Perhaps the most thorough piece of research on this issue was done in the 1960s by RAND in the US. Overall it found there was little impact on health outcomes from the introduction of charges for most people.

Does charging pay?

　　電商雖然沖擊了線下傳統(tǒng)零售業(yè)，但是，線下零售業(yè)依舊是零售業(yè)的核心部分，我們依舊要回到社區(qū)里生活，總不可能宅在家里做穴居動(dòng)物。在O2O大潮啟發(fā)下，拉卡拉重新發(fā)現(xiàn)了社區(qū)小店的價(jià)值，推出以生鮮O2O為嘗試的社區(qū)電商計(jì)劃，身邊小店成為一個(gè)個(gè)分布式的社區(qū)零售流量入口，并成為拉卡拉借助O2O模式殺入移動(dòng)電商的燎原星火。

If this was scrapped, alongside the exemptions for pregnant women and some children, the prescription charge could be reduced from the current level of ?8.05 to ?2.50 and an extra ?1bn would still be raised.

It is a question that has been asked several times in recent years. Research in 2013 by Reform, a centre-right think-tank, found a ?10 charge for GP consultations could raise ?1.2bn a year even with exemptions for age and income.

For example, the over 60s get free prescriptions, but have to pay for dentistry. It is one of the reasons why less than 10% of prescriptions are paid for.

There are an estimated 340m consultations each year - so the potential to raise money is obvious. Although with the move towards email and telephone consultations and the increasing use of practice nurses to deliver them, a flat fee might not work.

　　O2O，這個(gè)像一張笑臉的專(zhuān)業(yè)名字又火了一把，總理政府工作報(bào)告里提及了它，做社區(qū)O2O的拉卡拉興奮地瘋狂刷屏朋友圈，做O2O媒體的哥們樂(lè)的屁顛屁顛的，好日子看來(lái)真的要到來(lái)了。在O2O大時(shí)代里,鋒速達(dá)喇叭式負(fù)壓風(fēng)機(jī)得到了廣大客戶的一致好評(píng)，格局會(huì)是怎樣，業(yè)態(tài)贏家會(huì)是誰(shuí)，微信支付和支付寶真能一統(tǒng)江湖么，拉卡拉的角色又會(huì)是怎樣呢？

　　昨日看到一個(gè)觀點(diǎn)說(shuō)“如支付寶錢(qián)包、微信支付等移動(dòng)支付市場(chǎng)份額巨大，在O2O大背景下，拉卡拉這樣過(guò)去深耕線下的支付企業(yè)可能會(huì)被邊緣化、甚至被殺死”，這樣的說(shuō)法聽(tīng)起來(lái)很?chē)樔耍�仿佛移�?dòng)支付要統(tǒng)治世界、寸草不生，但是，這種觀點(diǎn)忽視了最重要的一個(gè)邏輯：移動(dòng)支付只是O2O的支付界面之一，O2O本質(zhì)還是線下的服務(wù)場(chǎng)景，移動(dòng)支付是為場(chǎng)景服務(wù)的界面和連接器，而不是O2O本身，就像過(guò)去支付寶、網(wǎng)銀、貨到付款等方式服務(wù)的是電商一樣。

This is why last year the Barker Commission, set up by the King's Fund to look at how the NHS and care system should be organised in the future, concluded introducing new charges "fail the criterion of equity" and, therefore, there was "little scope for introducing them".

　　拉卡拉的模式本質(zhì)上也是一種移動(dòng)支付，POS機(jī)和智能終端都是可移動(dòng)的支付工具，可刷卡購(gòu)物、還信用卡、水煤電繳費(fèi)等，拉卡拉正是依托此模式建立了區(qū)別于支付寶的線下零售支付解決方案，而此時(shí)，移動(dòng)支付正在火熱，拉卡拉也開(kāi)始布局移動(dòng)支付和社區(qū)電商，前者打通線下線上，后者釋放社區(qū)小店的入口價(jià)值。

But there was one exception: people on the lowest incomes, who are most likely to have the worst health in the first place.

來(lái)源：Bbc 更新時(shí)間：2016-03-12 10:29:24 分類(lèi)：News

　　

　　話說(shuō)電商一出來(lái)那會(huì)兒，也是各種質(zhì)疑聲，還燒錢(qián)不眨眼，當(dāng)支付問(wèn)題和物流快遞問(wèn)題解決之后，大家開(kāi)始愛(ài)上了電商，懶人經(jīng)濟(jì)也越來(lái)越登上大雅之堂。京東商城的更快更好配送能力讓?xiě)腥丝梢愿�放肆，所以，京東成功了，劉強(qiáng)東不信命，傻大黑粗地闖出一條B2C大路。

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It comes down to access. Those involved with the NHS are proud of the fact that in the UK cost is not considered a barrier to seeking health care - as these figures from the Commonwealth Fund show.

The issue was also discussed at British Medical Association and Royal College of Nursing conferences last year. Although at both the motions drawn up calling on more charging to be introduced were not passed.

　　移動(dòng)支付不是O2O全部，本質(zhì)是場(chǎng)景界面

　　微信公眾號(hào)：小芳  分享此文給你的朋友一起探討O2O

Charges for visiting A&E would generate less income unless they were set a a higher level as there are only just over 22m visits a year and introducing could prove problematic given the busy nature of departments.

In the early 1950s, the NHS was going through a tough period. Money was tight and demand was rising. So ministers came up with a radical plan - they introduced charges for dentistry, prescriptions and spectacles.

Another option that gets an airing from time-to-time are "hotel" charges for hospital stays. At anyone time there are about 120,000 beds occupied so a ?10 charge would raise ?450m a year or a ?50 charge, ?2.25bn.

　　一談及O2O，勢(shì)必很多人會(huì)拿出BAT來(lái)嚇唬人，但是，O2O覆蓋到生活的方方面面，社區(qū)電商、上門(mén)美甲、上門(mén)洗車(chē)等等各個(gè)領(lǐng)域都在涌現(xiàn)出O2O式模式創(chuàng)新，可以說(shuō)，生活有多大，O2O就有多大。當(dāng)然，沒(méi)有一家公司能壟斷人們的生活方方面面，馬云也要吃飯睡覺(jué)，馬化騰也要按摩洗車(chē)，李彥宏也要找別人設(shè)計(jì)衣服,鋒速達(dá)車(chē)間負(fù)壓通風(fēng)降溫設(shè)計(jì)得到了廣大客戶的一致好評(píng)，上帝創(chuàng)造了生物多樣性，自然有他老人家的道理。

If anything, the review said it might make more sense to reduce charges to increase revenues. Confused? One of the problems with the current system is the anomalies that exist in terms of exemptions for fees.

　　阿里的強(qiáng)大主要是淘寶巨大的交易量 ，讓支付寶的價(jià)值得以展現(xiàn)出來(lái)并金融化，二者構(gòu)建出了阿里帝國(guó)的根基。拉卡拉過(guò)去做線下傳統(tǒng)零售的移動(dòng)終端支付起家，在自己所在領(lǐng)域也是第一，但是，拉卡拉沒(méi)法在線下建立一個(gè)淘寶，再建一個(gè)淘寶或京東也是難如登天。所以，拉卡拉無(wú)法與阿里比肩，但是，他們常年積累的線下傳統(tǒng)零售業(yè)客戶資源和場(chǎng)景占有也是阿里所無(wú)法攻破的，阿里在支付寶最鼎盛時(shí)期也沒(méi)法打敗拉卡拉，可見(jiàn)場(chǎng)景戰(zhàn)爭(zhēng)不是比誰(shuí)財(cái)大氣粗，而是比場(chǎng)景消費(fèi)習(xí)慣和便利度。

　　如今，O2O時(shí)代，上門(mén)做美甲、上門(mén)洗車(chē)、上門(mén)送菜，讓?xiě)腥丝梢愿�舒服一些，而拉卡拉的社區(qū)電商也是利用了身邊小店可以五分鐘送貨上門(mén)的優(yōu)勢(shì)。懶人經(jīng)濟(jì)是這么強(qiáng)大，體驗(yàn)越來(lái)越好，服務(wù)越來(lái)越便利，O2O模式通過(guò)互聯(lián)網(wǎng)和移動(dòng)互聯(lián)網(wǎng)讓?xiě)腥撕头��?wù)更加緊密實(shí)時(shí)連接，構(gòu)成了實(shí)時(shí)經(jīng)濟(jì)模式（此提法是柳華芳同學(xué)首創(chuàng)，請(qǐng)幫我申請(qǐng)諾貝爾經(jīng)濟(jì)學(xué)獎(jiǎng)，謝謝）。

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