National Insurance and the NHS

I have private medical insurance. I would be perfectly happy if the NHS was reduced to A&E only, and NI was reduced accordingly to allow people to purchase private medical insurance policies of their own.

Basic A&E should stay NHS though.

What about all the intensive care units I don't think you will find a single bed in all the private hospitals as they could not afford to run them
 
You see, people don't understand it. You'd pay for your own insurance, which would be considerably less than NI.

No, it isn't. Standard insurance starts at ~$400 a month. And you have to pay an excess if you need treatment, and a fee for GP appointments.

And that's before you get into nitty-gritty of what the insurance actually covers you for and the quality of treatment you'll receive. Comprehensive insurance cost considerably more. If you lose your job or don't renew your insurance and get ill, kiss-good bye to everything you own.

And insurance companise have such a great reputation already. Whod you really trust then with your healthcare.

Healthcare is just expensive. Ours represents reasonable value for money imo.
 
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edit: misread.

Why?

sport injuries cost a fortune, and have no extra tax revenue.

Seems very irresponsible.

I'm pretty sure people playing sport has more benefits to the NHS, with a minority of injuries compared to the fact thatpeople who partake are generally healthier and don't require gastric bands or Heart surgery etc.


Why the hate for sports tefal, are you fat and annoyed your taxes pay for spots injuries ?
 
funny. where i work i see loads of patients being transferred from private hospitals cuz they dont have the equipment/capacity to deal with acutely ill patients
 
I'm pretty sure people playing sport has more benefits to the NHS, with a minority of injuries compared to the fact thatpeople who partake are generally healthier and don't require gastric bands or Heart surgery etc.


Why the hate for sports tefal, are you fat and annoyed your taxes pay for spots injuries ?

I wouldn't think it was a hate, more a lack of understanding. I think I saw him in the bodybuilding section picking up a few tips.
For the record I have had four serious sports injuries I wish were avoided but accidents being accidents.
 
No, it isn't. Standard insurance starts at ~$400 a month. And you have to pay an excess if you need treatment, and a fee for GP appointments.

And that's before you get into nitty-gritty of what the insurance actually covers you for and the quality of treatment you'll receive. Comprehensive insurance cost considerably more. If you lose your job or don't renew your insurance and get ill, kiss-good bye to everything you own.

And insurance companise have such a great reputation already. Whod you really trust then with your healthcare.

Healthcare is just expensive. Ours represents reasonable value for money imo.

Should going without saying Stretch really. You don't have to be a mathematical genius to work out that society paying for a health service directly is going to be cheaper than paying for the same thing through a profit making middleman.
 
Should going without saying Stretch really. You don't have to be a mathematical genius to work out that society paying for a health service directly is going to be cheaper than paying for the same thing through a profit making middleman.

It's not just one middleman though. There are quite a few in the chain.
 
Should going without saying Stretch really. You don't have to be a mathematical genius to work out that society paying for a health service directly is going to be cheaper than paying for the same thing through a profit making middleman.

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Was surprised to learn that the US govt actually spends more per capita than we do on healthcare without even providing universal coverage. The US govt spends $3700 per person, we spend $3200....

This is an area where complete privatisation doesn't necessarily lead to efficiency - rather the opposite - lots of independent providers, medic's who've turned into businessmen and demand the highest rates of any doctors in the world and a lot of beurocracy for each company involved in addition to multiple insurance providers and various govt agencies/schemes medicare etc... not to mention an increased strain on A&E or 'ER' from people without any coverage.

Its also problematic for people with serious long term illnesses - insurance policies vary and some will have limits - developing a condition that requires long term care over many years could be a bit of a lottery in the US even if you've got insurance.
 
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Was surprised to learn that the US govt actually spends more per capita than we do on healthcare without even providing universal coverage. The US govt spends $3700 per person, we spend $3200....

The us system dosen't make sense on any level. It's really quite shocking that a rational argument hasn't successfully managed to convince them to rethink.

A combination of a fanatical electorate and a massively powerful healthcare lobby.

I believe in a free market for almost everything. Healthcare is one of the few exceptions.
 
Also it is well known that as soon as an Insurance company receive a claim, they'll spend as much time as possible trying to find a way in which to not pay out. Just written off your car? Sorry sir those alloy wheels weren't OEM standard wheels which invalidates your claim (and no we won't pay back your premiums despite them being ultimately pointless either).

The world of health insurance is even worse, so it's all very well telling people they should be responsible and get insurance but even then there's a chance the insurance company will find some genetic disorder your great, great, great, great grandfather had which you never even knew about but which invalidates your insurance.
 
My 6 month old daughter has a dairy allergy which every GP we saw failed to diagnose (5 from around 13-15 visits in the space of a month), the only reason why it was finally diagnosed was because we irritated one GP enough that they decided to refer us to A&E to see a pediatrician in order for them to confirm it was just colic.

I would have paid £10 for each visit to the surgery as we would have no doubt been considered "timewasters", however if this happened to a family who couldn't afford to spend that amount of money in a month you'd end up with having to budget to see the GP!

I may support a nominal fee for a first time visit about a new condition/symptom when GPs are able to diagnose patients correctly and promptly, but until then the system is better off as it is.
 
Bit of a rant about this country.

I pay my NI, some silly amount of my wages per month taken before I even get a look at it.

This is mainly put into the NHS, which I've come up with a bit of a phrase for 'A pit that the working put their money into, involuntarily, and the unemployed take out of as and when they care to'

Take the woman opposite me, 3 kids, never worked a day in her life, smokes 20 a day in the house... Kids are ALWAYS ill, sore throats, chest infections, colds.
That family are in the hospital and doctors literally weekly, sucking the money out of that pit.

I can't help but think we need to be more like the americans, as much as people don't like it here in the UK (because they don't understand it) it is a VERY good idea.

I'm hoping someone with more knowledge on this could perhaps point towards a way of opting out of NI(if at all possible, I've no idea).

</rant>
Yawn, another 'OMG the unemployed.......' post. If you don't want to pay NI then move to America and see how much it actually costs you when your healthcare insurance provider refuses to cover you.

How do you know the woman opposite you has never worked a day in her life, did she tell you or are you just making assumptions because of her appearance?
 
private healthcare isn't all that.
having lived in switzerland when i was younger, i used to pay £60 a month (which was great).
now the bad points:
my excess was £500 (choosen by me to lower the monthly payment)
medication is not covered. i remember i had to fork out £60 quid for 6 tablets of antibiotics :(

also worst case, if you have an operation you HAVE to pay £10'000 yourself

great eh?

private healthcare only really works in rich (smaller) countries in which i do not include england. the average salary is way lower than other european countries, etc. So you kind of have to see the whole picture and not just NI/NHS.
 
[TW]Fox;23068577 said:
Which doesn't cover emergency surgery

I'm pretty sure the wording "private hospital treatment following an accident or emergency admission" implies it does.

As well as treatment for self inflicted injuries or dangerous hobbies.

In fact emergency treatment and treatment to relieve acute symptoms is virtually all the average man can afford anyway.
 
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I'm pretty sure people playing sport has more benefits to the NHS, with a minority of injuries compared to the fact thatpeople who partake are generally healthier and don't require gastric bands or Heart surgery etc.


Why the hate for sports tefal, are you fat and annoyed your taxes pay for spots injuries ?

Nope my pics in the BB thread if you want to check, but it's not hate it's just people saying "oh if it's because of those actions they should pay" then yea sports injuries and long term complications are a huge cost. You don't need to play foot ball to be healthy
 
I feel the same, I have private medical insurance yet I still pay for the free loaders, I should at least get a tax reduction as I pay the tax on my company benefit any way.

MW

private health doesnt cover a lot of things. break an arm and need casualty? have fun waiting for bupa...

i was in bupa at last company and it was good that when i need a specialist i can get one very quickly. but we still need the NHS. you dont have a private dr do you when you are ill. that dr is NHS paid.

i dnot want a system like the USA where poor people die or are badly treated.

i do get annoyed when we have medical tourists coming here for free treatment when we have to wait.

if the NHS was privatised it would be like energy now. massive price hikes in the name of choice and directors getting fat off our cash.

once its gone its gone. look how well energy and trains did after being privatised.

not to mention the 30 tory MPs who stand to make a fortune if the NHS dies. conflict of interest much?
 
Considering my dad lives in the states, his healthcare is $120 a month which is substantially lower than what I pay here.

Gets to see a doctor same day, no waiting list, no wait time at all it seems.


I'm not saying it's perfect, but people in the UK boast about 'free healthcare' which is actually very expensive healthcare, which isn't particularly great.

how much do his prescriptions cost? since NI helps fund cheap prescriptions.

my dad has parkinsons. his meds would cost him a fortune if they werent subsidised.
 
My 6 month old daughter has a dairy allergy which every GP we saw failed to diagnose (5 from around 13-15 visits in the space of a month), the only reason why it was finally diagnosed was because we irritated one GP enough that they decided to refer us to A&E to see a pediatrician in order for them to confirm it was just colic.

I would have paid £10 for each visit to the surgery as we would have no doubt been considered "timewasters", however if this happened to a family who couldn't afford to spend that amount of money in a month you'd end up with having to budget to see the GP!

I may support a nominal fee for a first time visit about a new condition/symptom when GPs are able to diagnose patients correctly and promptly, but until then the system is better off as it is.

you would have to pay £250 to see a private doctor. that would put many off. it certainly wouldnt be £10. hell i pay double that for a dental checkup with an NHS dentist. and £50 for a filling which takes 15 mins to do.
 
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