the Canadian system: it's a private-practice, fee-for-service medical (some would say "sickness") care system in which the social determinants of health and primary prevention have never been appropriately funded. Finally, for several years there have been, and continue to be, real and ever-escalating threats to the Canadian system in the form of block-granting and serious cuts.