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Helping the government save money

467 replies

Samdelila · 23/01/2026 18:49

I think free prescriptions for people with certain conditions should be means tested. What else could the government cut to save money?

OP posts:
Femalemachinest · 24/01/2026 09:36

Boomer55 · 24/01/2026 07:41

The list of conditions that provide exemption is not huge:

  • a permanent fistula (for example, caecostomy, colostomy, laryngostomy or ileostomy) which needs continuous surgical dressing or an appliance
  • a form of hypoadrenalism (for example, Addison’s Disease) for which specific substitution therapy is essential
  • diabetes insipidus and other forms of hypopituitarism
  • diabetes mellitus, except where treatment is by diet alone
  • hypoparathyroidism
  • myasthenia gravis
  • myxoedema (that is, hypothyroidism which needs thyroid hormone replacement)
  • epilepsy which needs continuous anticonvulsive therapy
  • a continuing physical disability which means you cannot go out without the help of another person
  • cancer and are undergoing treatment for either:
  • cancer
  • the effects of cancer
  • the effects of cancer treatment

The list is short but they then get every medication with the exemption. So I believe what people are saying (myself included) is could it be possible they receive this medication for free but pay for any unrelated medication.

LilyBunch25 · 24/01/2026 09:31

Samdelila · 24/01/2026 09:03

There should not be people on benefits that earn more than people who are working.

Id love to see how you got on on a disabled veterans' discussion site.....

FurForksSake · 24/01/2026 09:31

There is a cost - benefit analysis completed on many of these ideas. Means testing and the costs of implementing that and enforcing it does not equate a significant benefit so it isn’t done. Having systems for returning unused medical equipment is the same. It would be time consuming, labour intense and there would be risks that would need to be mitigated that would not be worth the small saving.

Decreasing waste and improve health to put less pressure on the system will save money.

Pension reforms are the other big saving.

And then we have removing barriers to work and encouraging productivity in the working population.

LilyBunch25 · 24/01/2026 09:30

Samdelila · 24/01/2026 09:11

My point is that we are trying to identify ways for the government to save money -and not giving free prescriptions to people who can easily afford them seems like a good starting point to me.

Who is "we"...?

LilyBunch25 · 24/01/2026 09:29

Samdelila · 24/01/2026 09:09

How?

You clearly stated those on benefits who've already been means tested should just qualify. Next you are clutching your pearls about people being on benefits. Surely you read your own posts back?

AnneElliott · 24/01/2026 09:21

Boudy · 23/01/2026 19:34

Also..not throwing away unused vials of controlled drugs.that are .well within date..when patient has died or does not require them anymore. Am sure people will say it is because there is risk of contamination/ tampering with but there must be a way to check.

I was going to say this. We got a box of catheter equipment delivered the day after my dad was admitted to a hospice. It was all sealed and none of it had been touched (and some of it wasn’t stuff that went in or on the body eg a stand to hang the bags on). They wouldn’t take it back and told us to dispose of it.

Luckily there were some local people that I found on FB who were long term catherter users and were really happy to have it. No way could I have thrown it in the bin!

Samdelila · 24/01/2026 09:15

CheeseItOn · 24/01/2026 00:45

scrolls through and notices OP desperately fishing for someone to ask if she's on benefits

so she can reply yes, but that she needs them.

Which we should all then interpret as her wanting more money in the pot for deserving people like her.

And turn it into a fight about who deserves what and whether fundamental principles like free healthcare should exist, illegal immigration etc.

Boring. Not biting.

I’m not on any benefits. I’m trying to identify ways the government could save money.

OP posts:
Samdelila · 24/01/2026 09:11

LilyBunch25 · 24/01/2026 06:19

So what's your point...?! Person paying high taxes into system gets free prescriptions for life condition. I see absolutely no issue here whatsoever. This is a non-issue!

My point is that we are trying to identify ways for the government to save money -and not giving free prescriptions to people who can easily afford them seems like a good starting point to me.

OP posts:
Samdelila · 24/01/2026 09:09

LilyBunch25 · 24/01/2026 06:23

Contradicting yourself here...........

How?

OP posts:
Samdelila · 24/01/2026 09:06

dreamiesformolly · 24/01/2026 07:48

I doubt OP has even heard of Beveridge. Strongly suspect she's only started this thread to get people riled.

I started this thread because I would like to identify ways the government could save money.

OP posts:
Samdelila · 24/01/2026 09:03

LighthouseLED · 23/01/2026 23:38

But there are always anomalies. There are edge cases where people on benefits have more income than lower earners who don’t qualify. Benefits doesn’t automatically equal being worse off than someone not on benefits.

I think the age-related free prescriptions should be aligned with state pension age rather than keeping it at 60, though.

There should not be people on benefits that earn more than people who are working.

OP posts:
User1990C · 24/01/2026 09:00

Worralorra · 24/01/2026 08:13

So she’s paid more tax than most. That’s what she pays tax for…

You don't understand, people who are successful in selling their labour should not only pay the vast majority of taxes, they should also see no benefit from them on a personal level.

Worralorra · 24/01/2026 08:13

Samdelila · 23/01/2026 19:09

I know someone who earns more than £200,000 who has diabetes type 2 and gets all her prescriptions for free, so people like her basically.

So she’s paid more tax than most. That’s what she pays tax for…

LlynTegid · 24/01/2026 08:12

I would cancel all road building plans that are not already under construction.

The more subtle saving though not easily measurable would be to have the same time zone all year, either BST or GMT year round.

As for prescriptions, bus passes and other age related benefits, I would raise the age when you start to receive them.

Bushmillsbabe · 24/01/2026 08:10

Samdelila · 23/01/2026 22:10

The cost of collecting it was inefficient compared to the benefit of universal free access? Come again? How hard is it for the pharmacy to put money through the till? How difficult is it to process pre payment certificate charges? I fail to see how banking money paid for prescriptions is that complicated or expensive to do.

Because they check the people who say 'in receipt of benefits/on maternity leave' etc to make sure they are telling the truth.

A couple of times I have been written to to say I was fraudulently claiming a free prescription (I wasn't, they had made a mistake). This takes admin time, postage costs. Plus the admin time of checking all those who claim are eligible are actually eligible must be huge. That's the cost they are talking about, not the cost of taking payments

LilyBunch25 · 24/01/2026 08:05

Thewonderfuleveryday · 24/01/2026 08:03

People should just walk more. They will be healthier, won't need the NHS prescriptions, and the roads will have less wear and tear for more essential vehicle trips.

Do some litter picking, especially glass as that costs in flat tyres and A&E / vet trips. Unblock a local drain with a pokey stick if its safe.

Mm...except my husband can barely walk. Military service saw to that. Not really a one size fits all solution..

Thewonderfuleveryday · 24/01/2026 08:03

People should just walk more. They will be healthier, won't need the NHS prescriptions, and the roads will have less wear and tear for more essential vehicle trips.

Do some litter picking, especially glass as that costs in flat tyres and A&E / vet trips. Unblock a local drain with a pokey stick if its safe.

dreamiesformolly · 24/01/2026 07:50

OneZanyPoet · 23/01/2026 19:27

The best way to save the NHS money is for people to stop smoking and drinking and lose weight. You can start taking people’s free insulin away once you put down the sausage rolls.

Shame you felt the need to following up your somewhat sensible first sentence by being ignorant and goady in your second.

dreamiesformolly · 24/01/2026 07:48

ZookeeperSE · 23/01/2026 19:37

Do you understand the fundamental reasoning behind Beveridge’s opposition to means testing?

Nothing has changed since he wrote his report.

If you ultimately want to demolish the welfare state, then means testing everything is a great place to start.

I doubt OP has even heard of Beveridge. Strongly suspect she's only started this thread to get people riled.

Boomer55 · 24/01/2026 07:41

The list of conditions that provide exemption is not huge:

  • a permanent fistula (for example, caecostomy, colostomy, laryngostomy or ileostomy) which needs continuous surgical dressing or an appliance
  • a form of hypoadrenalism (for example, Addison’s Disease) for which specific substitution therapy is essential
  • diabetes insipidus and other forms of hypopituitarism
  • diabetes mellitus, except where treatment is by diet alone
  • hypoparathyroidism
  • myasthenia gravis
  • myxoedema (that is, hypothyroidism which needs thyroid hormone replacement)
  • epilepsy which needs continuous anticonvulsive therapy
  • a continuing physical disability which means you cannot go out without the help of another person
  • cancer and are undergoing treatment for either:
  • cancer
  • the effects of cancer
  • the effects of cancer treatment
Femalemachinest · 24/01/2026 07:00

rwalker · 23/01/2026 19:02

The Free prescription for certain conditions is a ridiculous system
by all means the medication relevant to the condition should be free
but they get every prescription for unrelated conditions free as well charge them

Id second this. Medication for your life long condition but you hurt you back for example, you pay for the short term painkillers.

MindYourUsage · 24/01/2026 06:54

Marchitectmummy · 24/01/2026 06:41

Don't think you understand how our transport system works. Network rail is government owned, at the moment franchises are being taken back under government ownership. South western trains for example are now government owned, GWR will be by the summer along with lots of others.

Ignoring that fact, some of the delays are caused by infrastructure issues, in fact the Major are. The only delays that wouldn't be caused by the government are train faults or lack of personal to run a train.

That's why the Government pay for delays.

Edited

to be fair, that's not what the public are told all the time on the platform, so you can hardly blame people for misunderstanding if what you're saying is true that the majority of delays are because if network rail.

It always seems to be problems of train company's stuff:

  • lack of train crew
  • doors not working
  • problem with the brakes
  • disruptive passenger on a train
  • a previously delated train (for any of the above reasons)
Marchitectmummy · 24/01/2026 06:41

BlackCatDiscoClub · 23/01/2026 20:12

Stop the Department for Transport (I.e. the taxpayer) from funding the delay repay scheme when train companies should pay it. Thats not a criticism of the government BTW, its a criticism of train companies not taking responsibility.

Edited

Don't think you understand how our transport system works. Network rail is government owned, at the moment franchises are being taken back under government ownership. South western trains for example are now government owned, GWR will be by the summer along with lots of others.

Ignoring that fact, some of the delays are caused by infrastructure issues, in fact the Major are. The only delays that wouldn't be caused by the government are train faults or lack of personal to run a train.

That's why the Government pay for delays.

LilyBunch25 · 24/01/2026 06:31

Samdelila · 23/01/2026 19:29

Anyone with a medical exemption certificate. Free prescriptions for over 60s is insane too.

Oh dear, oh dear. My husband is over 60 and has life conditions caused by military service and two strokes. He gets his medication for free....gasp.... I work very hard as well as caring for him, pay taxes obviously and am not entitled to free prescriptions. Before his health deteriorated he had worked from 15 to 58 including 11 years service. So I will happily continue to collect his "free" prescriptions that are helping to keep him alive in my short lunch break from work just after I make my midday care call to him at home. When you've lived those kind of experiences you can trot out your ideas of what you think everyone else should be doing and what they're entitled to.

HerNeighbourTotoro · 24/01/2026 06:25

Samdelila · 23/01/2026 18:49

I think free prescriptions for people with certain conditions should be means tested. What else could the government cut to save money?

Kirsty Allslop, that you?