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Funding the nhs


James in Brum
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In 2017 the commonwealth fund again described the NHS as the best performing healthcare system when rated against ten other 1st world healthcare systems. This included in efficiency/cost effectiveness. Our spending as a part of GDP is not all that high. 
The non clinical people earning over 100k that you describe are a part of a board whom employ thousands and thousand of people, are responsible for managing the budgets in the millions/tens of millions and more. 
boards of equally large and responsible private companies have incredible remuneration including pension products. When we last disagreed about this I did not point out that people often compare the pension and other benefits profiles of those earning less than 100k in the private sector. The disparity is not so clear in those above 100k.

There are absolutely things the NHS could do better and there are definitely times it does not succeed. It actively treats over a million people per day. 
we could cut out the senior management but then I can assure you the efficacy would drop. 
It would be wonderful to remove the faux marketisation in the health service. Any willing provider and competition between NHS providers has not improved quality in my opinion and despite being bloody good the nhs has lost its shine because of those factors. 

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