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Commentary: recent reforms in the British National Health Service--lessons for the United States.

W W Holland and C Graham

Department of Public Health Medicine, United Medical and Dental Schools, St. Thomas's Hospital, London, England.

President Clinton recently announced his reform plan for health care in the United States. The United Kingdom, along with other countries, has already enacted reforms in an effort to overcome the basic problem of having insufficient funds to provide a health service to meet modern demands. This paper briefly describes the recent health reforms in the United Kingdom and highlights some lessons for the United States, which include the need to choose procedures that should be universally provided. Health reforms that involve some fundamental restructuring need to be evaluated everywhere and agreed to by the staff in advance.

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