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> Should Government run farms and give you food for free? The government do provide assistance for food for those in need, and they are right to. > Should gov

• phpisthebest 4y ago
  >>The government do provide assistance for food for those in need, and they are right to. This is always the comeback to that question. The US provides food assitance and Medical Care Assitance to low income people via many many many government programs, very expensive government programs That is NOT the same thing as NHS, which completely takes over and provides the care. Food Assistance gives people with out income money to go buy the resources on the open market. Medicade gives people with out income money to go by resorces on the very regulated US health system This is not an analog to NHS or other government run single payer health systems So again I ask, not about providing social safety net, but should the government completely take over farming and housing like the NHS and other government provided programs do for health services >>This includes things like providing education, healthcare, road and rail infrastructure among other things you probably wouldn't like Correct, Government is incompetence personified. The incentives for government programs do not include providing quality services at the most value. Driving on my roads, going to the government schools I went to, and seeing first hand what "government housing" is has cemented the fact that government provides poor quality services at extremely high costs >>However some of the happiest, healthiest and best-educated countries operate pretty close to my ideal. That is very debatable, and not really supported by hard data
  • smcl 4y ago
    Ok fine I didn't realise you were trying to lay a couple of little heffalump traps, so instead I just answered what I thought made sense. The given analogies are clumsy and don't really fit ("run farms" is silly - the NHS doesn't produce all of the things involved in the provision of healthcare - medicines and such) but I will humour you and answer in the context of the UK: > Should Government run farms and give you food for free? Probably not, the existing system works ok enough. They can maybe help the poor a bit more so they're not dependent on food banks (free school lunches was a recent controversy that shouldn't have been) > Should government build homes and issue them to people? I answered and you didn't like this but - yes and they should build more. I'll give you a little bonus and answer what you wanted to ask - "Should the government be the sole central authority providing housing?". Probably not, the housing market works ok enough in general. However they can maybe help the poor a bit more by building more council housing, not doing so is has directly contributed to making housing unaffordable for many. And to bring us back to the original topic: > Should the government have setup a national healthcare system back in 1948? Yes - in the wake of WW2 there was no existing, competitive alternative that served the needs of providing quality, affordable healthcare to the populace. The NHS went on to deliver and then some. Plus with ~70 years of hindsight we see that in spite of a decade+ of brutal austerity, the NHS still costs less and delivers better outcomes than privatised systems like the USA has. It was the right thing to do, it is the right thing to do. Also you seem to think they’ve shut out private providers altogether. This isn’t true, private healthcare exists if you want quicker access to some elective or non-urgent procedures or treatments. Re your final point - this is very interesting. I'd like to know what countries you think I'm talking about, and if your libertarian (I think I'm right in saying this?), small government setup is anywhere close to implemented somewher right now or if it's purely theoretical/fantasy.
  • DanBC 4y ago
    > That is NOT the same thing as NHS, which completely takes over and provides the care. There's loads of reasons to dislike NHS care and it's genuinely weird that people who are so against the NHS never manage to hit on something real, and instead resort to stuff that's simply fiction. NHS England spends billions commissioning care from private providers. That's why we have Priory Group, Cygnet, Operose, etc etc all providing care. (And in the case of cygnet and priory, often poor quality care). And patients have a right to chose where to get their care - that's what chose and book is. People who don't understand the NHS think it's a single organisation -which is what you've done here- and that's not correct. Patients have a choice of where they get elective care. NHS England commissions specialist services, and 42 ICSs commission the bulk of regular services. They're not allowed by law to have a preference for NHS providers, so if a private provider can do it for the money they should put a bid in. That commissioned care is provided by about 200 - 220 NHS trusts. NHS Trusts include ambo services, acute hospitals, community hospitals, mental health care, and community care. These NHS trusts are independent organisations that have their own boards of directors and their own accounts and they can compete against each other to provide services to particular regions. This does not include primary care which is provided by GP surgeries.