The fact Americans rejected Obama's "NHS" like system is just illogical to most people around the world.
The UK's NHS is still one of the best in the world and actually costs the government LESS per head than in the US. Even though the treatment is free for the patient...
The fact Americans rejected Obama's "NHS" like system is just illogical to most people around the world.
The UK's NHS is still one of the best in the world and actually costs the government LESS per head than in the US. Even though the treatment is free for the patient...
So the latest report from the IFS and Health Foundation are saying that the NHS needs a 4% budget increase every year for the next 15 years to save the service from falling into further misery - this equates to an extra £2,000 tax per household!
The number crunchers have calculated that would require an extra 3p on Tax, NI & VAT by 2033
Will it actually help though? Throwing money at the problem hasn't seemed to work so far. And by 2033, it feels like X% of its budget will go to private companies because they didn't get a bid
Will it actually help though? Throwing money at the problem hasn't seemed to work so far. And by 2033, it feels like X% of its budget will go to private companies because they didn't get a bid
If we went private, the costs to people would be huge and we already suffer immensely from a terrible social structure currently as is, having even less money or foregoing medical insurance entirely will just make people even less happy.
It'll look good on the states coffer... for a short period, then you'll realise it was ******* stupid, then you start paying an immense amount anyway like the Americans do into Medicaid/care and have a deficit so huge, it beggars belief.
Will it actually help though? Throwing money at the problem hasn't seemed to work so far. And by 2033, it feels like X% of its budget will go to private companies because they didn't get a bid
The NHS is just sliding into ruin. Hospital closures, centralisation of services putting fringe areas at risk. Unless you start expanding and building new hospitals there will be huge holes in provision.
Just looking at where I work children’s acute medical services are being cut right left and centre. Boston is about to lose its service, Huntingdon is looking ropey, rumours of either Northampton or Kettering getting the axe. It’s quite worrying as a parent in the area when the nearest hospital is almost an hour away and there’s no ambulances available because they’re all parked up with patients in outside full A&Es.
My hospital has been heaving to the seams the last few days and it’s >20 degrees and sunny. The winter will be “interesting”.
The NHS is just sliding into ruin. Hospital closures, centralisation of services putting fringe areas at risk. Unless you start expanding and building new hospitals there will be huge holes in provision.
Just looking at where I work children’s acute medical services are being cut right left and centre. Boston is about to lose its service, Huntingdon is looking ropey, rumours of either Northampton or Kettering getting the axe. It’s quite worrying as a parent in the area when the nearest hospital is almost an hour away and there’s no ambulances available because they’re all parked up with patients in outside full A&Es.
My hospital has been heaving to the seams the last few days and it’s >20 degrees and sunny. The winter will be “interesting”.
I’m not sure that’s fair. Every time I’m in ED the vast majority of people are genuinely ill. Yes there’s a few frequent fliers and a few drunks/suicidal types but they’re not the bulk, the elderly are probably the bulk.
Another key thing is that the main problem with my local A&E isn’t actually the people using it. It’s the fact they can’t get them out of ED because the hospital is too small for the population. This applies to the whole of the UK of you look at bed occupancy rates compared with the rest of Europe.
Is that actually borne out in the numbers? It’s easy to blame the patients but I’m pretty sure having half the beds we had 30 years ago with rocketing demand is far more likely the problem.
Is that actually borne out in the numbers? It’s easy to blame the patients but I’m pretty sure having half the beds we had 30 years ago with rocketing demand is far more likely the problem.
Well, I would have assumed the unhealthy lifestyle choices are part of what is causing the rocketing demand, no? As well of increasing demographics of age of course.
Which in no way contradicts the lack of beds being a factor as well.
@Minstadave there's likely more than 1 cause. I'm not disputing a single point you provide. Heck I agree with you.
Every a and e nurse and doctor I know however are clear that over a weekend the (vast) majority of work they do is because of drink or drugs.
If the time they had and the resources used on that were spent elsewhere imagine the benefits.
Surely the NHS is destined to fail in its current form?
As medical treatments improve, cures are found, aftercare gets better, etc, more people find they can get treated more often and for longer. We recover from things that may have killed us in the past leaving us to potentially need the NHS again later on in life.
Was it ever sustainable in the long term?
If you are covered by state health insurance, bills from German doctors and specialists are sent straight to the insurance company, although you will be expected to cover a small co-payment fee. If you have private health insurance, you will have to pay upfront and get reimbursed by your insurance company.
The nation of Austria has a two-tierhealth care system in which virtually all individuals receive publicly funded care, but they also have the option to purchase supplementary private health insurance. Care involving private insurance plans (sometimes referred to as "comfort class" care) can include more flexible visiting hours and private rooms and doctors.[1] Some individuals choose to completely pay for their care privately
1. Consultations with GP's or specialists in their private practise
patients pay a fee for the consultation (approx 20-€25 for a GP) and for any medical acts (e.g. dental care at the dentist) (s)he may perform directly to the doctor, in return the patient gets a receipt that lists all the medical acts performed, and if necessary a prescription for medication.
patients see a doctor at the hospital polyclinic just link in their private practise.
some patients pay the hospital as they leave and get a receipt for their mutuality, just like in a private practise; however many patient come in for follow-up consultations after a medical intervention or hospitalisation. The hospitals send the bill to the mutuality (3rd payer system) and patients get invoiced for their personal part.
I think it's also worth pointing out that allot of middle management can be cut without hardly any impact on services from the administration side.
When I worked in the NHS I did a few "administration" roles based around government targets and making sure our data matched the government requirements. The manager of the team used to make us hide patients when the hospital failed and if we didn't hide them give us hell over it as the fallout would land on her lap. She used to just go outside for ciggy breaks every 30 minutes and didn't really do much. She was on £35,000 PA.
Our team actually did really well without management but the moment the "manager" came along our figures would go crazy because she would hide patients that had to wait too long for surgery etc to artificially make it look like we was doing better than we were.
I am glad I left that role from an ethical point of view. I saw this happening and "non jobs" being done, by quite a number of people. They had a job dedicated to walking around the hospital writing down room numbers daily. Pretty sure room numbers don't change daily...
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