The National Health Service What should be its prime directive: clinical need or corporate profit - transplants for terminally ill children or face-lifts for the ageing wealthy?

When what remains of the publicly-owned NHS becomes simply a public buying brokerage for privately supplied medical services, which of the private suppliers is going to provide vital life-saving but low-demand low-profitability operations when they could stick to high-demand fast-turnover high profitability cosmetics?

Who, of the greed-driven elite share-owning population, would want to invest in such a business? Such vital low-profitability operations will simply become unobtainable: there is no commercial motive for providing them at all.

In my opinion the prime motive of the NHS should be to provide what each individual has been clinically diagnosed to need: not what yields the highest return on investment to the share holders of medical service businesses.