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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:
Waitfortheguinness · 24/01/2026 22:59

MunsterCourt · 24/01/2026 22:44

I have a prescription exemption certificate for hypothyroidism and I've never thought much about it. I have to admit we are well off and could easily pay for prescriptions, but my GP had always encouraged me to claim the exemption and I never considered not doing so. The condition doesn't affect me severely, I'm only slightly over the threshold and it's not life-threatening for me, but I got diagnosed 25 years ago and have been getting free prescriptions for most of my adult life.

It is a bit odd that very rich people could be claiming it if they happen to have certain conditions. But it probably wouldn't save that much money overall to means test it.

Having untreated hypothyroidism can be extremely serious.
people who are properly medicated may not realise the seriousness of how life threatening it can be if not treated……thats why it’s on the list of exempted conditions. Basically your internal organ can start to shut down in the worst of cases. People often think that if it’s just a case of popping a couple of pills daily……it can’t really be that serious, can’t it?
if you were made to pay…some people on the breadline may not realise their life is at stake.

SugarandSpiceandAllThingsNaice · 24/01/2026 22:58

Waitfortheguinness · 24/01/2026 22:34

How does 80 year old Mabel, on state pension, remortgage her (fully paid for) home?
if she sells up……she still has to f’ing live somewhere.

? I was talking about people with medical exemption cards for free prescriptions, not pensioners. Most of us are working age and in a job.

Edit: That is the OP’s cost savings suggestion in post #1 is it not? That free prescriptions for certain conditions should be stopped or at least means tested?

MunsterCourt · 24/01/2026 22:44

I have a prescription exemption certificate for hypothyroidism and I've never thought much about it. I have to admit we are well off and could easily pay for prescriptions, but my GP had always encouraged me to claim the exemption and I never considered not doing so. The condition doesn't affect me severely, I'm only slightly over the threshold and it's not life-threatening for me, but I got diagnosed 25 years ago and have been getting free prescriptions for most of my adult life.

It is a bit odd that very rich people could be claiming it if they happen to have certain conditions. But it probably wouldn't save that much money overall to means test it.

LighthouseLED · 24/01/2026 22:36

Waitfortheguinness · 24/01/2026 22:34

How does 80 year old Mabel, on state pension, remortgage her (fully paid for) home?
if she sells up……she still has to f’ing live somewhere.

Equity release?

I don’t think it’s a good plan, but assets should be looked at as well as income.

Waitfortheguinness · 24/01/2026 22:34

SugarandSpiceandAllThingsNaice · 24/01/2026 22:27

You can. It’s a statement of fact. I had to do it. So why should multi-millionaires with mansions or 2nd,3rd,4th homes be exempted?

How does 80 year old Mabel, on state pension, remortgage her (fully paid for) home?
if she sells up……she still has to f’ing live somewhere.

SugarandSpiceandAllThingsNaice · 24/01/2026 22:28

How can the economy boom if people can’t afford medications that ensure they are not too sick to work?

LighthouseLED · 24/01/2026 22:27

SugarandSpiceandAllThingsNaice · 24/01/2026 22:26

The Prepayment Certificate costs the NHS £882m, perhaps OP wants to cut that too?

Don’t give her any more bad ideas!

SugarandSpiceandAllThingsNaice · 24/01/2026 22:27

Waitfortheguinness · 24/01/2026 22:03

🙄

You can. It’s a statement of fact. I had to do it. So why should multi-millionaires with mansions or 2nd,3rd,4th homes be exempted?

SugarandSpiceandAllThingsNaice · 24/01/2026 22:26

UserFront242 · 24/01/2026 22:11

How would it save money? Have you done the maths?

The health conditions that attract free prescriptions are not isolated to one body part. They are systemic. Diabetes is not just about blood sugars. It affects everything.

Anyone in England on regular medication can get a pre-payment certificate anyway.
By insisting this person you know pays £120 a year is not going to really make any meaningful dent in debt we have.

The Prepayment Certificate costs the NHS £882m, perhaps OP wants to cut that too?

SugarandSpiceandAllThingsNaice · 24/01/2026 22:23

Samdelila · 24/01/2026 21:57

I completely agree that waste should be addressed. I’m not only interested in ways to cut spending that involve people paying more. I’m interested in discussing all suggestions about cutting spending.

Let’s cut the free prescriptions under the maternity exemption too and the HRT exemption. Would save £70m

UserFront242 · 24/01/2026 22:11

How would it save money? Have you done the maths?

The health conditions that attract free prescriptions are not isolated to one body part. They are systemic. Diabetes is not just about blood sugars. It affects everything.

Anyone in England on regular medication can get a pre-payment certificate anyway.
By insisting this person you know pays £120 a year is not going to really make any meaningful dent in debt we have.

Waitfortheguinness · 24/01/2026 22:03

SugarandSpiceandAllThingsNaice · 24/01/2026 21:55

You can actually, you can sell up or remortgage to get cash.

🙄

Samdelila · 24/01/2026 22:00

Gall10 · 24/01/2026 21:58

Child benefit… free hours at nurseries,..universal credit… free education… free healthcare. Doesn’t sound so good now does it?

I was asking for good ideas.

OP posts:
rainingsnoring · 24/01/2026 22:00

LilyBunch25 · 24/01/2026 21:56

I was referring to the OPs original post. And to say most responders are over reacting is patronising.

Ah apologies, I thought you were reacting to my post as you quoted it and said 'posts like this'. Admittedly, I have not read all the OP's posts, just a few at the start. Having said that, I have seen this sort of emotive response again and again on here and in every other form of media whenever a cut to anything is even timidly floated. The UK population needs to get real as the economy is in a dire state, like lots of other countries.

SugarandSpiceandAllThingsNaice · 24/01/2026 21:59

Bushmillsbabe · 23/01/2026 19:46

Surely you/the dr can just request the prescription every 6 weeks rather than every month?

Or 2 weeks or 4 weeks instead of a month.

I get mine every 4 weeks in dosette boxes.
The pharmacist makes them up.
Nothing is wasted.

Gall10 · 24/01/2026 21:58

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?

Child benefit… free hours at nurseries,..universal credit… free education… free healthcare. Doesn’t sound so good now does it?

jbm16 · 24/01/2026 21:57

rainingsnoring · 24/01/2026 21:44

We have a lot of examples on this very thread of why significiant cuts can't be made for policital reasons.

So many ridiculous, emotiove responses like this over the apparently shocking suggestion of removing WFA from most pensioners (th wealthiest generation) 'And how many pensioners dying from being terrified to put their heating on is an acceptable “canon fodder” under your criteria?' And yet there were no deaths reported at all in Winter 2024, not even in the Daily Telegraph!

Lots of people accusing the OP of hating her friend/having no soul. etc for daring to suggest that the list of free prescription entitlements be reviewed, which of course it should.

It's pretty obvious to anyone who checks the budget deficit, looks at population demographics and can add up that the UK will need to make signficiant budget cuts at some point, probably not too far in the future. However, when any attempt is made to even discuss it, even a tiny, insignificant thing like cutting free prescriptions for those with hypothyroidism, for example, they are screamed at and accused of all sorts. Frankly, these people need to look at the real economic and demographic situation, rather than the one that existed in 1950. They (the whole population of the UK) needs to grow up and find ways to discuss vital, although challenging, issues with each other without being rude, completely over reacting and making personal remarks.

The NHS is an emotive subject, which people feel passionately about, the problem most people have are that taxes continue to rise year on year, however they are spun, without people seeing any improvement.

There should be proper reform and removal of hundreds of billions in wastage before we start asking the working people for more money.

Samdelila · 24/01/2026 21:57

jbm16 · 24/01/2026 21:52

Why does everyone of your suggestions rely on people paying more?

There is so much waste across government and local councils that should be addressed before people have to pay more, everyone is feeling the pitch, even people on reasonably high salaries.

I completely agree that waste should be addressed. I’m not only interested in ways to cut spending that involve people paying more. I’m interested in discussing all suggestions about cutting spending.

OP posts:
LilyBunch25 · 24/01/2026 21:56

rainingsnoring · 24/01/2026 21:51

Your post makes no sense @LilyBunch25. I've done plenty of research, as it happens but I can't control your response or take responsibility for you. You are responsible for that. As I've said quite clearly, people need to learn to discuss these subjects without over reacting.

I was referring to the OPs original post. And to say most responders are over reacting is patronising.

SugarandSpiceandAllThingsNaice · 24/01/2026 21:55

Samdelila · 23/01/2026 19:32

It has to be income, you can’t pay a bill with property.

You can actually, you can sell up or remortgage to get cash.

SugarandSpiceandAllThingsNaice · 24/01/2026 21:53

Samdelila · 23/01/2026 19:29

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

So I should pay for my cancer medication?

And all the other conditions like my heart arrhythmia and scarring alopecia and Genito-urinary atrophy and osteoporosis caused by the cancer treatment?

You know my exemption only lasts 5 yrs right? And touch wood if the cancer stays away I will be stuck paying for all the prescriptions for the conditions the cancer treatment caused?

Is that fair?

jbm16 · 24/01/2026 21:52

Samdelila · 24/01/2026 21:47

I was on a thread about the need for the UK to become less reliant on the US - which highlighted that to do this we would have to pay more for our own defence. We cannot afford to do that without economic growth and cutting spending. This was the catalyst for me looking for ways to cut government spending. I was already interested in identifying ways to do this because I am constantly reading news articles and comment pieces talking about the fact this country is spending more than it can afford. That prompts me to want to try and figure out how cost cuts can be achieved. It is dispiriting that you cannot believe that I am honestly simply trying to identify ways in which we can help ourselves.

Why does everyone of your suggestions rely on people paying more?

There is so much waste across government and local councils that should be addressed before people have to pay more, everyone is feeling the pitch, even people on reasonably high salaries.

rainingsnoring · 24/01/2026 21:51

LilyBunch25 · 24/01/2026 21:49

It is an emotive subject to many, especially when a post like this is made by someone who has not researched the subject more beforehand.

Your post makes no sense @LilyBunch25. I've done plenty of research, as it happens but I can't control your response or take responsibility for you. You are responsible for that. As I've said quite clearly, people need to learn to discuss these subjects without over reacting.

LilyBunch25 · 24/01/2026 21:49

rainingsnoring · 24/01/2026 21:44

We have a lot of examples on this very thread of why significiant cuts can't be made for policital reasons.

So many ridiculous, emotiove responses like this over the apparently shocking suggestion of removing WFA from most pensioners (th wealthiest generation) 'And how many pensioners dying from being terrified to put their heating on is an acceptable “canon fodder” under your criteria?' And yet there were no deaths reported at all in Winter 2024, not even in the Daily Telegraph!

Lots of people accusing the OP of hating her friend/having no soul. etc for daring to suggest that the list of free prescription entitlements be reviewed, which of course it should.

It's pretty obvious to anyone who checks the budget deficit, looks at population demographics and can add up that the UK will need to make signficiant budget cuts at some point, probably not too far in the future. However, when any attempt is made to even discuss it, even a tiny, insignificant thing like cutting free prescriptions for those with hypothyroidism, for example, they are screamed at and accused of all sorts. Frankly, these people need to look at the real economic and demographic situation, rather than the one that existed in 1950. They (the whole population of the UK) needs to grow up and find ways to discuss vital, although challenging, issues with each other without being rude, completely over reacting and making personal remarks.

It is an emotive subject to many, especially when a post like this is made by someone who has not researched the subject more beforehand.

Waitfortheguinness · 24/01/2026 21:47

rainingsnoring · 24/01/2026 21:44

We have a lot of examples on this very thread of why significiant cuts can't be made for policital reasons.

So many ridiculous, emotiove responses like this over the apparently shocking suggestion of removing WFA from most pensioners (th wealthiest generation) 'And how many pensioners dying from being terrified to put their heating on is an acceptable “canon fodder” under your criteria?' And yet there were no deaths reported at all in Winter 2024, not even in the Daily Telegraph!

Lots of people accusing the OP of hating her friend/having no soul. etc for daring to suggest that the list of free prescription entitlements be reviewed, which of course it should.

It's pretty obvious to anyone who checks the budget deficit, looks at population demographics and can add up that the UK will need to make signficiant budget cuts at some point, probably not too far in the future. However, when any attempt is made to even discuss it, even a tiny, insignificant thing like cutting free prescriptions for those with hypothyroidism, for example, they are screamed at and accused of all sorts. Frankly, these people need to look at the real economic and demographic situation, rather than the one that existed in 1950. They (the whole population of the UK) needs to grow up and find ways to discuss vital, although challenging, issues with each other without being rude, completely over reacting and making personal remarks.

Oh, dear god!
wealthiest generation……some yes, a few…..many not!!!!
STOP USING AI…

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