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Internal market-hospitals compete for GP moneys


1.             efficiency(GP send to cheap&good

2.             cheap


1.             Management increase cost

2.             closing hospitals wasteful

6.3%Patient waiting over 3m-up

Life expectancy OECD average, doctor/pop down, beds fall, patients treated up to 10m

Demographic time bomb-85+ increases

8%private(quick, better side  issue treatment

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