see the doctor, or to stay in hospital, and they only
pay part of the cost of their medicines. The bad news
is that the NHS is always running out of money. The
British government spends even less on health than the
American governrnent. And in the USA sick people also
have to pay every time they see a doctor. The NHS has
been admired and enjoyed by British poople since 1946
when it started. The idea then was to look after
people from the cradle to the grave. Free medicine
was part of the welfare state, which gave free
education to the young, money to the unemployed, and
pensious to the old.
Slowly, as the yeare pass, problems have grown up.
Govemments are finding that the bills are getting
bigger and bigger. In 1982, L14,000 million was spent
on health. One reason for this is that there are many
more old people now than there were in 1946. Forty
percent of NHS money goes on looking after the old.
Some poople say that the NHS is a luxury Britain can
not afford. They want to bring back more private
medicine, for which people would pay. Free medicine,
they say, should be given only to the poor. Other
people, including many doctors, disagree. Everyone,
they say, has the right to the same medical help. In a
two part system, the rich would always get the best.
This would not be fair. People also disagree about how
NHS money should be spent. Should L15,000 be spent on
each heart transplant operation, when there are not
enough beds for thousands of old people in pain? Should
abortions be paid for by the NHS? Should more money be
spent on the mentally ill? Shouldnt doctors and nurses