This book is available as an open access ebook under a CC-BY-NC-ND
licence. At a time when payment is claiming a greater place than
ever before within the NHS, this book provides the first in-depth
investigation of the workings, scale and meaning of payment in
British hospitals before the NHS. There were only three decades in
British history when it was the norm for patients to pay the
hospital; those between the end of the First World War and the
establishment of the National Health Service in 1948. Payment
played an important part in redefining rather than abandoning
medical philanthropy, based on class divisions and the notion of
financial contribution as a civic duty. With new insights on the
scope of private medicine and the workings of the means test in the
hospital, as well as the civic, consumer and charitable meanings
associated with paying the hospital, Gosling offers a fresh
perspective on healthcare before the NHS and welfare before the
welfare state. -- .
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