Dismantling our NHS

January 6, 2022

No apology, politics ahead

If you asked most Brits what one thing we could be proudest of as a nation in the last century, I imagine most would say, the NHS. Healthcare cradle-to-grave, free at the point of use, set up in the aftermath of the Second World War as a response to the poverty and deprivation so many had endured previously. Set up by a Labour government, privately loathed by many Tories, some of whom have sought to undermine and destroy it ever since. And they are now well on their way to that goal.

The NHS never found the running smooth or easy; there was always a conflict between the necessary taxation to fund it and people’s resistance to being taxed. Eventually, charges for prescriptions, dental treatment and optical treatment were introduced. Many people shrug these off nowadays; reading glasses are cheap, you don’t need a prescription that often. But others have had to give up on their teeth completely, and increasingly there are people who ignore a health issue until they find themselves turning up in dire straits at A&E.

If you think about it, your health stays in the background until you have a problem. Then, suddenly, you may need healthcare, and perhaps lots of it. People in the USA spend their life savings, lose their homes sometimes, because healthcare is such a lucrative business there. Because it’s in the background, you don’t think about it. And you easily come to resent increasing taxes, and stories of ‘inefficiency’. But if you need healthcare, it’s not efficiency you want first of all, but accessibility and effectiveness.

Ever since Thatcher’s day, the NHS has been under ever-increasing pressures, deliberately engineered or not. Continued reorganisations in the pursuit of efficiency and cost-savings, because it’s ‘your’ money that’s being ‘wasted’, allegedly. Pressures to be competitive, tendering to outside companies and agencies who are cheaper and more efficient, allegedly, whilst providing profits to shareholders and salaries to directors? We don’t stop to consider how illogical that is. If private companies can get a foot in the door, they are onto a cash cow, because there are always going to be ill people to make money from.

So, for thirty years and more there has been a more or less constant stream of stories about the NHS being in some kind of crisis or another. Now, think carefully about what this implies; think hidden agenda. There are now a couple of generations of voting adults in the UK who have grown up with this constant belittling and undermining of the NHS, who have been taught (by whom?) that it’s inefficient, that it doesn’t work properly, that there might be ‘better’ ways of doing things. Young and mainly healthy, they haven’t had to contemplate the need for healthcare – yet. They are the ones that the current Tory government are looking to get onside as they contemplate further privatisations, which are being pushed forward even as I write.

Younger voters are potentially more open to ‘trying out’ alternatives; the fact is that once the NHS has been terminally broken, it won’t be possible to resurrect it, as all its constituent parts will have been sold off in so many different directions, in so many different ways. And let’s not forget the increasing add-ons offered to many people in their jobs nowadays: little extra private medical, dental, even alternative health insurances that cost companies little, generate considerable profit, and further undermine people’s sense of the NHS being necessary or useful… until you have a serious condition, when the private companies are suddenly not interested in you any more…

This change is being driven by people who do not have to rely on the NHS, who do not have to use it, among others by a chancellor whose family are billionaires and so who is utterly out-of-touch with the needs and worries of ordinary people. And that’s before we think about the rest of the Tory party, many of whom have holdings in private healthcare companies and stand to make fortunes eventually…

Finally, COVID. We’ve all been expected to clap for the NHS. We haven’t been asked to put our hands in our pockets to pay decent salaries to its workers. Other countries have paid bonus salaries to their health workers in recognition of their extra efforts. We have spent (wasted?) eye-watering amounts of (your) money on private purchasing, without competitive tendering, often deliberately excluding the NHS from taking part, often enriching friends of ministers with vested interests in weakening the NHS.

What is to be done, as someone once asked?

People need to wake up, realise what is being done, ask questions, think about themselves and their families and how they intend to manage without the NHS. And if they can’t, then they must shout and complain and do something about it. This obviously includes using one’s vote wisely!

Realise that nothing comes free.

We are one of the wealthiest nations on the planet and should be able to look after our citizens.

Are other sectors expected to be efficient in the ways that are expected of the NHS? The armed forces? The government itself?

What is a reasonable amount of tax to be paying?

Declaration of interest:

My mother trained as a children’s nurse at the very beginning of the NHS. She knew what it had been like before, and the benefits the NHS brought. As children we had all our vaccinations, health checks in school, dental treatment and all the other support young bodies and minds needed, courtesy of the NHS. My sister is a nurse in a children’s burns unit at the moment. Her stories of the pressures she has to work under are often hair-curling. And that was before COVID. And I’m in my late sixties, have made relatively modest use of the NHS so far, paid my taxes willingly, and am hoping that should I need it, the NHS will still be there in my declining years.

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