The problem is with the NHS on that one, not the drug companies Brian.
I just got out of the bath, where I do a lot of thinking.... and had another thought on this subject to share with you...
Under my system of universal insurance based care some very different dynamics come into play for hospital and care provision. Suddenly we see a market demand element come into play that is very muted and almost non-existent now. Currently we have a monopoly provider provision worried purely about budgets and we have seen the problems of this over a 'proper hospital' campaign for Dover.
Pfizer, for instance - having the land and the buildings, under my system might well have decided to open a commercial hospital on the site instead of leaving the area all together. It would certainly be an option for them. My imagination did then run a little wild and it occured to me that they could decide to set it up as a centre of European excellence in the treatment of penile dysfunction....
I dont believe viagra is currently available on a NHS prescription for instance and would not therefore be part of the minimum standards under my system but these treatments could be offered as part of the 'competitive element' or as a policy add-on.... !!
As far as Dover is concerned with everyone having their care paid for via insurance any commercial group could decide to fill the demand in Dover for a hospital. It becomes viable. Maybe a management buy-out of Buckland, perhaps a 'Peoples Hospital' or local GPs could decide to make a hospital provision. All this becomes much more possible. In fact I can see a move away from large centralised hospitals and back to more smaller local hospitals, some perhaps with specialisms with the speciaist equipment for that, other hospitals with other speicalisms feeding patients in as appropriate. So not every treatment at every hospital but much more could be done locally than now.