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niceguy - do you not think there's a connection between the 'large bloated public sector' and the fact that this is a much better country to live in than the US if you fall on hard times? I think your Chinese reference is drawn from a comment that's bandied about to do with the NHS being the second largest employer after the Chinese Army. Don't know how true that is - especially not now thousands of posts have been cut, including several thousand nurses.
Helpfully, the BBC did some research on this, and in their smug way claimed to SMASH the claim that the NHS was the 2nd largest employer in the world. ]Here's the article.
It's the fifth largest. It has 1.7 million employees, so cutting 'thousands' makes no difference. The NHS has an employee turnover of about 120,000 people a year, so those 'cuts' aren't even at the levels of natural wastage.
Looking at the BBC article, which helpfullly lists the ten largest employers in the world, what should become glaringly obvious even to the most starry-eyed admirer of Stalinist healthcare systems is that the NHS is the only healthcare provider in the entire list. Four of the top 10 are in China, whose population is 20 times larger than the UK. Two are in India, whose population is merely 12 times larger than the UK. Three are in America, and two of those three are huge multinationals with employees in every country in the world.
Nobody else's healthcare system comes close. Not France's, not Germany's, and not America's.
^In fact employing enough staff to care for patients actually saves money - by treating people when they get ill, rather than leaving them to linger and get worse, you are more likely to restore their health and reduce complications, avoidable deaths, avoidable disability, avoidable suffering. Oh, and get people back to work and paying taxes where possible.
Swift appropriate available treatment and social care also reduces the number of relatives who have to leave work to care for people who have become disabled. It reduces the number of carers who crack under the strain and become long term sick or disabled themselves. It helps those carers who were long-term sick or disabled to start with, avoiding them becoming unable to care.
Good healthcare is not only a good thing in moral terms, it is a good thing in economic terms too. So leave it out of any references to the public sector being 'bloated'. Unless you are brave enough to wonder down to your local hospital and go up to the one or two qualified nurses on duty coping with a ward full of vulnerable elderly people who all need taking to the loo and help with feeding, let alone their healthcare needs meeting, and ask them whether they are feeling part of a 'bloated' sector with far too many people.^
Unprovable claims of 'saving money' and emotional blackmail, all in two paragraphs. Well done!