Will a market deliver quality and efficiency in health care better than central planning ever could? No

Markets or targets? That’s about as good as the choice gets for people working in the NHS. You—the doctor, nurse, secretary, cleaner, or manager—can’t be trusted to do your job properly without daily interference from the top or competition. There is no such thing as public service ethos, no calling, and no duty to the public to serve. There is certainly no ingenuity or ability to be innovative or make common sense decisions based on the evidence before your eyes, the experience you have gained, or the training you have gone through. Instead, you are either so stupid that you have to be …