The Practice of Rationing Health Care in the United Kingdom

  • David J. Hunter
Part of the Wissenschaftsethik und Technikfolgenbeurteilung book series (ETHICSSCI, volume 13)


The rationing of health care is one of those ‘wicked issues’ to which there is no easy solution and possibly none at all. In the British National Health Service (NHS) rationing only entered common currency in the early 1990s when the Conservative government introduced its internal market changes. At this point, the process of allocating resources, which had up until then been shrouded in mystery and notions of clinical judgement, became more explicit as a result of the purchaser-provider separation and the emergence of a contract culture between the funders and planners of services on the one hand and those providing them on the other.


National Health Service Explicit Rationing Implicit Rationing Cultural Affair Democratic Deficit 
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© Springer-Verlag Berlin Heidelberg 2002

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  • David J. Hunter

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