Given the explosion of knowledge and technical ability in the last 50 years, the 'demand' for health care (in terms of conditions that can now be treated) must exceed the supply (in terms of 'resources' such as expertise and money). Thus there must be rationing.
It is the function of politicians to determine the policy of the NHS - who or what conditions should be treated; and, more importantly, who and what will not be treated within the NHS. It is not acceptable that they should mislead the public by implying that all treatments are available for all the people all the time.
The onerous task of deciding who will or will not be treated should not be placed on the individual doctor (as it has been) or the local manager. Nor should the local 'purchasers' (none of whom are elected) have to decide which type of treatments (and how many) they will buy on behalf of their resident population.
If the NHS is to be a 'national' service, then whether you will get treated, or not, should not be determined by where you live.
M C T Morrison
Swindon, WiltshireReuse content