Creating an effective and efficient healthcare system is not easy. What is interesting to me is that as we try to “socialize” medicine here, the Brits are trying to “privatize” medicine across the pond. I know Michael Moore liked to think that the NHS in England is free and no one pays for it but he is wrong. Britain is trying to trim spending by 80 billion pounds ($127 billion) by 2015 in a bid to cut the country’s deficit. I like what the British health minister is saying, which is that he wants to “cut bureaucracy, improve treatment and give doctors more control over health care management.” We should want that here. How to do it, however, is the $80 billion pound question.