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)小店的價值，推出以生鮮O2O為嘗試的社區(qū)電商計劃，身邊小店成為一個個分布式的社區(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，這個像一張笑臉的專業(yè)名字又火了一把，總理政府工作報告里提及了它，做社區(qū)O2O的拉卡拉興奮地瘋狂刷屏朋友圈，做O2O媒體的哥們樂的屁顛屁顛的，好日子看來真的要到來了。在O2O大時代里,鋒速達喇叭式負壓風機得到了廣大客戶的一致好評，格局會是怎樣，業(yè)態(tài)贏家會是誰，微信支付和支付寶真能一統(tǒng)江湖么，拉卡拉的角色又會是怎樣呢？

　　昨日看到一個觀點說“如支付寶錢包、微信支付等移動支付市場份額巨大，在O2O大背景下，拉卡拉這樣過去深耕線下的支付企業(yè)可能會被邊緣化、甚至被殺死”，這樣的說法聽起來很嚇人，仿佛移動支付要統(tǒng)治世界、寸草不生，但是，這種觀點忽視了最重要的一個邏輯：移動支付只是O2O的支付界面之一，O2O本質(zhì)還是線下的服務場景，移動支付是為場景服務的界面和連接器，而不是O2O本身，就像過去支付寶、網(wǎng)銀、貨到付款等方式服務的是電商一樣。

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)上也是一種移動支付，POS機和智能終端都是可移動的支付工具，可刷卡購物、還信用卡、水煤電繳費等，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，移動支付正在火熱，拉卡拉也開始布局移動支付和社區(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.

來源：Bbc 更新時間：2016-03-12 10:29:24 分類：News

　　

　　話說電商一出來那會兒，也是各種質(zhì)疑聲，還燒錢不眨眼，當支付問題和物流快遞問題解決之后，大家開始愛上了電商，懶人經(jīng)濟也越來越登上大雅之堂。京東商城的更快更好配送能力讓懶人可以更放肆，所以，京東成功了，劉強東不信命，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.

　　移動支付不是O2O全部，本質(zhì)是場景界面

　　微信公眾號：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，勢必很多人會拿出BAT來嚇唬人，但是，O2O覆蓋到生活的方方面面，社區(qū)電商、上門美甲、上門洗車等等各個領域都在涌現(xiàn)出O2O式模式創(chuàng)新，可以說，生活有多大，O2O就有多大。當然，沒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，馬化騰也要按摩洗車，李彥宏也要找別人設計衣服,鋒速達車間負壓通風降溫設計得到了廣大客戶的一致好評，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.

　　阿里的強大主要是淘寶巨大的交易量 ，讓支付寶的價值得以展現(xiàn)出來并金融化，二者構建出了阿里帝國的根基。拉卡拉過去做線下傳統(tǒng)零售的移動終端支付起家，在自己所在領域也是第一，但是，拉卡拉沒法在線下建立一個淘寶，再建一個淘寶或京東也是難如登天。所以，拉卡拉無法與阿里比肩，但是，他們常年積累的線下傳統(tǒng)零售業(yè)客戶資源和場景占有也是阿里所無法攻破的，阿里在支付寶最鼎盛時期也沒法打敗拉卡拉，可見場景戰(zhàn)爭不是比誰財大氣粗，而是比場景消費習慣和便利度。

　　如今，O2O時代，上門做美甲、上門洗車、上門送菜，讓懶人可以更舒服一些，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的優(yōu)勢。懶人經(jīng)濟是這么強大，體驗越來越好，服務越來越便利，O2O模式通過互聯(lián)網(wǎng)和移動互聯(lián)網(wǎng)讓懶人和服務更加緊密實時連接，構成了實時經(jīng)濟模式（此提法是柳華芳同學首創(chuàng)，請幫我申請諾貝爾經(jīng)濟學獎，謝謝）。

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