Michael Moore’s film hails the NHS and condemns US healthcare. But behind the scenes, writes Allyson Pollock, the UK government has already started adopting the American model of health provision.

Treasury claims that PFI offers value for money are based on data that is non-existent or false.

The exorbitant cost of PFI is now being cruelly exposed. The huge deficits run up by NHS trusts are part of a wider market-induced healthcare crisis: we must have a full-scale review.

A transfer market is now emerging in doctors, clinical services and even patients. As in football, there will be a premier league of foundation trusts lording it over the rest. And as in football, commercial interests will prevail over all others.