Fully updated new edition of this well-respected text which examines recent and existing health care policy in Britain, and relates policy changes to broader ideological, social, economic and political issues. It identifies the opportunities and threats inherent in the NHS reforms, and evaluates their current status using the latest research evidence. Specific health care questions are addressed, such as: how can health services be restructured more appropriately to meet the needs of ageing populations? How relevant are current medical definitions of health to current health problems? How can we resolve the difference between the possible and the affordable in health care, as medical advance continues to widen the gap? What are the ethics of different ways of rationing health care? How can doctors be made more accountable for the resources they use? and, What incentives are the most appropriate?

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