This radical new book offers economic solutions based on direct financial incentives to the individual to care for themselves better, to save and invest in future funding, for a much broader funding base including the greater use of insurance, and to ask government to re-appraise the system urgently. It will be controversial, and will spark lively new debate, as well as serving as a student text for courses concerned with healthcare, and clinical practise.

This new book follows Professor Spiers' several successful previously published commentaries on the NHS and public policy, including Who Decides Who Decides? Enabling choice, equity, access, improved performance and patient guaranteed care, published by Radcliffe Medical Press.