I was glad to be invited to speak to this audience about the British National Health Service, in which I have been working during the last eight years. I shall not be describing it as a model we should copy here; nevertheless, there are some useful lessons to be learned from it. I must acknowledge that when I moved from Yale to Oxford in 1965 I did not quite realize that a professor in one of England's old universities would have to work in conformation with the guidelines of a huge nationalized industry, but indeed that is the case; and it soon showed me some sharp contrasts with the American way of doing things. I found myself having to take more interest in the problems of medical care from a national standpoint than I had ever done before.
The British System
Let me review briefly certain essential features