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The current care system in England and Wales is "not fit to provide the kind of care we need and want", the commissioner of a report into an NHS overhaul has said.
Dame Kate Barker said: "We propose radical change, greater than any since 1948, that would bring immense benefit to people who fall between the cracks between means-tested social care and a free NHS.
"This includes people at the end of life and those with dementia or other conditions where too often there is a conflict about who pays at the expense of what people need."
Among the report's proposals were higher taxes for the richest, including those who are retired or of pension age, and increased national insurance contributions for those over 40.
The rich and middle-aged should be taxed more to pay for the NHS and social care, a new report suggests.
The report, by leading think-tank The King's Fund, said free TV licences for the over-75s and winter fuel payments should only be given to those most in need.
It also suggested that fewer people should be eligible for free prescriptions through the health service.
The expert panel concluded that health and social care funding in England should be brought together under one budget, with funds divided out by a single commissioner.
By 2025 they claim this would cost between 11 and 12 per cent of England's economic output - in line with many other countries around the world.