Mutualism and health care, newly available in paperback, presents
the first comprehensive account of a major innovation in hospital
funding before the NHS. The voluntary hospitals, which provided the
bulk of Britain's acute hospital services, diversified their
financial base by establishing hospital contributory schemes.
Through these, working people subscribed small, regular amounts to
their local hospitals, in return for which they were eligible for
free hospital care. The book evaluates the extent to which the
schemes were successful in achieving comprehensive coverage of the
population, funding hospital services, and broadening opportunities
for participation in the governance of health care and for the
expression of consumer views. It then explores why the option of
funding the post-war NHS through mass contribution was rejected,
and traces the transformation of the surviving schemes into health
cash plans. This is a substantial investigation into the
attractions and limitations of mutualism in health care. It is
highly relevant to debates about organisational innovations in the
delivery of welfare services. -- .
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