Can anyone explain how Reform’s Insurance based health system will work?

[BurntBroccoli]

I’ve looked at the manifesto and it’s confusing? A lot of Reform voters are now saying Farage will keep the NHS for poorer people but if you aren’t, you will have to go private. A bit like dentists or vets I suppose.

What is point you are classed as better off? How will the “NHS” be funded if no one wealthy is paying in?

Anyone?

But they are all idiots,none stick to their word
Who on earth are we to vote for

They will sell everything off to the States. Everything will be privatised and Farage and his chums will make lots of cash.

Anyone who casually mentions privatising the NHS is wealthy.

Look at the privatisation of utilities. Held to ransom by foreigners who charge a bloody fortune and noone is held accountable. Is that what you want?

Even Farage, who wouldn't know common sense if it slapped him round the face, is talking about nationalisation.

I dont trust Reform and Farage to run an egg and spoon race without there being something in it for them and to the detriment of a lot of people in the UK.

Like so many things it sounds good in principle but if Reform are left to introduce it a lot of people will be penalised. If not now then later. The water industry being a prime example of utilities and the private sector.

I do not know the details of Reform’s proposals - I bet they do not know them either.

BUT

Most EU countries have compulsory insurance based health care schemes. The individual and employer pay in on a means tested basis but the treatment is free at the point of delivery. Richer people pay more than poorer people and those without money pay nothing. Wealthy pensioners continue to pay in (unlike the UK NI model) and non earned income (pensions, dividends, rental income etc) is included (again unlike the UK model).

The result in the countries I have lived in is a much better resourced health service. Same day or next day appointments with GPs etc. Quicker access to specialists.

The choice is not NHS v US style private provision.

But as with all of these things the devil will be in the detail.

This is what Reform are peddling on my local Facebook community page.

I agree.
The problem is that unlike Europeans the British as a whole, whilst they moan about the NHS, moan even more about paying taxes( or insurance premiums). We don't seem to be able to make the connection that if you want a better system you are going to have to pay for it in one way or another.
And we seem incapable of thinking on a long term basis, it's all about having more in your pocket this week or month, not what is more beneficial in the long term.
Massive generalisation of course, but overall that seems to be the British mindset, but it's not doing us any good.

I'm not sure Reform have thought of the details.

In any case, almost everyone who votes Reform will not have considered this part of their manifesto anyway.

While I am not opposed to a system of that kind in principle I doubt it could work here after so many years of The NHS and of all the parties to implement it Refrom would be at the bottom of the list of those capable of it

We'll be up the creek if an insurance based model comes in because costs of healthcare will massively increase, people won't be able to afford the premiums, people will receive treatment then the insurance company will refuse to pay and some people will be turned down for insurance. I've seen it happen with veterinary costs here. The costs have increased so much it's ridiculous and it's hard lines if you end up stuck with a sketchy company who don't pay out.

People will suffer and die. I suppose it might get rid of the poor, sick and disabled though, so Farage will love that. Bring in MAID and it'll be positive utopia.

During the last Labour Govt, they introduced the Day Treatment Centre programme funded by PFI. We worked on a couple of Centres in conjunction with the organisation who had won the contract for supply of medical services. That was an American organisation. The company they set up to run the centres is still in operation. They were originally funded by one of the large, global financial services companies.

They won’t have a proper plan at all. No one ever does for healthcare it’s just soundbites.

Reform have no idea how their insurance based health care would work either. Farage is detestable but very good at tuning into people’s insecurities, whipping up division and causing chaos. And people are buying into it.

Yes! This is what they are saying.

It mentions insurance in their manifesto however and Farage is on record saying that we need an insurance based system.

Such a dangerous person.

They don’t really expect to be in power so can make up whatever they fancy.

Farage doesn’t believe in workers rights like maternity leave either.

I don’t think we should be that complacent. There are a lot of Reform supporters on all Facebook Labour posts.

This. The system in most European countries is very good. "Insurance based" does not mean "The same system as in USA".

Amy European model means spending more

The key is that the clinics etc compete with each other, so they actually want to attract patients (rather than viewing them as a cost/inconvenience).

That's exactly what we need in the UK. The NHS knows they have a captive audience of patients with no alternative so they continue to treat them like crap with the "put up and shut up" attitude because they perceive it to be free.

The whole idea of the "marketplace" 30 years ago was to improve standards by getting GP surgeries and hospitals to "compete" but it's been a complete failure due to lack of competition.

If it improves service and outcomes, then fair enough. Trouble is that throwing more money at the NHS won't improve service quality because of the way the whole structure is set up - more money just goes into the leaky bucket. Show us some real improvements and justify the extra costs.

Yeah, and I remember he and the other Brexit campaigners thinking that it wouldn't be voted for.

Then their pale-faced thousand yard stares when it wasn't just a fun jape anymore and people said "yay! Here's to the 350 million a week for the NHS! " and they quickly said ..."yeah, about that....".

You could the same thing with better funding of the NHS.

Insurance based systems are just another tax, they don't in themselves automatically make for better health services...

Remember too the UK is a nation of fat and unfit people, health demand is crazy, the most common type of patient my DD sees for stroke therapy is people in their 40s and 50s.. all caused by life styles & demand is going up.

The thing is - cancer and urgent trauma care is pretty much all the NHS can treat well.

And from other threads about the level of disorganisation about trying to book pre chemo blood tests apparently not always that well either.

Anything ongoing or mental heath related and you can forget it.

I said this to DH just the other day.

I live in an area targeted by NF and his swivel-eyed fruitcakes. In fact, good ol' Nige was here last week, whipping up support from the Wetherspoon's day-drinkers and standing on the beach yelling at the boats. DH seems to think Reform have a good chance at the next GE. Both of us are praying he's wrong.

There's a lot that needs to change with the NHS (I work very closely with them) but Reform are not the answer to any sensible question.

@ShapedLikeAPastry

Nige was here last week, whipping up support from the Wetherspoon's day-drinkers and standing on the beach yelling at the boats.

Was he with the drinkers yelling at the boats or by himself?