July marks the 75th anniversary of the National Health Service. It remains the British working class’s greatest gain – but only just. The NHS is more fragile today than any time since its foundation. JON DALE looks at the birth of the NHS and where it is heading.
Few now remember life before the NHS. Until 4 July 1948, every visit to a GP or hospital had to be paid for, unless covered by insurance or charity. Workers paid National Insurance but their dependents weren’t covered. Many families couldn’t afford private insurance, weren’t poor enough for ‘charity’, so suffered without health care.
A century earlier, Friedrich Engels described the terrible health of working-class families in his book The Condition of the Working Class in England (see Socialism Today No.248, May 2021). With crowding in insanitary slums, polluted air, and contaminated food and water, they died younger than before the industrial revolution. Cholera, typhus, smallpox and other epidemics regularly swept the country. Even wealthy capitalist families were not immune.
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