Slow Poisoning? Interests, Emotions, and the Strength of the English NHS; Comment on “Who Killed the English National Health Service?”

Document Type : Commentary


University of Michigan, Ann Arbor, MI, USA


Martin Powell makes the point that the death of the National Health Service (NHS) is constantly asserted without criteria. This article suggests that the NHS is many things, which makes criteria unstable. The alignment of interests in the structure of the NHS enables both overheated rhetoric and political strength, and that pluralization of provision might actually undermine that alignment over time.


Main Subjects

  1. Powell M. Who killed the English National Health Service? Int J Health Policy Manag. 2015;4(5):267-269. doi:10.15171/ijhpm.2015.72
  2. Carswell D, Hannan D. The Plan: Twelve Months to Renew Britain. Lulu; 2008.
  3. Hannan D. Direct Democracy: An Agenda for a New Model Party. Lulu; 2005.
  4. Marshall P, Laws D. The Orange Book: Reclaiming Liberalism. London: Profile; 2004.
  5. Glenn BJ, Teles SM. Conservatism and American political development. New York: Oxford University Press; 2009.
  6. Elkind A. Using metaphor to read the organisation of the NHS. Soc Sci Med. 1998;47(11):1715-1727. doi:10.1016/s0277-9536(98)00251-2
  7. Evans RG. Financing healthcare: taxation and the alternatives. In: Mossialos E, Dixon A, Figueras J, Kutzin J, eds. Funding healthcare: Options for Europe. Buckingham: Open University Press; 2002:31-58.