-
• #1977
Obviously it's the most extreme eg but try paying out US levels of "private" health insurance for an average level of service, then come back and complain.
The extra waiting time for a GP appointment is eaten up by the lobby waiting times, arguing, double checking your bill and cross referencing everything with your insurances hit and miss overseas call centre.
Edit: lolz at $2,000 p/a - can't imagine what sort of 3rd world policy that buys.
-
• #1978
Inefficient
I know you mean well, but the NHS is exceptionally efficient.
(also disagree that dismantling the NHS is a widely held Tory belief)
-
• #1979
Fotunately the 'herd immunity' afforded by free NHS vaccination policies extends as far as ingrates.
-
• #1980
I don't think anyone would try to claim that there are no problems with the NHS, but the outcomes of single-payer healthcare provision vs. something like the American system only have one winner.
A friend of the Mrs is a Doctor and made an interesting observation - she believes that there is enough money in the NHS now, but it's simply spent very badly. However, the way to make it be spent more wisely is not to remove it, or starve the system in the short term.
Also, the progressive privatisation that we see at the moment will simply divert tax into private hands.
-
• #1981
I think I put 'ineffecient' in parentheses, because it's something people love to say all the time, but it's not actually true. I agree it's exceptionally efficient, but the system is currently failing (leading to maddening inefficiencies such as delayed discharge) due to the political choice to starve the NHS and social care of money. The other maddening misconception is that there are too many managers. I think it's something like 1/3rd of the number of managers in the NHS compared to private companies. The problem is more the calibre of managers, but hey-ho!
-
• #1982
Ha, yeah I can see. Especially in the Corbyn thread!
-
• #1983
Well, you could try making observations grounded in reality - that's really a minimum requirement.
-
• #1984
In terms of it being a widely held Tory belief - fair enough, but the people guiding policy in this area (Hunt, Letwin etc) I think do have those beliefs, it's just often not politically expedient to mention them. However, actions speak louder than words, and I think the myriad reorganisations towards a market based healthcare system with massive private-sector involvement that have accelerated under their watch speaks volumes about the current view of the Tory decision makers towards the NHS. They also know these changes are not popular, either within their own party or the general public, so have cleverly couched them in terms of 'efficiencies' and obscure language.
-
• #1985
My anecdotal 2p is the same - Dr. who also doesn't believe much more money is needed, just an unfeasibly large amount of reorganisation to remove staff and buerocracy.
From reading up on it I think the US would benefit from a move to a Swiss model. The problem is health care is now basically a fiscal stimulus akin to burrying jars of money.
-
• #1986
unfeasibly large amount of reorganisation to remove staff and buerocracy
So, efficiency improvements :)
-
• #1987
Ha, yeah I can see. Especially in the Corbyn thread!
OK. Let's hear your points.
Genuinely not trying to be rude here but so far all I've hear is a couple of single sentence comments and an anecdote.
I'm genuinely interested in hearing well argued counterpoints to my views.
-
• #1988
It might be interesting to hypothocate the tax paid for healthcare, that way it could be more transparent. I've just looked at 2016-2017 and I paid £9,424.14 for "Health", with a further £11,281.11 on "welfare" but I have no idea what the makeup of each of those is.
-
• #1989
Not wanting to get stuck on semantics, but you characterised the NHS as
inefficient public services
A couple of anecdotes saying their are areas for efficiency improvements isn't quite the same. As others have pointing out compared to others our health system is more efficient.
Given the amount of spend of staff and their feed-in back into the economy, I'd say there's also an argument that any staff cuts you could make would have limited net savings.
-
• #1990
You can make a good go of it by ignoring difficult points, contradicting yourself and treating anecdote as data though.
-
• #1991
In the UK we do need to spend more than we currently do if we are to expect a similar level of service to our European neighbours - we've dropped behind in per capita funding levels quite significantly since the Tories came to power, and at a time when demand has increased massively. No number of reorganisations will help, and the NHS has already been made a huge number of efficiency savings. There isn't really any more fat to cut away, but the Tories are demanding it any way, and everything is falling to pieces a bit as a consequence.
-
• #1992
My point was that high earners should not be taxed more than anybody else. Using percentages already takes their greater ability to pay into account.
And about the cuts - there needs to be cuts to bring down the national debt.
-
• #1993
Problem with this is that your premises are not true.
High earners are taxed less than low earners, and as GH said, taking someones wheelchair away doesn't remove as much of the deficit as taxing corporations reasonably would so do.
- The poorest 10% of households paid on average 42% of their income in tax in 2015/16.
- The richest 10% of households however paid on average just 34.3% of their income in tax
- Council tax and VAT hit the poorest particularly hard, with the poorest 10% of households paying 7% of their gross income in council tax, compared to just 1.5% for the richest, and 12.5% of gross income paid in VAT (5% for rich)
- Despite paying far less of their income in tax, the richest 10% have on average a gross income of £110,632, 10 times that of the poorest (£10,992)
- Post tax (including direct and indirect taxes and cash benefits) the poorest 10% have on average £6,370 and the richest 10% have £72,746
- The poorest 10% of households paid on average 42% of their income in tax in 2015/16.
-
• #1994
Nobody wants the American system , including the Americans.
However, it is worth looking at how European countries provide universal access to healthcare through insurance systems. -
• #1995
But one day you will, most probably in the last 6 months of your life.
Look upon it as a long term investment.
-
• #1996
To be fair, in hindsight he might just be right about point 4.
-
• #1997
Don't worry, we'll blame immo's
-
• #1998
Those are all good reasons to reduce taxes, particularly fixed ones like council tax and VAT.
34.3% of £110632 is £37946 in taxes
42% of £10992 is £4616 in taxesSo the high earners are paying 8x the tax, and Corbyn proposes to tax them even more.
-
• #1999
emailing your NDA to mayor's office rn
-
• #2000
^^More in total, yes, but less as a percentage - so you could actually even that up, make it equal, by raising tax for high earners.
I've got a dog in this fight - I'm in the top ten% in terms of wages and I'd pay more, happily, if it was to benefit society.
I rate the chances of winning an argument that the NHS is not inviolably sacrosanct on LFGSS as less than zero.