According to Prof Feachem, KP provides a higher quality service than the NHS at a much lower cost. Surprisingly, he has as one co-author, Prof Kerr White, formerly a lifelong advocate for a national health service covering the whole US population. KP is not representative of the whole US care system. It is nominally not for profit. Profits are listed in its balance sheets, but they are apparently mostly shared by its medical staff and administrators. It is generally recognised as the most enlightened large unit so far developed in the US. However, even as a comparison not between two national systems, but between the NHS as a national system and KP as a single large corporate unit, like was not compared with like, and many other aspects of this study make its conclusions extremely doubtful. Its methodology falls far short of the standards normally required for research papers in peer-reviewed journals.
The political economy of health care -Second editionAccording to Wikipedia, Serco was founded in 1929 as the UK branch of the Radio Corporation of America. It now provides management services at NHS hospitals for Norfolk and Norwich, Leicester Royal Infirmary and Wishaw Hospital Trusts, manages and operates Bradford, Stoke-on-Trent and Walsall Local Education Authorities, operates the UK National Physical Laboratory, four prisons, two immigration removal centres, electronic tagging systems, the Docklands Light Railway, the Ballistic Missiles Early Warning system at RAF Fylingdales, RAF bases at Brize Norton, Halton, Northolt and Ascension Island, is one of three companies operating the Atomic Weapons Establishment at Aldermaston, and shares with another company operation of Royal Navy bases at Portsmouth, Devonport and the Clyde, and many other formerly public service ventures in the UK, as well as many others in Canada, Australia and elsewhere in the EU and Middle East. All these operations, including those for the NHS, and all the contracts setting their terms and conditions, are covered by commercial secrecy and are virtually immune from public scrutiny. This seems to typify the relation between business and elected government now tacitly or overtly endorsed by all main UK political parties.The political economy of health care -Second edition 22 Speaking of Margaret Thatcher's government soon after his retirement, former Chief Scientist at her Department of Health Dr Peter Woodford said: '... what I deprecate above all is this government's apparent belief that the only incentive for anyone to work hard and well is money and material greed',