Not grumpy today. New pacemaker last Friday, new Grand daughter this Friday (1st grand child). ... Wee, can't believe my boy was that wee 35yrs ago.
It's a fundamentally flawed comparison. The USA spends more than double what the UK spends on healthcare per capita, but still manages to fail a large part of the population, particularly the poor.And this is one of the systems that is routinely held up as a model that we (USA) should emulate. FWIW, I grew up in a physician's family, spent my entire career in health care (teaching in med school, anti-viral research, diagnostics R&D and, in my last role before retirement, assessing opportunities in health care world-wide). Standards and practices vary widely - and I am speaking only of the "developed" world. Looking at the science and availability, if I were destined to be ill and could choose where, my first choice would be the USA - my second? - Australia
EM
Well you missed good one?I..f I were destined to be ill and could choose where, my first choice would be the USA - my second? - Australia
EM
NZ is one of the places that I (regrettably) did not visit.Well you missed good one?
As a second or first choice? Go on holiday to NZ. Accidental injuries there are free for tourists.
As an aside my parents are 92 and 86 receptively. I've never heard them complain about the service from the NHS. My father was on a six month replacement hip list but decided he may not live another six months so he got the same surgeon to do it privately. That was a few years ago,
As someone who has spent a combined total of almost 3 years out of the last 16 as an inpatient in hospital, with little to do but observe and experience the system, and many, many more days as an outpatient, I can tell you that money, or the lack of it, is not the primary problem for the NHS. Bureaucracy and part-time workers are a greater problem.But it's not the system which is at fault in the UK, it's the lack of money, and that's a political choice.
Never were truer words typed! My wife has been a nurse with the NHS for over 40 years. These days not a shift goes by when she doesn't bemoan the bureaucracy culture and the simple fact that nurses can't do their jobs properly because of it. She's retiring next year (at 60) - she just wants out. If she could do the job she should be doing, she would have been more than happy to stay-on until her state pension age of 67.As someone who has spent a combined total of almost 3 years out of the last 16 as an inpatient in hospital, with little to do but observe and experience the system, and many, many more days as an outpatient, I can tell you that money, or the lack of it, is not the primary problem for the NHS. Bureaucracy and part-time workers are a greater problem.
Bureaucracy as a problem is self-explanatory. Part-time working to a significant degree suits the individual who's working part-time, but rarely suits the patients, wards or services that require continuity of care and expertise.
Claiming that money will solve the problem is foolish. Money might help a little, but most of it will simply fund the inefficiencies in a more lavish style.
I didn't claim that money would solve all the problems.As someone who has spent a combined total of almost 3 years out of the last 16 as an inpatient in hospital, with little to do but observe and experience the system, and many, many more days as an outpatient, I can tell you that money, or the lack of it, is not the primary problem for the NHS. Bureaucracy and part-time workers are a greater problem.
Bureaucracy as a problem is self-explanatory. Part-time working to a significant degree suits the individual who's working part-time, but rarely suits the patients, wards or services that require continuity of care and expertise.
Claiming that money will solve the problem is foolish. Money might help a little, but most of it will simply fund the inefficiencies in a more lavish style.
Raw numbers can be misleading. There may be 24 mm without health insurance but this does not mean they are without health care. A very large number use the hospital emergency room as a primary health care provider - inefficient, absurdly expensive but they are looked after, in many cases, in some of the best facilities in the world. We also have demographic and cultural issues - seeing to a bullet riddled drug gang member in intensive care is very expensive! Add to that a layer of PC driven foolishness (sex change surgery for prison inmates) and an out-of-control legal system that fills late night television ads for ambulance chasing lawyers. We have a very large population of illegal aliens. What is my responsibility to them?But it's daft to compare a system that is being seriously undermined, and underfunded, with a system that costs twice as much. Especially when the American system seems to exclude 24 million people.
I'm not going to claim to be an expert on the American healthcare system, nor your political problems, though I would say some of them sound quite familiar.Raw numbers can be misleading. There may be 24 mm without health insurance but this does not mean they are without health care. A very large number use the hospital emergency room as a primary health care provider - inefficient, absurdly expensive but they are looked after, in many cases, in some of the best facilities in the world. We also have demographic and cultural issues - seeing to a bullet riddled drug gang member in intensive care is very expensive! Add to that a layer of PC driven foolishness (sex change surgery for prison inmates) and an out-of-control legal system that fills late night television ads for ambulance chasing lawyers. We have a very large population of illegal aliens. What is my responsibility to them?
EM