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A tweet arrived this morning from a twit friend. The NHS is rapidly unraveling in the U.K. according to this tweet. 

Thank you to Mike Broad and The Health Care Blog

Picture this scenario:

Health Secretary Andrew Lansley said: “In order to meet rising need in the future, we need to make changes. We need to take steps to improve health outcomes, bringing them up to the standards of the best international healthcare systems, and to bring down the NHS money spent on bureaucracy. (Hmmmm?) Andrew Lansley's health and social care bill will abolish England’s 152 primary care trusts

This sounds familiar.

The controversial Health and Social Care Bill has been published, paving the way for GPs to control 80% of the NHS budget from 2013.

Unions warn the plans are the first step towards privatizing the health service, while the health select committee said the way they have been rushed in has taken the NHS by “surprise”.

But the government argues the changes will improve care and accountability.

Accountability, isn’t that what Medicare and ACOs are planned for the U.S?

This sounds a lot like reverse engineering of the UK System that has grown to become so moribund that it must be carefully dissected to de-commission it. 

It looks to me as if they are running in the opposite direction from the U.S. Health Reform.

I wonder what Dr Berwick is thinking now?

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