LOL the rail system is not privatisations best moment but look at the person service, a better example. It is still 'owned' by the gov't but the responsibility to run them has been in certain person, contracted to companies, like serco for eg.
im not calling for privatisation of the health system, rather a gov't owned health system, contracted to private firms, whereby performance is linked with pay.
As in the civil service this does not happen and look what we get (you can say the same of course of fully privatised institutions - but thats why i advocate a mixture.)
this seems a straight forward solution but in practice i suspect not quite so simple...
it does, and i too wonder why is it not so simple, what are the barriers?