Hostname: page-component-78c5997874-s2hrs Total loading time: 0 Render date: 2024-11-15T06:50:59.509Z Has data issue: false hasContentIssue false
  • English
  • Français

The National Health Service (NHS) at 70: some comparative reflections

Published online by Cambridge University Press:  16 March 2018

Carolyn H. Tuohy
Carolyn H. Tuohy*
Affiliation:
Professor Emeritus and Senior Fellow, School of Public Policy & Governance, University of Toronto, Toronto, ON, Canada
*
*Correspondence to: Carolyn H. Tuohy, Professor Emeritus and Senior Fellow, School of Public Policy & Governance, University of Toronto, 14 Queen’s Park Crescent West, Toronto, ON, Canada M5S 3K9. Email:c.tuohy@utoronto.ca
Get access Rights & Permissions [Opens in a new window]

Abstract

As the National Health Service (NHS) turns 70, it bears comparison with another universal system celebrating an anniversary this year: Canada’s 50-year-old medicare model. Each system is iconically popular, and each revolves around a profession-state accommodation. Both the popularity and the central axis of each system have been tested by external shocks in the form of periodic fiscal cycles of investment and austerity, and internal stresses generating organizational cycles of centralization and decentralization. In addition, the English NHS has undergone periodic bursts of major policy change, which have arguably moved the system closer to the Canadian single-payer model.

Type
Perspective
Information
Health Economics, Policy and Law , Volume 14 , Issue 1 , January 2019 , pp. 25 - 28
Copyright
© Cambridge University Press 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Banting, K. (2005), ‘Community, Federalism and Fiscal Arrangements in Canada’, in H. Lazar (ed.), Canadian Fiscal Arrangements Kingston and Montreal, Montreal and Kingston: Institute of Intergovernmental Relations and McGill-Queen’s University Press, 37–50.Google Scholar
Klein, R. (2013), The New Politics of the NHS, 7th edn, Abington: Radcliffe.Google Scholar
Stoye, G. (2017), “UK Health Spending” IFS Briefing Note BN201, London: Institute for Fiscal Studies.Google Scholar
Tuohy, C. H. (2018), Remaking Policy: Scale, Pace and Political Strategy in Health Care Reform, Toronto: University of Toronto Press.Google Scholar