Abstract
In an Editorial (Jan 29, p 353),1 you express concern about the effects of the Health and Social Care Bill on the UK's National Health Service (NHS). In claiming that the introduction of financial considerations in clinical decision making (through so-called clinically led commissioning) might signal the end of the NHS, you take sides in the long-running debate about the costs and benefits of competition in health care.2,3 Although such debates about the pros and cons of market mechanisms mostly revolve around abstract arguments, our empirical study of the effects of market reforms introduced in the Netherlands in 2005 suggests a mixed picture.
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