I'd agree that both issues need airing, and although we've been down this road before, and will undoubtedly do so again, I for one stand by my assertions that the NHS in particular is way overdue a really massive shake-up. As LA rightly points out, we (the taxpayers) cannot go on supporting an increasingly costly and increasingly inefficient public healthcare service for ever; something will have to give.
Although a great believer in effective privatisation, I will agree that we do need some form of basic 'free' healthcare service where emergency treatment can be carried out and where routine GP visits are included. However above and beyond this I firmly believe that people should have the option of purchasing different levels of private medical cover to meet their own needs and requirements. Medical treatment based on this could either be carried out in totally private hospitals or clinics or as part of the partially privatised NHS where the extra fees could go some way to offsetting the 'free' services.
Hand in hand with this though the NHS must improve its efficiency, financial and management, which I doubt anyone could deny is abysmal. Also hand in hand with this, people who opt for higher levels of cover should be able to receive a rebate on part of their NI contributions; in any other sphere of life if we have to pay twice for something there's a huge outcry, so why should it be different with healthcare?
I'd also look to significantly removing non-essential and peripheral services from the HNS. For instance why should anyone in hospital be given free food; if they were at home they'd have to pay for it, so why, just because they're ill, should food suddenly become free? I'm not suggesting making a profit from it, simply breaking even on costs would save many millions of pounds a year. Likewise I don't believe that treatment for self-inflicted injuries and illnesses should be free. If for example a patient has been warned about the consequences of smoking by their GP and they choose to ignore those warnings, or someone has been injured taking part in sports which are acknowledged as potentially dangerous, why should the taxpayer be expected to pick up the bill for their treatment?
Before anyone starts crying out 'elitism' and 'what about the workers' on the private insurance aspect, can I point out that right now the biggest single contributors to private healthcare schemes in the UK are trades unions and employee's federations or associations representing the average British worker. It's in everyone's interest to get people who're off ill and thus unproductive, back to work as soon as possible, and the small additional costs of medical insurance are but a fraction of the total losses which can otherwise be incurred because of long delays in getting often less than top class treatment on the NHS.



3Likes
LinkBack URL
About LinkBacks







Bookmarks