NICE was founded to reduce that postcode lottery by creating a base set of what is nationally achievable. Over time, that set grows. It's grossly unfair to mi

NICE was founded to reduce that postcode lottery by creating a base set of what is nationally achievable. Over time, that set grows. It's grossly unfair to misrepresent it as some kind of net-negative body, or to suggest that doctors won't treat a patient. Indeed one of the effects is to encourage research into more affordable treatments. This is in antithesis to the US system where, for example, the drug companies are incentivized to R&D long-term treatments for symptoms, not cures for diseases. I like the incentives that NICE creates instead. Over time, it's a strong net national benefit. The failure to include such a mechanism in the ACA seems more to do with US politics than any intrinsic characteristic of single-payer systems. The NHS has apparently been under-funded for decades, far too long a period to call it a "crisis". I would maintain it is simply grossly inefficient at spending the money it does receive, due to horrible management. Again, this is not an intrinsic characteristic of such systems.