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Many in government might not want to admit it, but there is a real and important difference between those who are ideologically opposed to NHI and those who wish some form of NHI to succeed, but have valid concerns with the current plans.

The 2019 version of the NHI Bill introduces an Office for Health Products Procurement that will facilitate the purchasing of health products, including medicine, medical devices and equipment for both public and private healthcare facilities.

In other words, private hospitals in need of new X-ray machines will procure through this entity, rather than through their own procurement processes.

Here a distinction can be made between those who say that the state cannot possibly implement NHI and therefore shouldn’t even try, and those who have concerns about the state’s ability to implement, but who believe it may nevertheless be worth trying.

One variation of these two positions might be that implementation should happen, but more slowly and more carefully than currently planned.

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This arrangement might well make it more difficult for healthcare under NHI to be adaptable to local needs.

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