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The National Health Service was established in the United Kingdom in 1948 as a universal, comprehensive service free at the point of delivery, which is publicly provided, funded, and accountable. Market incrementalism in England has eroded this system over three decades. The recently enacted Health and Care Act will erode it further. This article first explains briefly how legislation and policy initiatives in 1990, 2003, and 2012 furthered development of the market and private provision of health services, and then describes the main structural changes in the new Act and their implications. England is now moving decisively toward a marketized, two-tier, mixed-funding system with several similarities to the United States. [ABSTRACT FROM AUTHOR]

Limitations of health care systems surveys and the advantages of collecting data directly from health care providers and payers. Comparison with the developments of health care in United Kingdom; Standardization of data collection; Requirements for the developments in managed care.

This article focuses on a plan by the British coalition government to open up the market in the National Health Service (NHS). It notes the growing scepticism about the merit of the private sector in U.S. health care, as well as the proposal in Great Britain to devolve financial risk to general practice consortiums through market competition and a reimbursement system. It points out the risk posed by mentally ill patients due to their higher overall health costs and unpredictable care. It also notes the development of the competitive market of mixed providers, as well as the effect of competition in the NHS on quality and efficiency.

The article presents the authors' view on the fate of the government agency the National Health Services (NHS). Topics discussed include the authors' opinion on the 2012 Health and Social Care Act and its impact in the government's healthcare services, the similarity of the care organizations created by the U.S. Affordable Care Act of 2010 to the clinical commissioning groups of Great Britain and the authors' call for the creation of a legislative bill to restore the NHS in Great Britain.

Reports that the greatest threat to nursing-home residents in the United States is the attempt by Congress to repeal the 1987 federal nursing-home regulations. What the regulations require; The Tenth International Case-mix Conference in San Antonio, Texas; International findings on caring for the elderly.

Looks at the research which shows how the United States (U.S) health-care industry is responding to budget cuts. United States Health Maintenance Organization's (HMO) realization; HMOs and providers diversifying into subacute care.