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    No Howard - the only principal I would keep is free at the point of delivery for everyone. PME should still be an option for people, with tax relief and incentives for employers to provide cover - I would certainly not make it compulsory.

    How that health care get delivered to the people is another matter.

    Maybe make all hospitals private and on contract to local commissioning bodies of GP's for instance. There are all sorts of models that could be followed. One thing is sure, the NHS needs reform desperately and for too long it has been a holy cow for which any suggestion of reform receives howls of horror.

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