you've got up until recently universal health care you have the n.h.s. which is the jewel of the post-war welfare state you could say. but is it true if you look at the economics of health care for a second if you're trying to deliver health care which means a lot of pills a lot of bandages a lot of scalpels a lot of stuff a lot of doctors is the best the government go out into the market and buy stuff on a wholesale basis and then deliver the savings to the health care user in other words. by breaking it up and by having all these competing special groups privatized groups by definition they're going to compete with each other and drive costs up i mean isn't the point of having government backed health care that it's cheaper so you know. speak on the little bit no absolutely you know and that was the original vision is a national system and you touched upon you know national procurement on the n.h.s. needs to a lot better but basically in h.s. isn't so much a monopoly it's what we call a monopsony it's you know it's it controls the buyer's market we shou

all of this will be kept under a new giant database called care and everyone's n.h.s. information will be included unless people choose to opt out via the family doctor now mental health illnesses yet serious diseases and even smoking and drinking habits will be made available to research years but also insurers and private medical companies and pharmaceutical companies now the n.h.s. has said that they do have measures in place to make sure that identities are kept private but i debate has been reignited between advocates of the benefits of such a database and campaigners we spoke with julia manning from twenty twenty health an independent think tank on the issue for the first time it would bring together. from the hospital sector from the community sector so that's what's really revolutionary about it we're concerned about. confidentiality being maintained concerned about public awareness we don't think people really know yet what's going on and also the accuracy of our records you might not mind a research or having access to your information to be able to inform c