Do we still want the NHS?

May 25, 2017

Unashamedly political post follows…you have been warned.

As a nation I feel we’ve shot ourselves in both feet voting to leave the EU; I’m sure it will happen and we will be able to repent at leisure. But, for my money, the biggest error is one we are making through neglect, or ignorance: the loss of the NHS.

Think about this: the Tories have been in power for seven years, during which time they have, in a drip-feed manner, made the NHS less effective through constant re-organisation and underfunding, brought in more profit-making private providers, and under-resourced it. There is a constant trickle of stories about clinical errors, longer waiting lists, people ‘wasting’ NHS time and resources: the right-wing press is doing its bit in undermining a national resource.

Over time, the gradual – and, I think deliberate – effect of this is to make more and more people, especially younger people who have never known anything else, or really had to think about healthcare at all, think that the NHS is inefficient, is broken, and cannot cope any more: if this is the case, then – the next stage of the right-wingers’ proposal goes, surely something needs to be done about it… Increasingly the arguments are, well there are more people to treat (especially immigrants and free-loaders from abroad), people are living much longer and therefore need care for much longer, and treatment is increasingly technological and expensive. Of course, a state-provided service can’t possibly deliver all this, it is suggested…

And so, when the Tories decide they can be bold enough to suggest privatising parts or the whole thing – in the interests of giving people better care, of course – enough people may believe them, and allow them to get away with it. And there will be the mantra that the NHS will always be free ‘at the point of delivery’ (whatever that means. Does anyone know?). Perhaps GP visits and A&E will be free, and beyond that, one will have to pay or take out additional insurance.

The great majority of British people have been born and have grown up looked after by the NHS, and have taken it for granted all their lives. We know nothing about how alternative systems work or what they cost – though again we are often told (by whom?) how much better other countries’ health care is than our own – though we may have heard horror stories from the USA, but we’d never end up with that, would we? Hmm. How much time do you want to spend comparing health plans, costs and so on to make sure you have the right deal? But then, since the privatisation of everything else, we have a generation used to doing cost-comparisons on websites for train tickets, energy, broadband: maybe people won’t mind. And if they can get a bargain…

Should you be worried? Well,if you’re inexorably moving towards old age, if the system that’s looked after you throughout your life disappears, what do you do instead? If you don’t have the disposable income to fund private healthcare? Of course, the pill can be sugared: look, we’ll reduce National Insurance payments when we sell-off the NHS, so you can now choose (magic word, there!) your own provider, and how much to spend…

The profit motive is expensive: profit has to be factored into the cost of everything. Of course, allegedly private enterprise is more efficient (it has done wonders for our railways, after all), so will be cheaper. I have to say, if I were seriously ill, in need of major surgery or intensive care, efficiency would not be my first criterion. Skill, care, empathy, things like those would be at the top of my list.

Declaration of interest: my mother was one of the first cohort of nurses to be trained by the infant NHS, and I have a sister who currently works for the NHS. If asked, I’d be hard-pressed to think of any contemporary aspect of our country that I’m prouder of than our health service. And plenty of other countries actually envy us. Give the Tories another five or ten years, and will we still have the NHS? Do enough people actually care?

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One Response to “Do we still want the NHS?”

  1. Wally Says:

    I can’t argue with any of this, Stef. Spot on, sadly.

    Like


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