British Health Care - NHS
By tractorboy
@tractorboy (62)
June 23, 2008 2:58pm CST
Which would you choose between these 2 possibilities:
1. NHS as it is today free at the point of use with all it's existing problems.
2. Independent health businesses that you have to pay for, but are reimbursed for using means testing, lower taxes and / or tax credits coupled maybe with voluntary or maybe even compulsory health insurance policies? And why?
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2 responses
@Wizzywig (7847)
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23 Jun 08
Difficult choice. I wouldn't like to see the whole NHS go the way that the dental service has with people having to resort to self-treatment because they can't afford to pay. I wonder if independant businesses would be more costly to the consumer? I think the health service, like education needs to reassess how the funding is spent and cut back on admin. A lot of the services are not run in the most cost-effective way and there is an incredible amount of waste. This seems to be particularly true of services which have been contracted out. When you make these things means tested, there is always seems to be a 'middle' group who end up worse off by virtue of the fact that they go to work. Sorry, this isn't really what you asked - I think I'd fall on the side of the NHS but it does need changes.(Are you actually in Suffolk or a long distance supporter BTW)
@tractorboy (62)
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23 Jun 08
Might not the dentist crisis be a symptom of the NHS mentality? I think that the main problem is that the NHS is an anachronism of post war collectivist thinking in the Soviet mould, and as a result, today everyone wants to keep the "free" service but no one wants to pay for it. Some commentators have hinted that in keeping with the tradition of British incompetence in the history of Nationalised industries, the NHS is up to 4 times as wasteful of funds compared to private buiness. If that were the case, people would jump at the chance for government to fund their payments to private enterprise, given that you could see whichever specialist you wanted, when you wanted, within reason. Only my opinion though.
BTW I am a Suffolk supporter.
@Wizzywig (7847)
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24 Jun 08
You're right of course that everyone wants 'free' services and (as with education) there are a lot of people who use it without ever contributing and others who contribute without getting anything back. I suppose we are so conditioned to pay taxes on everything that I couldn't envisage being able to afford paying for the service INSTEAD of the taxes. A lot of NHS stuff - like cleaning, catering, wages has been contracted out to private companies who are out for profit rather than improved standards. Too many penpushers and not enough bedpan emptiers!
(I was born in Colchester and it used to be a big day out to go shopping in Ipswich)
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@tractorboy (62)
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28 Jun 08
Thanks.
This adds something to the discussion, I think:
http://lpuk.blogspot.com/2008/06/nurses-for-reform.html
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@Citizen_Stuart (2016)
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25 Jun 08
This is a timely discussion for me. I've just finished doing a couple of days temporary work in the outpatients' contact centre at a hospital. The computer system that they use for booking appointments has been down since early last week, and they don't expect it to be fixed till next week. The staff there are writing down details of phone calls on forms which will be dealt with at some point - no-one seems to know when. And form letters are still being generated to inform people of upcoming appointments. In the case of appointments that are tomorrow or the day after, they've had to deliver the letters by taxi today to make sure they're received on time. I thinks something like two or three dozen letters were sent out today in this way, in at least four different taxis to different areas of Bury, Oldham and Manchester. Who can say what the cost to the taxpayer is?
The point is, I just don't see that happening in the private sector. If a hospital was run by the same people who owned it, they'd get the problem fixed as quickly as possible, because it would be their money at stake.
I think the NHS - along with the rest of the welfare state - was a tragic mistake, and we need to move to a system based on private medicine, insurance, co-operative health societies, charity etc. Of course getting from here to there is going to be a big, complex job.
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