Inverse care law

The Inverse care law is the principle that the availability of good medical or social care tends to vary inversely with the need of the population served. Proposed by Julian Tudor Hart in 1971, the term has since been widely adopted.

The law states that: "The availability of good medical care tends to vary inversely with the need for it in the population served. This ... operates more completely where medical care is most exposed to market forces, and less so where such exposure is reduced." (Hart, 1971)

Inverse laws are of course commonplace, and essentially arise because of income inequalities. In most areas of life (politics of envy aside) most of us are reasonably happy with this state of affairs. The fact that the rich have more clothes than they strictly 'need' is not too great a cause for concern. But the fact that an inverse law applies to health care offends against most people's views about fairness — a view which forms the basis for the existence of the National Health Service.