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    What Ross said is correct - there is one thing only important here and that is the delivery of top quality healthcare to everyone in the UK with the very best outcomes regardless of their wealth and income.

    What is totally unimportant is who delivers that healthcare. It does not matter at all if it is a charity or private company except in my personal experience private healthcare providers are far, far better and more efficient than the NHS.

    The NHS is an old out of date monolithic concept for healthcare delivery that has failed to match the outcomes of other systems.

    It must change. Yes Keith, I would get rid of it all-together and I would separate the providers of healthcare from those who fund it with the latter becoming insurance companies. And, yes - this can be done in a manner that applies the principals I set out in the first paragraph.

    Sadly though as long as a proper debate is stifled because politicians have to kow-tow to the NHS we will never solve the problem, so those who cannot afford private medical cover will have to put up with the second rate NHS, because however hard working and dedicated its employees are they work in a system that is not fit for purpose.

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