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Can the UK afford the NHS (in its current form)?
Comments
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And I will add that clearly PFI contracts were an expensive mistake, which were entered into for purely political reasons to manipulate the amount of government deficit which was shown (personally I would rather split government spending into current and capital anyway)
The Governments of the world that will be bankrupted by the promises they have made to the world and have already started default by, for example, raising the retirement age for those already in the system, set the accountancy rules that allow them to ignore accruing liabilities like future promises for healthcare and pensions being made today.
This is going to end up as an unholy mess unless the UK can keep the immigration merry-go-round spinning.0 -
The NHS is a government department that provides healthcare. The CQC is a government department that upholds standards. The PHSO is a government department that investigates complaints. The government decides which government departments have what powers over the government.
What could possibly go wrong?
On a point of order.
For one thing, there is more than one NHS. (NHS England is different body from NHS Wales etc.)
For another thing, both NHS England and the CQC are examples of an 'executive non-departmental public body. The PHSO would certainly be a public body, but it certainly is not a "government department".0 -
The NHS needs to be free from central control.
Local trusts, GPs and 3rd sector working together to provide for local health needs.0 -
The NHS needs to be free from central control.
Local trusts, GPs and 3rd sector working together to provide for local health needs.
It harks back to the original debate regarding the NHS. Everybody agreed that there should be a NHS, but the question remained how to do it. As it turned out, it was that man Bevan who had most to say on the subject, and he decided that as Minister of Health, all the hospitals would belong to him. I think that the original proposal in the 1944 White Paper, and one that other Labour politicians such as Morrison preferred, was that they would go to the local authorities.
In recent years it seems to me that a certain effort has been made to reverse Bevan's decision.0 -
The Governments of the world that will be bankrupted by the promises they have made to the world and have already started default by, for example, raising the retirement age for those already in the system, set the accountancy rules that allow them to ignore accruing liabilities like future promises for healthcare and pensions being made today.
This is going to end up as an unholy mess unless the UK can keep the immigration merry-go-round spinning.
shows a Cells like ability at simple arithmetic and a Cells like ignorance of economics.
The millions of immigrants that have come over the last 20 years will be a major part of the demographic inbalance in 25 years times0 -
The fact is that the huge developments in pharmaceutical technologies weren't discovered by public funding for the most part, they were discovered by people working with the profit motive to enrich both themselves and the people of the world.
Well quite a number have been public sector funded in the US.
http://www.nejm.org/doi/full/10.1056/NEJMsa1008268?viewType=Print&Few people are capable of expressing with equanimity opinions which differ from the prejudices of their social environment. Most people are incapable of forming such opinions.0 -
For the NHS to survive I think you have to predict the rising cost areas and then come up with plans to compensate.
The obvious is longevity. Keeping old people out of hospital is a key to supporting their health and the costs.
I find it amazing that we know more about the health of our cars than we do our bodies.
On-board monitoring chips of elderly people? Or is it too Orwellian?
How about annual medicals, with those that fail the fitness test and the dementia test being handed a cyanide pill.
Few people are capable of expressing with equanimity opinions which differ from the prejudices of their social environment. Most people are incapable of forming such opinions.0 -
vivatifosi wrote: »I would look at the Australian model... My Aussie family speak very highly of it and I agree with the co payment element. Also we should look to see what the likes of France Germany and the Scandinavians are up to.
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Does anyone know how the Australian system started? Presumably the need for personal healthcare insurance would be accompanied by a reduction in taxation? Was the system phased in?Few people are capable of expressing with equanimity opinions which differ from the prejudices of their social environment. Most people are incapable of forming such opinions.0 -
Read 'undercover economist' on the reasons behind USA shambolic health service and the economic issues with UK.
Also explores options such s the Singapore model.
All our Politicians are not brave enough to slay the sacred cow.Debt is a symptom, solve the problem.0
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