As críticas à forma como são geridos os Sistemas de Saúde, em Portugal e na Grã-Bretanha, parece que são idênticas. Os "louros" das respectivas conquistas também são idênticos.
And in May the British Medical Association called for an end to "constant political dabbling" in the NHS, and the establishment of a board of governors and executive management board to run the NHS.
But in a speech about the future of the health service, Mrs Hewitt told the London School of Economics: "The NHS is four times the size of the Cuban economy and more centralised.
"That is part of its problem, and the problem can't be solved by proposing that a modern health service be run like a 1960s nationalised industry."
She said a free, comprehensive NHS was "under attack" - pointing to recent comments from Doctors for Reform and the BMA.
As Reformas, sejam elas quais forem, são sempre objecto de críticas, dos vários interesses instalados, e dos que são naturalmente prejudicados.
Contudo, a Reforma é o único caminho, para que a saúde se mantenha saudável, isto é, para que o acesso à saúde seja possível e adequado.
Vejamos este remate contundente da Ministra Patricia Hewitt: But she added that NHS structures of the 1940s and 1960s were not right for the NHS now, and needed to be more "patient led", financially disciplined, well regulated with a "plurality of providers". Completamente de acordo, Dra. Hewitt.
No entanto, há vozes discordantes, embora, na nossa opinião, com pouca visão: They said that increased pressure on beds and waiting times meant more patients were being forced home early, when they had not properly recovered.
É que, para ter as pessoas mais tempo nos hospitais, é preciso mais dinheiro, e esse vem do bolso de todos os contribuintes. E estes não querem pagar mais impostos.