Central taxation is the most efficient and cheapest, as well as the fairest, way to pay for health care.

Central taxation is the most efficient and cheapest, as well as the fairest, way to pay for healthcare.
 This in this day of love with  PPP, Crony Capitalism, Below poverty line only policies adopted by Successive  Indian  Central and  state governments have  put  the healthcare of  middle and  lower middle  class.

From  Guardian 
A clean bill for health

Allyson Pollock

 The idea of "top-up" fees for "superior" levels of service are transparent attempts to reintroduce unequal health care and should be anathema to us all. That pregnant women going into labour at the NHS Queen Charlotte's and Chelsea hospital in London should pay a top-up fee of £4,000 for NHS care to guarantee the presence of a named midwife and a superior birthing package will simply accelerate the cycle of deprivation that babies born to poor mothers will experience

As for the design of the delivery system, what is critical is the flow of resources through the system to ensure equity. Resource allocation must be on the basis of need and disbursed to geographic planning tiers with budgets for hospitals and community services, which require integrated service planning; the lines that Scotland and Wales are working towards would be good start. Integrated budgets and service integration are key. Without it, providers can cherry-pick profitable patients, treatments and services, to the neglect of others. Equity also needs good data and monitoring systems, on the basis of geographic populations and integrated service planning.

Finally there needs to be strong public accountability, both at the population level and at the level of the individual patients. Valuable mechanisms that were in place have been eroded or even abolished (for example the community health councils). There is room for important creative action here.

Market mechanisms must be abolished. These include purchaser-provider split, payment by results and practice-based commissioning. US studies show that transaction costs of operating a market in health care provision are in the order of 20-30% of annual income. These costs are the costs of operating a market. In England, the savings that would accrue would include the appallingly large portion of the NHS budget - estimated at not less than 15%, or some £12bn a year - that is currently spent simply on trying to operate the NHS as a market - on invoicing, accounting for and auditing the accounts of millions of individual patient treatments, on making and monitoring thousands of contracts, on management consultants and financial "rescue" teams from the private sector at £2,000+ per consultant per day, on marketing and advertising and on lawyers and communications, and so on and so on, as hundreds of competing NHS trusts each try to survive in the new marketplace.

If this does not happen, the NHS in England is destined to become no more than a logo attached to a group of corporate chains, while all the old health inequalities and fears return.