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New Year, NHS rationing, should drunks be charged for admissions?

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  • tomstickland
    tomstickland Posts: 19,538 Forumite
    10,000 Posts Combo Breaker
    edited 31 December 2009 at 3:17PM
    Strikes me as a silly idea.
    The idea could be extended to anything where an error of judgement led to an incident.
    "You chose to use a step ladder when redecorating your front room. Here's your £500 bill."

    I can imagine all sorts of odd consequences of it.

    It also ignores all sorts of other things. I pay all my tax. I hardly use any of the services available. So I'm cheap most of the time. If I fall over on ice after a few beers, for one thing how can they show that I wouldn't have fallen over anyway, and, secondly I'm already in credit.
    Happy chappy
  • dopester
    dopester Posts: 4,890 Forumite
    vivatifosi wrote: »
    The Policy Exchange think-tank has proposed that drunks admitted to hospital this new year's eve with acute alcohol intoxication should be charged the NHS tariff for their entrance: £532. Alcohol related admissions are likely to cost £23m tonight and the total cost of alcohol misuse treatment by the NHS totals £2.7bn for the year. Hospital admissions have doubled in a decade.

    The scissors needs to be taken to both sides of the cost equation in my opinion. £532 per admission for acute alcohol intoxication!

    Deterrent + treatment costs down anyway. My brother, a teenager at the time, once went to hospital with acute alcohol intoxication and spent 3 nights in a hospital bed... I can see how that could add up to a bit of money - but mostly it was the bed / drip.

    I spent a few hours with a relative this year in A&E, who after quite a few drinks, thought it would be a great idea to try moving a heavy bookcase by themselves - but that was an X-ray and bandaging up.

    I'm convinced it could be done for less than £532. Maybe the NHS should requisition a suitable empty building near each hospital, fill it with beds, and make it for acute alcohol admissions... not staffed by high-trained nurses but those who have been given specific training in how to treat such conditions. Or take an empty building and turn it over to the private sector, who could say do it for £132 per admission.
    "Those admitted to hospital for less than 24 hours with acute alcohol intoxication should be charged the NHS tariff cost for their admission of 532 pounds." That amount would be reduced for those paying the costs of their own alcohol education and awareness course.
  • lostinrates
    lostinrates Posts: 55,283 Forumite
    I've been Money Tipped!
    StevieJ wrote: »
    Maybe we should charge people who want to have a baby or elective surgery :rolleyes:

    Actually, I do think that some elective surgery should be paid for...a have friends who have ''blagged'' ears being pinned back and breast enlargements, I dn't think they are of the same benefit to the well being of the nation as say, better treatment for dementia, or returns to the more extensve screening for cervical cancer.

    Babies...well I don't know: after all, for some people there was litle ''elective'' about falling pregnant...but I do think that as individuals we fail to acknowledge the value of the ''free servies'' we receive.

    Vaiva, I'm undecided as to your initial proposition. I don't think one can single out the ''undesirable'' optional behaviour from optional desiarbel behaviour as simply. After all the answer might be to be teetotal, or perhaps not, now we know that small amounts of drinking are in many ways beneficial for health. And the point about sports is good too...joggng, keep weight of and CV fitness, !!!!!!s joints, and one of my doctors assures me is contributory to female ''laughter'' incontinance :eek:. Mountain climbing...good for the soul, and fitness, and laudable....but costly when search and esue required (so sad about the avalanche deaths...but as well as sad, expensive for the recovery).
  • zygurat789
    zygurat789 Posts: 4,263 Forumite
    Part of the Furniture Combo Breaker
    Originally Posted by vivatifosi viewpost.gif
    The Policy Exchange think-tank has proposed that drunks admitted to hospital this new year's eve with acute alcohol intoxication should be charged the NHS tariff for their entrance: £532. Alcohol related admissions are likely to cost £23m tonight and the total cost of alcohol misuse treatment by the NHS totals £2.7bn for the year. Hospital admissions have doubled in a decade

    Do we know how much of this is for direct cost and how much for overheads?
    The only thing that is constant is change.
  • zygurat789
    zygurat789 Posts: 4,263 Forumite
    Part of the Furniture Combo Breaker
    Actually, I do think that some elective surgery should be paid for...a have friends who have ''blagged'' ears being pinned back and breast enlargements,

    Absolutely no way should elective surgery be free.
    Most breast enlargements are private aren't they?
    The only thing that is constant is change.
  • treliac
    treliac Posts: 4,524 Forumite
    zygurat789 wrote: »
    No one mentioned prescription charges. If you have a long term or permanent condition ie asthma then you may need several prescriptions, through no fault of your own, and this costs plenty whereas binge drinkers and heavy smokers get treated totally free for self-inflicted conditions. Can this be right, fair or equitable?

    If you need more than one prescription per month, it makes sense to consider a pre-payment scheme.

    Either 3 month Pre Pay which costs £28.25 or 12 month Pre Pay which costs £104.00.

    You can then budget for this and have no worries about how many scripts you need.
  • YES - in a word.

    Fair enough thats a high charge too.

    These drunks are sitting there expecting free treatment for their self-inflicted injuries - when there isnt enough "money in the pot" for genuine health problems - so without a doubt - charge them through the nose and then some. Personally - I'd hand them a bill for £1,000 on the spot and say "no pay = no get" - even if all they required was a few sticking plasters. They are also "blocking the way" for people with genuine health problems and causing them to have to wait unnecessarily for treatment. I wouldnt even "turn a hair" if they ended up sitting there literally dying right in front of me from their self-inflicted injuries - I would treat the person who came before them in the queue at Casualty (even if it was for a minor ailment - but one that they hadnt caused themselves) and take the view that the "drunk" had caused their own death - so why should I have any feelings about it? - and I wouldnt in all honesty.

    After all - if they carry on boozing for England/Scotland/Wales/ireland - then they will eventually have other health problems because of it and WE will be expected to pay out to bail them out by providing the healthcare they wouldnt need in the first place if they had lived a healthier/more responsible lifestyle.:mad:
  • lostinrates
    lostinrates Posts: 55,283 Forumite
    I've been Money Tipped!
    zygurat789 wrote: »
    Absolutely no way should elective surgery be free.
    Most breast enlargements are private aren't they?


    I know girls who I went to school with here in UK who felt their ''psychological need'' for breast enlargement was significant. Apparantly, and ridiculously, of your lack of confidence over your breast size stops you feeling able to have ''normal personal relationships'' you can be considered perhaps worthy of NHS money. There are a very, very small number of people who really would possibly need this. As a woman I think breasts of all sizes, bar injury or defect, are perfectly attractive, and if someone feels unable to have a relationship because of normal but small breasts is not breast surgery she needs!

    I would imagine far, far more are private though- thank heavens for some sense.

    Incidentaly, I also feel that to offer me fertiloty treatment on the NHS was wrong too: if a person has illhealth and infertility issues that could be hereditory, and there are children that need homes and have insufficent ones, I think my ''emotional'' wants are secondary.
  • zygurat789
    zygurat789 Posts: 4,263 Forumite
    Part of the Furniture Combo Breaker
    treliac wrote: »
    If you need more than one prescription per month, it makes sense to consider a pre-payment scheme.

    Either 3 month Pre Pay which costs £28.25 or 12 month Pre Pay which costs £104.00.

    You can then budget for this and have no worries about how many scripts you need.

    Why do the binge drinkers who bring it on themselves pay nothing when genuinely ill people have to pay at least £104pa.?
    The only thing that is constant is change.
  • zygurat789
    zygurat789 Posts: 4,263 Forumite
    Part of the Furniture Combo Breaker
    As a woman I think breasts of all sizes, bar injury or defect, are perfectly attractive,

    No I'm not going to go there:o
    The only thing that is constant is change.
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