2 ms·

I don't love the NHS. I think it has shown what happens when you combine the potentially endless expense of healthcare with the beauraucracy of government. How

by ppf 5y ago

I don't love the NHS. I think it has shown what happens when you combine the potentially endless expense of healthcare with the beauraucracy of government. How many other countries justified their Covid lockdowns with statements like "we need to protect our healthcare service"?? Our healthcare service is to protect us. I live in Wales, where the Labour party has been in power at all levels of government for decades, and the Welsh NHS is practically non-functional. Personally, I think an ordered transition to something like every other European country has (a mix of very basic public healthcare and various levels of private healthcare) is the best way forwards.

asplake 5y ago
The need to avoid overloading the system exists regardless of whether it’s public, private, or a mixture of the two. Just look at New York and India for examples from very different cultures and political systems. Edit: not to mention Italy’s early example also
eigenket 5y ago
Would you be surprised to learn that the NHS is cheaper (both in terms of cost per person treated and as a proportion of GDP) than the healthcare systems of France, Germany, Belgium, the Netherlands, Norway, Sweden, Japan? Its also way, way cheaper than what they have in the USA but I guess that isn't surprising. Basically every comparable country has a more expensive healthcare system than the NHS. The NHS is incredibly efficient (or systematically underfunded, take your pick). https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/healthcaresystem/articles/howdoesukhealthcarespendingcomparewithothercountries/2019-08-29#how-does-health-spending-as-a-share-of-gdp-in-the-uk-compare-with-other-g7-countries https://www.ons.gov.uk/peoplepopulationandcommunity/healthan...
- ppf 5y ago
  Yes, and it shows. Anything other than critical or emergency care is of a distinctly lower grade. I thought it would be a fun idea to do "healthcare tourism", where I fly in people from other countries to experience nationalised healthcare. US citizens in particular would be horrified.
  - eigenket 5y ago
    It sounds like you should be voting for parties that want to put more funding into the NHS then, right? Its both way cheaper than its "competition" (healthcare in other countries) and apparently lower grade than you want? To me it sounds like there is a super simple answer to that - don't vote tory.
    - ppf 5y ago
      The NHS is a money pit, with endless layers of middle managers and expensive consultants leeching off the system. I don't think that pouring more money into it will fix anything. I think it currently offers terrible value for money, when you take into account the general quality of healthcare you receive at all stages of your life. Do you have a niggling pain, sports injury, or condition that turns you from a fit active person into someone who can only perform average daily tasks? Tough, you have to wait until it's a real problem. https://www.telegraph.co.uk/news/2019/10/28/nhs-manager-allowed-work-marbella-rates-2000-day/ https://www.telegraph.co.uk/news/2019/10/28/nhs-manager-allo... Edit: and to your "don't vote Tory" point - as I've already said, I live in a place (Wales) where the Labour party has controlled the Welsh NHS for decades, and we enjoy about the worst healthcare in Europe.
      - eigenket 5y ago
        The NHS provides very comparable treatment to France and Germany in my experience, given that it is cheaper than both do you have any evidence to back up your claim that it is worse value for money? I have also lived in Poland for a time, believe me if you think Wales is close to the worst healthcare in Europe you are blinded by your privilege. I think you and I are used to different standards of evidence. I provided you the statistics showing you that the NHS is cheaper than any G7 country except Italy (which has substantially worse outcomes) you provide me with one guy living in Marabella. You see how I find the first more convincing? Edit: to address your last point, the government in Wales is pretty much a function of the money they get from Westminster.
        5y ago

by ppf 5y ago

asplake 5y ago

The need to avoid overloading the system exists regardless of whether it’s public, private, or a mixture of the two. Just look at New York and India for examples from very different cultures and political systems. Edit: not to mention Italy’s early example also

eigenket 5y ago

Would you be surprised to learn that the NHS is cheaper (both in terms of cost per person treated and as a proportion of GDP) than the healthcare systems of France, Germany, Belgium, the Netherlands, Norway, Sweden, Japan? Its also way, way cheaper than what they have in the USA but I guess that isn't surprising. Basically every comparable country has a more expensive healthcare system than the NHS. The NHS is incredibly efficient (or systematically underfunded, take your pick). https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/healthcaresystem/articles/howdoesukhealthcarespendingcomparewithothercountries/2019-08-29#how-does-health-spending-as-a-share-of-gdp-in-the-uk-compare-with-other-g7-countries https://www.ons.gov.uk/peoplepopulationandcommunity/healthan...

ppf 5y ago
Yes, and it shows. Anything other than critical or emergency care is of a distinctly lower grade. I thought it would be a fun idea to do "healthcare tourism", where I fly in people from other countries to experience nationalised healthcare. US citizens in particular would be horrified.
- eigenket 5y ago
  It sounds like you should be voting for parties that want to put more funding into the NHS then, right? Its both way cheaper than its "competition" (healthcare in other countries) and apparently lower grade than you want? To me it sounds like there is a super simple answer to that - don't vote tory.
  - ppf 5y ago
    The NHS is a money pit, with endless layers of middle managers and expensive consultants leeching off the system. I don't think that pouring more money into it will fix anything. I think it currently offers terrible value for money, when you take into account the general quality of healthcare you receive at all stages of your life. Do you have a niggling pain, sports injury, or condition that turns you from a fit active person into someone who can only perform average daily tasks? Tough, you have to wait until it's a real problem. https://www.telegraph.co.uk/news/2019/10/28/nhs-manager-allowed-work-marbella-rates-2000-day/ https://www.telegraph.co.uk/news/2019/10/28/nhs-manager-allo... Edit: and to your "don't vote Tory" point - as I've already said, I live in a place (Wales) where the Labour party has controlled the Welsh NHS for decades, and we enjoy about the worst healthcare in Europe.
    - eigenket 5y ago
      The NHS provides very comparable treatment to France and Germany in my experience, given that it is cheaper than both do you have any evidence to back up your claim that it is worse value for money? I have also lived in Poland for a time, believe me if you think Wales is close to the worst healthcare in Europe you are blinded by your privilege. I think you and I are used to different standards of evidence. I provided you the statistics showing you that the NHS is cheaper than any G7 country except Italy (which has substantially worse outcomes) you provide me with one guy living in Marabella. You see how I find the first more convincing? Edit: to address your last point, the government in Wales is pretty much a function of the money they get from Westminster.
      - 5y ago