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One of the main problems with competition (or marketisation) in health is the high level of information inequality between buyers and sellers. And this will not be resolved by having GPs "buying" on behalf of patients.

Pursuing the market is a distraction from the primary issue we all face - how to pay for healthcare whilst medical innovation drives the costs up and people live longer.

Lansley seems to have some kind of grip on the problem - it's just the solution which is evading him. This Bill is a terrible, wasteful distraction from resolving the underlying issues with healthcare in the 21st century.