52% intelligent. 9% modest. More monkey than bear.

Thursday, July 21, 2005

And it'll take more than a doctor to prescribe a remedy...

Ah, the National Health Service.

The NHS was founded in those first few optimistic years after the end of the Second World War in 1948. The founding principle was to make healthcare services available to all free of charge at the point of use.

We Brits probably take this totally for granted, but just take a minute to think about that. Free healthcare. For everyone. How many other countries can say that?

I know that over the years this dream has been heavily compromised as successive governments have gradually reduced the investment, stripped out the assets and undervalued the staff.... but parts of that dream are still there. You can still go to see your local doctor without being charged. You can still go to a hospital and receive fantastic treatment at no cost to you. Hundreds of people every day owe their lives to ready access to high quality healthcare, access to hospitals where their first concern is for your wellbeing and not the validity of your insurance.

I know it's not perfect - far from it. For starters, the waiting lists to see specialists can be enormous: if you believe what you read in the papers, sometimes you can wait years before you will get an appointment.

I mention this because my weirdy tingles have led to a referral to a Neurologist. Apparently the NHS waiting list for this kind of appointment in Nottingham is several months long. However, I pay about £4 a month to have medical insurance with work. As a direct result of this, I'll be rolling up to see the specialist next Friday.

Obviously this is good news for me, but it has made me think about the NHS. Every time someone like me comes along and jumps to the front of the queue, waving my insurance form, there is someone somewhere in Nottinghamshire who will have to wait for 6 months to get an appointment with the same specialist because they do not have private medical insurance.

£4 measly pounds a month. £48 a year.

I bet more than that goes towards the NHS from my annual tax bill.

Perhaps I should look on the brightside and hope that the money that my insurance company pays for my treatment will go towards making sure that this kind of treatment remains available to everyone, and that my consultation will better enable the NHS to be continue providing free healthcare.

I'm a little sceptical about that, I have to say. Does one private hospital bed fund two public beds, or does the public bed disappear to make room for private beds?

I'm not sure that this is what Aneurin Bevan had in mind.

12 Comments:

  • At 9:48 pm, Blogger HistoryGeek said…

    And then there is the US system of care...you and your company pay increasingly through the nose for coverage, then you are just as likely to get dropped when you get sick or old.

    Part of my job is to try to make sense of insurance for people who are leaving their jobs and going on disability. It sucks. It's barely adequate...and sometimes it's not.

    This is Spinster, green with envy at the British system, signing off.

     
  • At 10:01 pm, Blogger swisslet said…

    you say that spin, but what worries me is that we are currently in some kind of halfway house, and the US system is somehow being seen as our future.

    This way works out OK for me, because I have insurance and can get the appointment I need quickly. If I didn't have the insurance, I might have had to wait for ages to get an appointment. Great for me, but do private appointments like mine contribute directly to the length of the NHS waiting lists? I'm sure they do. But when public funding to hospitals is being cut and the adminstrators have targets they need to meet and budgets to keep, what choice do they have? It's a vicious circle, and it takes us ever closer to the US system and ever further away from the ideal of free healthcare.

    ST

     
  • At 11:13 pm, Anonymous Anonymous said…

    the NHS is bloody brilliant.

    perversely, the public perception of it is pretty poor, whereas if you ask any individual who has cause to have used it, the response is invariably very good.

    I have had to use it a few times, and it has always been first class.

    But I am the same. I could have waited two years for my "free" IVF effort, or I could pay and we ended up there within a few weeks.

    When it is your health concerned, I am afraid I would be inclined to take the "selfish" route as well. If it means you get sorted out quickly, then amen to that, mate.

     
  • At 11:13 pm, Blogger LB said…

    anonymous?

    eh?

    that was me, by the way. No shit, Sherlock.

     
  • At 6:38 am, Blogger Aravis said…

    For the love of all that's holy or unholy, do not switch to our health care system. Millions of poor and their children don't have any healthcare at all!

     
  • At 9:19 am, Blogger Teresa Bowman said…

    The main problem with the NHS is that it's used as some kind of battered old football to be kicked back and forth between the main political parties at election time.

    I heard a doctor on TV relatively recently saying that if the NHS was completely independent of the government it would be a whole lot better for all concerned, and I have to agree.

    (Same goes for education, incidentally.)

     
  • At 11:05 am, Blogger Threelight said…

    I was a patient patient when I fractured my foot, I had a misdiagnosis by A&E of my local hospital (they said sprained ankle), AND by my physio (they said torn ligiaments), while the specialist I was referred to did x-rays, and diagnosed the fracture.

    This all took 6 months. I think all the misdiagnoses were to save money.

    The private health policy was there, and if anything happens to my foot again, I'm going private.

     
  • At 11:46 am, Blogger John McClure said…

    I'm sort of split on this one - after all the surgery etc I had on my hand, I had nothing but praise for the NHS. Everyone I encountered was very nice.

    But then, I sometimes look a the mangled little finger that resulted from their efforts and wonder if maybe I might have been better advised and operated on privately.

    Just for the record, if it were a choice between paying £4 a month and having (and using) private health care or saving £4 a month and not, I'd be paying up and using the hell out of it. in fact, I'd pay a lot more than that I reckon.

     
  • At 12:00 pm, Blogger Teresa Bowman said…

    Doctors and surgeons don't work exclusively for private hospitals or NHS hospitals, they work for both. Just because your operation is on the NHS, doesn't mean they're going to hack you open with a butter knife and stitch you back up again with garden twine.

    For the record, the care that my dad received (on the NHS) when he was in intensive care last year with pneumonia was absolutely first-class.

     
  • At 12:06 pm, Blogger swisslet said…

    bee - it's the working for both that troubles me, actually. This chap is seeing me inside 10 days, whereas NHS patients will wait 6 months. This must mean he has gaps in his schedule exclusively for private patients, the knock on of which is that the wait for NHS patients is all the longer.

    ST

     
  • At 12:48 pm, Blogger Teresa Bowman said…

    Oh, I've no dispute with you on that score. All I'm saying (in response to John's wondering if he wouldn't have been better off going private) is that a surgeon who operates on both private and NHS patients isn't going to make a botched job of an operation, look at it, shrug his shoulders and say, "Ah well, that'll do; it's only an NHS patient after all. If only he'd paid I'd have taken a bit more care."

     
  • At 2:14 pm, Blogger swisslet said…

    Bee - ah ok. I'm with you.

     

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