This suggests the healthcare equivalent of 'shrinkflation'. Can't get away with changing the price because everybody notices, (especially when it's free). So leave the price the same and just offer less in return.https://twitter.com/EL4JC/status/946747420750368768 …
Now that's just silly. My focus would be on what adds most value for patients from the already inordinate budget. And you won't like me for it, I know, but I'd lean towards in-house. Whole pharma setup would get special attention too, if I ruled the world. Alas...
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What do you mean by in house
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National, rather than private provider.
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So you are not a great believer in the benefit of competition to drive quality and lower cost?
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No, I'm afraid not. I'm a firm believer that if a service can be secured for a price that allows for profit, then by definition it can be secured at a cheaper price without that profit. And I also don't want anyone providing healthcare beyond the reach of FOI requests etc. tbh.
End of conversation
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