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Vidhya Alakeson on the US election

After the Democratic Convention last week, when healthcare featured in almost every major speech, I had been waiting all week to see whether the Republicans would talk about it at all during their...

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Richard Smith asks: Is it unpatriotic to criticise the NHS?

I’m worried that in the highly charged atmosphere created by the extraordinary US debate on health care my published anxieties about the NHS might brand me as unpatriotic. Perhaps Fox News or some...

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Vidhya Alakeson on US healthcare reform

The theatre of politics has been on full display in Washington of late. Last week, the House of Representatives voted to repeal the Patient Protection and Affordable Care Act passed in March last year...

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David Kerr: Social medicine

“The UK coalition government’s proposals for health reform have generated much heat without a great deal of light. One predictable response has been the “concern” that the private sector is about to...

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David Kerr: Gordon Gekko and the NHS

Here in United States, the latest must have app contains software that blocks any mention of the actor, Charlie Sheen. Until recently, Sheen was the highest paid television star in the world but was...

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Martin McShane: Integrated reflections continued

Following our visit to Kaiser Permanente, we travelled north to Seattle and visited the Virginia Mason hospital and Group Health. Linked but distinct, the relationship between the two provided a...

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Martin McShane: Integrated reflections concluded

Here is my third and final blog on the USA trip: After Seattle’s integrated care organisations, we visited CalPERS. They fund $6.7bn worth of healthcare for 1.3 million people (roughly twice what we...

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Muir Gray: How doctors working in systems could rescue healthcare

“We have nothing as bad as America’s worst, and nothing as good as America’s best,” wise words said to me by someone many years ago, and this principle has stood the test of time. There are certainly...

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Elizabeth Loder on tackling unnecessary treatment in the US: This time “it...

US healthcare costs are unsustainable and a large amount of money is being wasted on unnecessary treatment.  There was general agreement about these statements among the audience, speakers and...

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