To think the time has come to abolish the NHS healthcare model

You do realise that NHS funding is basically a form of guaranteed insurance don't you. Some win, some lose, but any variation will be much of a muchness.

Health is a lottery which isn't always about lifestyle. Which, by the sounds of things, given your ailments, you must realise.

Be angry about your situation but don't blame everyone else. It's not as black and white as you make out.

@Overpayment Are you saying you think chronically sick and disabled people should pay more for healthcare?

I am really hoping I’ve misunderstood.

As a someone on very low household income, I'd be all for a minimal nominal fee for the gp or A&E to filter out the timewasters if went straight back into a rxtra triage at the door. Say the price of a prescription for A&E and maybe half that for the gp. But only for households on a decent wage, scraped if you have certain chronic conditions.

I worked in medical research. We was aiming for confidence of over 97% so scrapped anything below that. It's a complex balance I'm sure

Britain sits at the bottom of a major league table for cancer survival in high-income countries, researchers have warned. While survival rates are improving for patients across the UK, the country still performs worst for key cancers including bowel, lung and pancreatic.

People do pay “a bit”. It’s called taxation.

Based on the international league table of cancer outcomes

With pay restorations and recent changes to pension tax treatment - the exodus of medics from the UK may slow down.

In the meantime, the government solution at least under the Tories was to introduce 'PAs' - who are people who have done a 2 year masters crash course to provide care in GP surgeries and hospitals - in lieu of doctors. The workforce plan is to expand to have 1000s of PAs - that is the solution to delivering NHS care. Privately, you can still see a consultant

You first. I don't respond to deflection.

In your vision for UK healthcare,

How and who would decide what "essential care" is?
Would that be the same as "getting what's available"?
How and who would decide whether people can "pay a bit" or "absolutely can't"?

In your vision for UK healthcare,

How and who would decide what "essential care" is?
Would that be the same as "getting what's available"?
How and who would decide whether people can "pay a bit" or "absolutely can't"?

It is not possible to fund it properly unless tax increases. A LOT. The premise of the NHS, was need not want, it also belongs to a different time, now we have all the medical advances….its not possible with the demographic that the country has to just ‘fund it properly’.

And what? If they're working 5+ days a week now between NHS and private, they'll still be working 5+ days a week in a full private system. The waiting lists will still be there.

It doesn't add up because it doesn't work like that. My point was that if everybody paid a percentage from their estate (5% in my example of a £300,000 estate) then, nationally, there's enough in the pot to fund everyone - from those with low needs to those who need the highest priced care. It's the same principle as we have now - we all pay tax that funds the NHS. Some of us have conditions that cost hundreds of thousands to treat, and some of us will never use it, but we all pay for it. It's collective responsibility. I just think the same principle should apply to social care as well as medical care, but instead of funding it upfront it should come out of people's estates. So people are still paying for it out of their assets, but sharing the risk across the whole of the society means they would pay a lot less.

I don't think I understand the part about it costing them twice (families who provide care)?

The guidelines for the biologics they provide are publicly available. They don't fund the ones they deem expensive. Same for Eye injections proven to save sight.

It isn't a malicious decision - they have to make decisions based on the finances available

The financial and business model of the NHS should have been ditched decades ago, and most people know this. We need to look at countries like France, Germany, Holland etc and adopt a similar insurance system. Members of the public need to take more responsibility, but it will also put provision on a much more sustainable footing.

In many other countries in Europe, you pay a small yearly fee (€100 ish for my family of 5), you then pay your doctor directly and automatically get around half of that back. Most employed people have private insurance (very affordable and often paid for by employer) which then pays the balance. It works well. No waiting lists . Can see a GP pretty much same day. Prescriptions are automatically partly reimbursed. People on very low incomes basically don't have to pay anything. The NHS is amazing in many ways but it is underfunded and overwhelmed. I don't think the UK is ready for this European model as you do have to pay something.

The waiting lists won't suddenly vanish. There still won't be enough doctors et al. to manage the needs of society.

Can’t afford £2.30 a day either, so good luck to them paying co-pays.