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The author discusses health reforms which lead to commercialization in the pubic health of South Africa. The author says that the African National Congress adapted new health reforms as the National Health Service (NHS) undergo transformation. He states that the reforms pushed competition, financial motive and private capital instead of protecting the public health over commercialization. He adds that the critic of the reforms labelled them as commercialisation not as being anti-privatisation.

The authors discuss the impact of the Health and Social Care Bill of 2011 on the National Health Service (NHS) in England. They note the bill's movement toward eliminating the NHS through the British Parliament, and facilitating the introduction of a U.S.-style health system. Moreover, the authors cite significant legal consequences of Bill which include weakening the accountability of the Secretary of State to Parliament for the provision of services to patients in the NHS.