This publication argues that the existing user charges reveal a system lacking all logic.
The cluster of systems perpetuates injustice, distorts medical priorities and hinders access to vital treatment. The Commission tries to bring greater coherence to the system, to help people on low incomes more effectively, to link charges to the value or benefit of the treatment or service, to encourage a preventative approach whenever possible, to better protect people with chronic conditions and to simplify the system exemptions.
Some of the proposals include removing automatic exemption from prescription charges for over 60s and pregnant women, making a greater number of dental treatments subject to private provision and full cost pricing and limiting help with the cost of travel to and from hospital on the basis of income.
