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. 2002 Jan 19;324(7330):135–143. doi: 10.1136/bmj.324.7330.135

Table 1.

Comparison of costs in the NHS and Kaiser

Category NHS (2000/2001) Kaiser, California (2000)
Gross expenditures/revenue £58 500m $14 200m
Less capital depreciation  £1 000m    $557m
Less profit 0    $668m
Operating expenditures £57 500m $12 975m
Adjustment for differences in benefits and special circumstances:
 Dental  £1 190m     $10m
 Long term psychiatric care  £3 250m Not covered
 Special circumstances  £3 587m  $1 065m
 Supplementary private health insurance  £2 630m 0
Net expenditure after adjustments £52 103m $11 900m
Per capita expenditure (59.5 million people for NHS; 6.1 million people for Kaiser)  £876  $1951
 Conversion to dollars* $1402  $1951
 Adjustment for PPP (1.52) $2130  $1951
 Adjustment for age (decreases NHS costs by 12.2%) and socioeconomic group (decreases NHS costs 5%) $1764  $1951
Final adjusted per capita expenditure $1764  $1951

Sources: Lakin,9 Department of Health,10 Laing & Buisson,11 OANDA,12 World Bank,13 and unpublished data from Kaiser. 

*

Uses average exchange rate for the 1990s of 1.6. 

Purchasing power parity: rate of currency conversion that equalises purchasing power in health sector of different currencies.