TY - BOOK AU - Hart,Julian Tudor TI - The Political economy of health care: where the NHS came from and where it could lead SN - 9781847427830 U1 - 362.10941 PY - 2010/// CY - Bristol PB - Polity Press KW - Great Britain. National Health Service KW - Medical economics KW - Great Britain KW - National health services N1 - Drawing on clinical experience dating from the birth of the NHS in 1948, Julian Tudor Hart, a politically active GP in a Welsh coal mining community, charts the progress of the NHS from its 19th century origins in workers' mutual aid societies, to its current forced return to the market. His starting point is a detailed analysis of how clinical decisions are made. He explores the changing social relationships in the NHS as a gift economy, how these may be affected by reducing care to commodity status, and the new directions they might take if the NHS resumed progress independently from the market. This new edition of this bestselling book has been entirely rewritten with two new chapters, and includes new material on resistance to that world-wide process ER -