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In the UK we do need to spend more than we currently do if we are to expect a similar level of service to our European neighbours - we've dropped behind in per capita funding levels quite significantly since the Tories came to power, and at a time when demand has increased massively. No number of reorganisations will help, and the NHS has already been made a huge number of efficiency savings. There isn't really any more fat to cut away, but the Tories are demanding it any way, and everything is falling to pieces a bit as a consequence.
kimchi
My anecdotal 2p is the same - Dr. who also doesn't believe much more money is needed, just an unfeasibly large amount of reorganisation to remove staff and buerocracy.
From reading up on it I think the US would benefit from a move to a Swiss model. The problem is health care is now basically a fiscal stimulus akin to burrying jars of money.