British and American health policy: Recent lessons from one system to the other

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Abstract
Arguably, US and British health‐care policies have shown some convergence in recent years, despite vast differences in the two health‐care systems. In part, this reflects the incentives common to all systems which must be mobilized to improve efficiency and effectiveness; in part, this reflects the (two‐way) trans‐Atlantic ‘trendiness’ of ideas. This article seeks to examine the main context of policy affecting the two health‐care systems, the means now used to achieve the systems' goals, and the validity of claims of convergence. The focus is conceptual, although a significant aim is to assess recent policies in a comparative framework.

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