PA Cat: Those propsed NHS cuts are (IMO) NOT for saving money. They are for maintaining and enhancing population control. Hence all the dysfunctional micromanagement.

If the idea was to cut out unsustainable spending, the way to go about it would be
to take each hospital/clinic and give it a checking account with a year’s worth of
reduced outlays in same. (If possible, make that two years as two year budgeting is
much more accurate.) The let the people working in those hospitals figure out how the available funds are to be spent. And how to charge patients enough to make up
shortfalls. Give outside accountants signature authority over the checking accounts
plus have independent auditors look over their shoulders. This is just enough control to to prevent fraud and embezzlement. If medical personnel do not know how to run things this way they are going to learn in a big hurry. On a worst case basis they won’t kill any more patients than is already happening. Less than what they are about to.

However, this would defeat what I believe to be the real but unadmitted purpose of having an NHS to start with.

As to Berwick: think we can arrange for him to have a consulatation with Kervorkian?