Tara wrote:1nvest wrote:
Too much wastage, a typical public sector example. £200K/year unaccountable hospital managers for instance. £200Bn/year to service a 65 million population NHS budget = £3K/year per capita. If individuals were each paying that, £13,200/year per typical 2.4 children family unit, you might expect a better service than a one week+ to see a GP waiting time or a 4+ hour wait on a good day A&E time. Or a bunch of workers complaining about having to rely on food-banks when on a £30K/year+ wage, whilst other private sector workers have to struggle by on less.
Doctors had their pay doubled some years back to the extent that many GP's simply opted to reduce to half weeks following that. A unproductive mistake. Complaining that their pay hasn't maintained purchase power since then is just a reflection of that mistake being unwound. NHS nurses should spend some time in private care for a example of how better being on the public sector payroll is.
Not that I opine the NHS should be moved to private only, collective insurance has massive advantages, especially for those that come to be major beneficiaries from that.
The NHS is no longer really fit for purpose. As you say, doctors had their pay doubled a few years ago and now they are back for more. The BMA know that they can basically hold the country and the Government to ransom at any time they want as the NHS is basically the national religion in the UK and no one is allowed to say a harsh word against it.
The only reason that people worship it and clap for it of course is because it is completely free for people to use it. So long as there is no out of pocket charge for people to use the NHS, the British people will see the NHS as worthy of “worship”, and they will see all of the doctors as “heroes”, and all of the nurses as “angels”.
Start charging for a GP visit, as they do in Ireland for example, and the British people would probably start rioting in the streets. Nothing else would bring them out on the streets, but a basic charge to see a GP will probably do it.
But is/has been slipped in via stealth. An appointment maybe if you phone up and win the lottery in the pre 8am call-in to maybe get a appointment that day, or a two or three week booked appointment by which time the issues may have faded anyway ... or £80 for a local private GP appointment at a date/time of your choosing.
Such transitions occur 'naturally', where you wake up one day to wonder how did we get to this point/state. Paper (plastic) currency for instance will one day just have been faded out to leave a traceable record of where all of your money comes in and is spent (digital currency). Driven by 'public preference' - directed by intent such as fewer ATM's available, incentives to use digital rather than paper ...etc, and then once transitioned over recover the cost by levying unavoidable fees/taxes (5% per digital transaction/whatever). The state has already transitioned to where each individual has detailed records kept of their movements (street cams/mobile phone location), habits/issues (browser history) and next is all transactions. No different to a open prison where your money is just a loan, not actually yours. More recently banks have been put under pressure to report all suspicious financial activities, with increasing penalties, which drives banks to report all transactions in order to cover their backs, such that the state gets to see/maintain all records of all transactions, fed to them by the banks. Most don't care, as typically they'll consider themselves as doing nothing illegal and so 'have nothing to worry about', however the down the road implications are significant. States at times will impose punitive taxation, paramount to confiscation, and the easier that becomes the more its inclined to be employed. Labour for a lifetime to scrimp and save, only to have the state say thanks very much for all of your efforts - that solely served it rather than the individual. Increasingly the state considers people to be valueless entities just to be managed.