The GPs act as gatekeepers for access to specialists, similar to the way American HMOs work. They are paid by the government’s primary care trusts in a variety of ways, including salaries, fee-for-service reimbursements, and capitation payments—that is, one payment to cover all the services their patients are likely to need for a given period of time. American doctors are paid under such arrangements as well. Each trust has its own budget and sets its own priorities within the framework established by the Department of Health.
The Brits can buy private supplementary insurance—to get a wider choice of specialists, for example—but most people don’t. Only about 12 percent of the population carries it, and private coverage accounts for only one percent of the country’s total health expenditures.
As the next few months wear on, special interests will no doubt spread more wrong information and attempt to vilify other countries’ health care. We’ll be on the lookout for such stuff. But honestly we hope that we don’t find it in the media. It really isn’t that hard to check out the facts.

Why is it that the intellectuals in the US have such a hard time overcoming the salesmen (read politicians, lobbyists, radio talk show hosts, etc.) working for the oversized insurance providers?
#1 Posted by Robert Duffy, CJR on Wed 5 Aug 2009 at 11:17 AM
Transfer proposal: you and your fellow writers at CJR get jobs writing and reporting on policy and politics for all major newspapers and TV stations. Current reporters whom you replace go to Columbia, learn how to research facts, and then replace you a year later.
We'd be a better-informed country for it.
#2 Posted by Chris, CJR on Wed 5 Aug 2009 at 03:15 PM
By assign homework you assume that the American media actually wants to learn. I expect them to get stoned instead and try to write something convincing on the bus on the way to school.
#3 Posted by MikeJ, CJR on Thu 6 Aug 2009 at 03:11 AM