Charles Barber
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 The British government and national health service are considering making a major investment in CBT. Lord Layard, a Labour peer and a former advisor to the prime minister, has proposed that the national health service invest £600 million to train and hire 10,000 CBT therapists, who would work in a network of 250 psychological centers across the country. Characterizing mental illness as "our biggest social problem," Lord Layard hopes that through his initiative a million people would be treated by CBT. |
Mark Sircus
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 National Health Service (UK) and in private practice. About 10% of her NHS patients suffer from Chronic Fatigue Syndrome (CFS) and approximately 70% in her private practice have it. Dr. Mayhill is a medical advisor to Action for ME, a national support organization in the United Kingdom for ME/CFS sufferers. She is also the Honorary Secretary of the British Society for Allergy Environmental and Nutritional Medicine.
Dr. Mayhill has written extensively about CFS over the years, covering all aspects of the disease from diagnosis to causal theories to treatments. |
Charles Barber
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| In late 2004, the National Institute for Health and Clinical Excellence (NICE) in Britain, which is charged with advising the national health service on best practices, issued a formal guide of Clinical Guidelines for Depression.33 The following were their recommendations, in order, for the treatment of mild and moderate depression:
1. Sleep and Anxiety Management
2. Watchful Waiting. A recommendation of further assessment in two weeks, recognizing that some mild depressions clear up without intervention.
3. Exercise. |
Roberta Bivins
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 The distinction—and the degree to which it depends on the trends towards the professionalization, regulation, and integration of heterodox medicine—is evident in a 1997 working document produced for the national health service in Scotland:
The word 'complementary' is preferred to the word 'alternative' since all systems of medicine have their parts to play in helping to maintain or restore health. It therefore follows that conventional clinicians and complementary practitioners should work together in harmony to achieve this aim... |
| Although the number of homeopathic doctors continued to fall, their institutions survived and were indeed included first by the 1911 National Insurance Act (which insured all working men, and paid approved institutions and practitioners for their care) and subsequently the national health service (NHS).
The integration, finally, of homeopathy into orthodox medicine, under the auspices of the NHS was not without controversy, pain, or its own particular ironies. |
Peter J. Whitehouse and Daniel George
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 National Health Service), Henry Brodaty (who is the former chairman of Alzheimer's Disease International), and Steve Rudin (former head of the Alzheimer's Society in Canada) have been actively involved in attempting to reimagine their organizations in light of the new reality we face. In Canada the Alzheimer's Society hands out shirts that read "The Story Is Changing." And across the world it certainly is. However, the attempt to improve upon the framework of the AD myth is not easy. |
Charles Barber
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| Lord Layard, a Labour peer and a former advisor to the prime minister, has proposed that the national health service invest £600 million to train and hire 10,000 CBT therapists, who would work in a network of 250 psychological centers across the country. Characterizing mental illness as "our biggest social problem," Lord Layard hopes that through his initiative a million people would be treated by CBT.43 Layard had the ear of Tony Blair, after the former prime minister became convinced of its medical, social, and economic benefits.44 CBT was even part of the Labour party platform in 2005. |
Mark Sircus
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| Sarah Mayhill, a British doctor working for the national health service says, "In fact it is partly this effect which is taken advantage of in the treatment of acute myocardial infarction or acute stroke. In both these conditions there is a local obstruction of blood supply. I use IV magnesium (2-5mls of 50%) as a bolus (i.e., dose) to treat both these conditions, often with dramatic effects.
With acute myocardial infarctions there is often immediate pain relief, as either the obstruction is relieved or good collateral circulation restored. Furthermore, magnesium is antiarrhythmic. |
Ray Moynihan and Alan Cassels
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 In the UK, the government's national health service has similar arrangements.52 Schemes like this that measure doctors' performance do have some benefits, says Heath, in terms of making sure they take heart disease seriously. But in her view they also act as strong incentives for the doctors to prescribe the quick fix—cholesterol-lowering drugs. The concern in such a system is that with so much focus on lowering the risks of the well, "the needs of the sick can get marginalized. |
Kelly Patricia O'Meara
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 In September 2005, the U.K.'s national health service along with the National Institute for Clinical Excellence (NICE) formulated guidelines that in effect told British physicians to stop prescribing mind-altering antidepressants to children younger than 18 and recommended exercise and diet as treatment in mild and moderate cases of depression. |
Jacky Law
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 Bindi alleged the Alleanza Nazionale's intention had been to destroy the Italian national health service so the private sector could move in.42
Whatever the truth of the allegations, Di Bella's position swiftly began to crumble once confronted with the rules of conventional medicine whereby like must be compared with like. In January 1998, Italian hospitals had been flooded with requests from cancer patients wanting to be included in the trials. By July, many had started to withdraw. |
Philip Yam
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 Plan to Halt Imports Worries Europe," The New York Times, July 17, 2001.
37 national health service (U.K.), Health Service Circular, August 13,1999; reviewed August 13, 2002.
38 Loredana Ingrosso etal., "Transmission of the 263K Scrapie Strain by the Dental Route," Journal of General Virology 80 (1999): 3043-3047. Toxicologists define a lethal dose (LD) as the dose needed to kill 50 percent of test animals (LD 50); it therefore corresponds to the median lethal dose. These researchers estimated gingival tissue to have 7. |
Dr. Michael Heinrich, Joanne Barnes, Simon Gibbons and Elizabeth M. Williamson
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 What is more, in the UK, with the national health service, these treatments were not only considered to be our due rights, but they were also free. As time progressed and millions of people received pharmaceutical drugs, it was realized that such therapies were not necessarily without risk. In fact, it became obvious that for all medicines there was invariably a benefit/risk profile. The barbiturates, for example, were replaced by newer drugs which were thought to be safer and without addictive properties. |
Katharine Greider
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 National Health Service is filled by imports from countries such as France and Spain, where drugs are cheaper. This saves the government over $130 million a year, according to London's Financial Times.
But here we run into another special feature of the drug industry: Only manufacturers, and not wholesalers or pharmacies, are permitted to bring medicines across the border for sale in the United States. Think of it this way: Not only are we charged sharply steeper prices in our town, we're also not allowed to bring home medicines purchased at the discount store in the next town over. |
| Interestingly, the British system for limiting drug spending by its national health service (NHS) doesn't address prices at all but enforces a public-health-oriented corporate efficiency by capping profits and strictly limiting the percentage of NHS revenue that drugmakers can funnel back into promotion.
Of course, the United States places no such restraints on drugmakers. |
Kelly Brownell and Katherine Battle Horgen
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 Offer Incentives for Physical Activity
The British national health service helps subsidize exercise costs. This occurs to a small extent in the United States, but mainly for exercise rehabilitation programs after someone has had a heart attack. The British system helps people pay for exercise as a means of prevention.
Whether through the government or insurance companies, providing more systematic incentives to be physically active might be a cost-effective means of reducing disease. |
Mike Adams, the Health Ranger
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 It's being called 'disease mongering' and the college explains that pharmaceutical companies are taking the national health service to the brink of collapse by hyping both these diseases and the assortment of prescription drugs used to treat their symptoms.
The diseases named by the college as being over-hyped include hypertension, osteoporosis, high cholesterol, anxiety and clinical depression. The college says that these diseases are inappropriately treated with drugs and that many of the physicians prescribing such drugs have financial ties with the pharmaceutical companies. |
E. Richard Brown
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 However, even a national health service would not necessarily end medicine's role of legitimizing corporate capitalist society. It would, if anything, enable these ideological functions to compete less with the needs of the marketplace. Without the access problems that remain in the present market system, the "healing ministration," as Gates called medicine, could bring individual-focused, technical perspectives and methods to the health problems of the entire population.
Health care, potentially, has a great deal to offer. |
| When the Labor party finally came to power after the Second World War, it nationalized the hospitals and the insurance system in the national health service Act.
In the United States the closest the working class came to threatening ruling powers was during the Progressive era when the Socialist party won significant election victories and its militant wing was gaining support for more revolutionary activity. |
| By contrast, prepaid group practices average 69 percent of their physicians in primary care and the British national health service includes 74 percent. This leaves the United States with only sixty primary care physicians per 100,000 population, far below the ratio of 133 such doctors per 100,000 persons recommended as necessary to provide adequate primary care.50
Since the turn of the century, the generalist and primary care have taken a back seat to specialized practice and sometimes even a career in medical research. |
| National health insurance is supported because it will further socialize the costs of medicine, but nationalizing medicine in a national health service is unacceptable to the powerful private market forces and therefore is ignored by health policy makers. Instead of overhauling the medical system, they put the burden of controlling costs on people who have been afflicted with disease by restricting their access to services and demanding that they improve their health by changing their behavior. |
| The Health Service Act, a bill sponsored by Representative Ronald Dellums, would create a national health service that would employ physicians and all other personnel on a salaried basis, take over the nation's hospitals, control the production of health workers in medical schools and other training programs, eliminate insurance companies from health care, and reduce the hierarchy of power among health workers by subordinating all policy to community-based boards. The Dellums bill would effectively transform the commodity production of medical care into noncommodity "social production. |
John D. Lantos, M.D.
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 That permanence, it seems to me, has nothing to do with science, nothing to do with technology, nothing to do with whether we work in fee-for-service solo practices, HMOs, the British national health service, or the Veterans Administration. It doesn't have much to do with tort reform, managed care, or "safe havens" from conflict-of-interest legislation. And, oddly enough, it doesn't even have much to do with whether what we do works or doesn't work. |
Bob LeBow, M.D., M.P.H.
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 Britain's national health service provided a daily home visit by a midwife for 10 days after the birth to check on mom and baby. She said that she "felt connected to a community, one that cared for its new babies and new mothers." With the birth of her last babies (twins) in New York City, she "was discharged within 48 hours and sent home to fend for [her] self."
David Burgess is a self-described American "right-winger" who works for The Herald Tribune in Paris. |
Jane M. Orient, M.D.
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 Congress responds as Parliament did after the inception of the national health service. Dr. Donal Sheehan, a British physician, stated that funds were grossly mismanaged, and that "having made the assumption that all doctors must be thieves, the state has had to pay for hosts of other thieves to watch 'em."3 We'll talk about the war on fraud and abuse later on.
To many, patchwork reform seems to be the only politically feasible course. That's because we are trapped by what Milton Friedman calls the "tyranny of the status quo. |
| Physicians and other medical personnel may be directly employed by the government or by the "plan," for example, by the VA or the British national health service or "Group Health of Yourtown." Or they may seem to be in private practice, even though all their payment comes from the government, as in Canada. This arrangement is called a monopsony, for a single buyer, compared with a monopoly, in which there is a single seller.
People might have second thoughts about putting an insurance company executive in charge of their auto repair shop. |
| There is no charade about a national health service (NHS) doctor being in private practice. (2) It wastes the least amount of money. It does waste a tremendous amount (for example, it pays for about 17 million ambulance rides per year for purposes such as picking up a prescription at a pharmacy),1 but it diverts the smallest proportion of the GNP to the socialized medical sector. (3) It permits private medicine. Some people call it "Fleet Street medicine" for the very rich. But private insurance is enjoyed by many others, too. |
Thomas Bartram
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 A range of communication aids are available under the national health service, England. Information. Motor Neurone Disease Association, PO Box 246, Northampton NN1 2PR, UK.
MOUNTAIN GRAPE. Oregon grape. Berberis aquifolium, Pursh. French: Berberis. Spanish: Berberis. Italian: Berberi. Parts used: root, rhizome.
Constituents: isoquinoline alkaloids (berberine, hydrastine, etc).
Action: cholagogue, hepatic, alterative, anti-diarrhoeal.
Uses: similar to those of Barberry (Barberry vulgaris). Dyspepsia. Blood impurities. Skin diseases: especially eczema, psoriasis. Preparations. Thrice daily. |
Dr. John Yiamouyiannis
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 I did screening in the schools five years ago and there were hardly any dental problems,"
And the January 25, 1980 issue of the New York Times reported: "The national health service Corps is preparing to send seven more dentists to New York City [New York City has been fluoridated since 1965], doubling the number it has in poor neighborhoods where there are overwhelming dental problems and not a single local dentist to deal with them." The article goes on to point out that dentists prefer "safer, more lucrative practices elsewhere. |
Thomas Bartram
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| Since Hahneman, homoeopathy has been the object of intense professional bitterness by its opponents but since the 1968 Medicines Act (UK) provision has been made for homoeopathic treatment on the "National Health Service". Conversion of medical opinion has been gradual and today many registered medical practitioners also use the therapy.
"It is the general theory that the process of dilution and succussion (a vigorous shaking by the hand or by a machine) "potentises" a remedy.
"To prepare. A remedy is first prepared in solution as a "mother tincture". |
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