
In this poor economic climate and period of lower growth is it time to consider limiting spending on healthcare budgets? Two experts debate the issue on bmj.com today.
The key challenge is to get more value for money from the already vast sums of money spent on health services rather than increasing spending, argues Professor Nick Bosanquet from Imperial College, London.
In the UK, health care spending is growing 2% points faster than GDP and this is unsustainable in an era of lower growth when the government says it has reached the limits of taxable capacity, he writes.
"There will be no incentive to invest in a new kind of health service while the easy option of continued growth in high spending in the old one remains", he warns.
Bosanquet suggests that capping spending to current percentages of GDP (8
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