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The world's largest health-research study is under way in Britain - The Economist   

Volunteer number one rolled up his sleeve on July 12th last year. Volunteer two put out an arm to give blood the same day. Volunteer 100 stepped onto the scales on August 3rd. A tape measure was slipped around the waist of volunteer 1,000 on September 30th. Then things sped up: volunteer 100,000 gave blood this March. The roll is now growing so fast—by thousands every day—that putting a precise number in print is pointless: by the time you read this it will be out of date. By the end of this year this research study—called Our Future Health—will be Britain’s largest of its kind. By the end of next year, the world’s.

The NHS has two main problems. The first is that it works badly. The second is that it works well. Its failings—waiting lists, queuing ambulances, costs invariably labelled “spiralling”—are well known. Its successes are harder to see—but are there in those same lists, queues and costs. For all exist, in part, because the NHS is keeping many alive who would, without it, be dead. But not being dead is not the same as being healthily alive: an average Briton may reach only 60 or so in good fettle (see chart). As Raghib Ali, the chief medical officer of Our Future Health (and its volunteer number one), says: “What we have…is not really a National Health Service but a national sickness service.”

It was never meant to be like this. When in 1943 Winston Churchill promised Britain a health service “from the cradle to the grave” no one dreamt that Britons would spend so long with one foot in that grave, or cost so much as they stood there. On the contrary: it was thought that the NHS would get cheaper over time as Britons—laid in their cradles by NHS midwives, fortified by NHS vaccinations—would gaze through their newly issued NHS spectacles to a bright, healthy future. The NHS’s very existence, wrote William Beveridge, its architect, would lead to “a reduction in the number of cases requiring it”. It was, one politician later said, “a miscalculation of sublime dimensions”.

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