Soldato
- Joined
- 27 Mar 2013
- Posts
- 9,148
Just make nhs cover only applicable for those that have worked rather than the ones that live off the dole. There I said it I know it's not a popular view but it would save the country something.
The most obvious problems I have seen with the NHS have been the bits they've already privatised and outsourced, where they're meant to be simple, namely:You're confusing the way of paying for a health system with the organisations that deliver the care.
Other European countries have universal health care but different ways of paying. France for example has charges to see a GP, but if you're poor you can claim the money back. Most countries have some kind of mandatory health insurance system with provision for unemployed, students, kids, retired etc.
Then you have the organisations that deliver the care. In France for example, they have a mixture of state, non profit and for profit hospitals. However, there shouldn't be a difference in what you pay between state, non profit etc (with the exception of a few).
How would more private organisations involved help the UK? Well, it entirely depends on which organisations and how you use them. The private sector tends to be good at doing a few simple things lots of times really efficiently. It tends to be bad at complexity. The problem is that the NHS organisation may not be well set up to use the private sector in the right way. However, we can see from other countries that it can work.
Just make nhs cover only applicable for those that have worked rather than the ones that live off the dole. There I said it I know it's not a popular view but it would save the country something.
Just to critique your post though - certainly not impossible to see a GP - JOIN A DIFFERENT PRACTICE IF YOU ARE HAVING ISSUES. Any serious issues will get a same day review by the duty GP in any of my 8 local practices.
I think the Lord might suggest you'd misrepresented his priorities there and that his work is salvation not destruction. "Peace on earth and goodwill to all men", "I come to seek and save the lost" etc etc. Equally it does say the fool will get his rewards and the like so meh... I think the prophet Gump had it best. "Stupid is as stupid does" but is it right to effectively wish people dead? Also if this is followed "burden" can start to expand quite rapidly to a eugenics (etc) style model of anyone who is slightly impaired, inconvenient, or such like. It's a slippery slope.Covid was a squandered gift. Think of how many 100s of Thousands of burdens we could have had removed from society and the NHS.
Maybe the next pandemic they make will do the lords work.
This is the bigger issue. We've had a foreign rellie use the NHS -for a lengthy and complicated (and completely out of the blue emergency) treatment. They did get charged, but nowhere near what they'd get in the US. Their insurer paid out so fast they couldn't believe it wasn't more. On the one hand US prices are obscene, but the problem is the NHS is not geared up to a charging model where every pill, drip, nurse minute etc is logged and billed. Quite right too, but it does make charging when it's needed a lot harder to get right.Wouldn't need to do that if they started charging foreigners, but mainly health tourists, for using the NHS when they haven't paid a penny into the system.
ditto here, all the local ones now part of one big behemoth.What do you do when one NHS practice has been given a monopoly? All 6 practices in my area have merged into one so there is no option to change practice.
Why not just line them up and shoot them?Just make nhs cover only applicable for those that have worked rather than the ones that live off the dole. There I said it I know it's not a popular view but it would save the country something.
Why not just line them up and shoot them?
Even cheaper, you don't have to pay dole money?
Despite the tabloid rag headlines there are very people who don't want to work, most of those who "live off the dole" are doing so due to things like long term health problems.
Wouldn't need to do that if they started charging foreigners, but mainly health tourists, for using the NHS when they haven't paid a penny into the system. Think I mentioned the house in the next street to me a few years back, the one that had a constant stream of young, pregnant Romanian girls who come here to have their babies on the NHS, get all the free post-natal treatment and than scuttle off back home.
Many of the problems the NHS has is due to previous attempts to "streamline" things...
Much of the current "middle management" are there because they remove the need for clinicians to try and run things (which can help, if they understand the clinical reasons for doing it one way vs another), or because the government wants every thing run to a target and that target to be fully documented.
I suspect it also hasn't helped that to try and "reduce costs" in the past many of the things that the NHS used to do in house are now outsourced, often resulting in a nice profit for various party donors whilst the staff on the ground are doing more at lower rates of pay and worse conditions.
You sure they weren't already here i.e. not just the unfortunate victims of trafficking for seedy work? If it is that blatant you should report it for further investigation, particularly under the human slavery concerns - it will get more priority than NHS tourism.Wouldn't need to do that if they started charging foreigners, but mainly health tourists, for using the NHS when they haven't paid a penny into the system. Think I mentioned the house in the next street to me a few years back, the one that had a constant stream of young, pregnant Romanian girls who come here to have their babies on the NHS, get all the free post-natal treatment and than scuttle off back home.
The same thing basically happened here.ditto here, all the local ones now part of one big behemoth.
You sure they weren't already here i.e. not just the unfortunate victims of trafficking for seedy work? If it is that blatant you should report it for further investigation, particularly under the human slavery concerns - it will get more priority than NHS tourism.
Health tourism is a drop in the ocean compared to the total NHS budget. It does happen but there are far bigger issues.
An overworked NHS frontline staff without a system to log and bill accurately is not going to create one. If it was a private company it would be the manager in the firing line, and that is exactly what people have been saying isn't it? The deadwood in the bloated management structures? I can't comment on the NHS staffing structure but I think I'd include certain health ministers in that definition.When the NHS say health tourism is a drop in the ocean what they are really saying is we can't be arsed to do the billing or paperwork correctly That attitude in a private company would have people fired. If I go privately for medical treatment I would have my card charged before I left the premises, if not before I had the treatment. It's a lame and frankly shocking excuse typical of places using others' finances, in this case the tax payers.
When the NHS say health tourism is a drop in the ocean what they are really saying is we can't be arsed to do the billing or paperwork correctly That attitude in a private company would have people fired. If I go privately for medical treatment I would have my card charged before I left the premises, if not before I had the treatment. It's a lame and frankly shocking excuse typical of places using others' finances, in this case the tax payers.
The other example I've seen is people coming across with unborn babies with severe abnormalities, do you just leave the child to die?
or just bring back deathsquads and kill any rich people whos employees rely on universal credit top ups and partial housing benefit paymentsJust make nhs cover only applicable for those that have worked rather than the ones that live off the dole. There I said it I know it's not a popular view but it would save the country something.
It was aimed at people who take the ****, and don't contribute anything to society.