Can the introduction of markets help solve the problems facing the National Health Service today?

Equity and rationing in the NHS: past to present

“…The introduction of GP fundholding has raised concerns about creating a two‐tiered system of care as providers may allow fundholders to ‘queue jump’ at the expense of non‐fundholders (Spinks 1994; Donaldson & Mooney 1997). There is also the risk that making GPs more accountable for their budgets and spending may encourage them to treat patients themselves and deny access to expensive healthcare or to ‘cherry pick’ those patients likely to be least costly to their budgets (Beretta 1996; Donaldson & Mooney 1997) leaving the most vulnerable groups with limited access to healthcare (Spinks 1994; Bradshaw & Bradshaw 1995).…”