We did not dream that this would be happening to health care industry in United Kingdom three decades back. It seems, Since its establishment in July, 1948, the aim of the NHS has been to offer a comprehensive service to improve health and prevent illness, available to all in England and Wales (and then extended throughout the UK), which is largely free of charge. Health care for all, for free, has been the common ethos and philosophy throughout the NHS. But in 60 years things changed, it has been forced to look for better ways to provide health care even in the countries like United kingdom and few others.The money barrier, of course is crucial in making decisions.Now, GPs will return to the market place and will decide what care they can afford to provide for their patients, and who will be the provider and insuring agent. There is fear that the emphasis will move from clinical need (GPs' forte) back to cost (not what GPs were trained to evaluate). The ethos will become that of the individual providers and insurers, and will differ accordingly throughout England, replacing the philosophy of a genuinely national health service. We in Andhrapradesh India, introduced a system to reach people known as "Aarogyasree" public(Govt) funded health insurance scheme, managed through the web (internet) approval of patient selection and procedures and release of money. I forsee that there is going to be a need for similar systems (with modifications) in the other countries also to reach the needy people. That means the robust medical insurance has come to the lime light in many parts of the world by force. We need to understand more about the Medical insurance and It should be a subject for study during undergraduate studies for Medical graduates.
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