Criticism of the health service's administration is explicitly distinguished from support for privatisation. The argument concerns an economy organised around health care funded through taxation rather than payment at the point of service. An insurance alternative would require a decision about whether employers or individuals paid the premiums. Personal premiums would come out of wages and could create pressure for higher pay, while employer provision would change business costs. The proposed change therefore reaches beyond the organisation of hospitals into employment and household finances. A later qualification notes that Britain and the United States are only two examples among several national systems, each with its own difficulties.
Notable Point · 1:18:10-1:20:12
Changing health-service funding shifts costs across the economy
A discussion of NHS reform separates administrative problems from the economic consequences of replacing tax funding with insurance.