Birch S
J Soc Policy. 1986 Apr;15(2):163-84. doi: 10.1017/s0047279400001653.
Frequent increases in the real value of National Health Service (NHS) patient charges have been made since the Conservative Party's return to office in 1979. For those patients subject to these charges the increases have led to a substantial reduction in the level of subsidization of the cost of the service. The rationale for the subsidization of health care is shown to be unrelated to 'ability to pay' considerations. Consequently the 'backdoor privatization' of these services is inconsistent with the objectives of the NHS even though the Government has continually committed itself to these objectives. Alternative policies to increasing patient charges are suggested which would encourage the efficient use of NHS resources without compromising NHS objectives.
自1979年保守党重新执政以来，国民医疗服务体系（NHS）患者费用的实际价值频繁上涨。对于那些需支付这些费用的患者来说，费用上涨导致了服务成本补贴水平的大幅降低。事实表明，医疗保健补贴的基本原理与“支付能力”考量无关。因此，这些服务的“变相私有化”与国民医疗服务体系的目标不一致，尽管政府一直致力于实现这些目标。文中提出了替代提高患者费用的政策，这些政策将鼓励有效利用国民医疗服务体系的资源，同时又不损害国民医疗服务体系的目标。
