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No reverse gear

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Soon after Britain's NHS came into being in 1948, Aneurin Bevan, its political founder, predicted that an initial surge of demand would subside as the service caught up with the backlog. A year later he knew better: "I shudder to think of the ceaseless cascade of medicine which is pouring down British throats at the present time." In 1951, he resigned when the Treasury imposed minor health-service charges. Already, costs were three times higher than originally expected. This episode, when "the first thing that happened was that expenditure took off into the stratosphere and had to be sat upon very firmly", was long etched into the collective memory of senior health and finance officials, says Jeremy Hurst, a health economist at the OECD. For many years, Britain imposed strict controls that helped keep its costs down rather more successfully than those in other rich countries. Yet public discontent with an increasingly rickety service has prompted a massive boost to resources under today's Labour government. Spending on the NHS is scheduled to rise by over 7% a year in real terms until 2007-08. By then, total health expenditure in Britain will have vaulted to 9.4% of GDP, compared with 6.9% in 1998, the year before the spending spree started.
机译:1948年英国的NHS成立后不久,其政治创始人Aneurin Bevan预测,随着服务的积压,需求的最初激增将消退。一年后,他变得更加了解:“我不禁想起目前不断涌入英国喉咙的不间断药物。” 1951年,当财政部征收轻微的医疗服务费用时,他辞职了。成本已经比最初预期高出三倍。卫生保健经济学家杰里米·赫斯特(Jeremy Hurst)表示,这一事件“首先发生的事情是支出急剧上升,必须非常稳固地坐着”,这早已被人们铭刻在高级卫生和财政官员的集体记忆中。经合组织。多年来,英国实施了严格的控制措施,这比其他富裕国家成功地降低了成本。然而,公众对日益摇摇欲坠的服务的不满促使当今工党政府大举增加资源。到2007-08年度,NHS的实际支出预计每年将实际增长7%以上。到那时,英国的医疗总支出将达到GDP的9.4%,相比之下,在大举支出前一年的1998年为6.9%。

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    《The economist》 |2004年第8384期|p.5A-7A|共3页
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  • 正文语种 eng
  • 中图分类 经济;各科经济学;
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  • 入库时间 2022-08-17 23:32:50

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