Reform of Public Service

This is the subject of a special survey in this weeks Economist. While looking at public services generally, criticizing (rightly in my opinion) the growth and low productivity of services worldwide, it has a specific mention of health. Well worth reading.

Amongst the figures given; "McKinsey points out that American spending on this has grown at an annual lick of 4.9% over the past 40 years, whereas GDP per person has grown by just 2.1%. Pessimists are convinced nothing can be done to restrain it. A refreshingly different perspective is provided by Sir John Oldham, a British doctor who is clinical lead for productivity in the National Health Service."
"America, which currently spends 16% of its GDP on health care is theoretically on track to spend 100% of its GDP on health care by 2065."