The Government ' s job is to consider lots of options for things . There ' s probably a document somewhere looking at what would happen if we became the 51 st state of the USA , and one where we withdraw from NATO , and one where we introduce a 90 % tax on earnings over 100 , 000 . Proposals don ' t always mean much especially when they come from a think tank specifically charged with thinking up longterm radical options . And if you want to see what the Tories were really planning for the NHS , you don ' t need to wait for secret plans to be released you can just read their manifesto , on which they were elected When resources are so tightly stretched it is folly to turn good money away from the NHS and to discourage people from doing more for themselves . We shall therefore allow paybeds to be provided where there is a demand for them end Labour ' s vendetta against the private health sector and restore tax relief on employeremployee medical insurance schemes . The Royal Commission on the Health Service is studying the financing of health care , and any examination of possible longer term changes for example greater reliance for NHS funding on the insurance pnnciple must await their report . They weren ' t exactly hiding their desire to bring in more private options , but that ' s a very very long way from planning to dismantle the welfare state .