Sadly, current NHS reforms mean that it is increasingly necessary that they can do so - broadly speaking, the healthcare system is being significantly decentral

Sadly, current NHS reforms mean that it is increasingly necessary that they can do so - broadly speaking, the healthcare system is being significantly decentralised, and much more commissioning power is being put in their hands. And, of course, you already have this situation in the USA, no? How does your doctor decide which treatments they ought to prescribe for you? How does your doctor decide which screens are useful, which are not?