The English National Health Service (NHS) is under massive threat and this work challenges several myths relating to the issue, including that the NHS is broken and that it is not affordable. The authors review the policies of the Coalition and the Labour Party and suggest what can done to promote a healthy NHS. With a bevy of citations and evidence, the authors show that the private sector is not cheaper and provides an analysis on the effects of new structures and financial pathways relating to health care. This is a complete review of the efficiency of a state-sponsored health care system, making it an important addition to a subject that we all face.words : 101038