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AIBU?

To think that *some* people paying for healthcare *some* of the time would be no bad thing.

337 replies

manicinsomniac · 04/02/2016 22:50

I am a big fan of the NHS and think it would be terrible if we lost it.

However, I think we could help prevent that happening by it being not quite so free as we are accustomed to, iyswim.

I had to go to my GP today for help with my totally avoidable and self inflicted health condition. I was given an appointment just 3 hours after phoning and the doctor was calm, non judgmental and extremely helpful. I am independent adult with a good, full time job.

I can't see why I, and people like me, shouldn't pay a token amount towards GP appointments, just like we do for the dentist. Even just £10-£15 a visit could make a huge difference on a national scale, surely.

Obviously if you are a) poor b) have an illness or disability that requires frequent appointments c) are a child or d) need expensive treatment/care then the NHS is vital and must remain free.

But I don't see the need for this 'free at the point of use' thing for all people in all situations. If you can pay for standard, infrequent appointments then I think it would be fine to be made to.

AIBU?

OP posts:
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BeaufortBelle · 06/02/2016 17:44

Because our annual premiums for a family of four hit £8,500 per annum about four years ago and with the excesses and exemptions increasing we decided it wasn't worth it. We can afford to self pay. Why, however, if the NHS can provide a service as good as is available privately should one if one doesn't have to? Doesn't it make sense to receive what is available free and pay for what isn't. DD recently needed some blood tests. Our local private hospital quoted £270; our GP did them for free. They were recommended by her psychiatrist to whom we had already paid about £900 plus £550 of counselling because CAMHS didn't consider her to have reached their definition of tier 3 although she was only assessed by a primary mental health worker, whatever that is. Therefore I have no difficulty picking and mixing, especially as our tax bill last year exceeded £250,000. That's an awful lot going into the system for very little return. If only the system spent money as wisely as we do.

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BeaufortBelle · 06/02/2016 17:45

I checked the figure between thinking that post was lost and now.

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OTheHugeManatee · 06/02/2016 17:49

I don't have a problem with asking critical questions about the funding and delivery model for healthcare in this country. I don't like this religious devotion that seems to be encouraged in this country towards 'our' NHS. It's not like we get choirs singing songs about how wonderful HMRC are. There are plenty of countries that mix private and state provision without creating huge health inequalities such as we see in the USA and I'm not sure why private provision has to be treated like some kind of satanic predator by definition.

There are loads of people working within the NHS who are immensely committed and caring, and do a difficult job to the best of their ability. But the system overall does not work particularly well, and to point this out is not insult individuals doing their best within that system.

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inlectorecumbit · 06/02/2016 18:09

I would prefer that Patients were "charged" a fee for not turning up to appointments. I had 40 minutes of wasted time on Thursday morning due to no shows who had booked earlier in the week.
Just how you could gather the money or police it l have no idea.

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hefzi · 06/02/2016 18:46

BeaufortBelle sorry - I realise it was a personal question: I was just interested. I know it has been recommended to me by doctors that I just put money away and then "barter" as necessary Hmm instead of paying insurance, but I'm not in the position where I ever have a couple of hundred not doing anything to pay a consultant with - so it makes sense for me to insure. I know my DP faced a similar thing as you and your DP with regard to premiums some years ago - DF was younger than 50, but had already had heart trouble, and as a result, premiums just for him were over £1k per month.

I don't think anyone should have to pay to get better service - but the sad fact of the matter is that if you're paying, you do: and I absolutely agree that it makes sense to pick and mix where that's possible, no matter what the level of one's personal tax burden is.

I completely agree (I wonder how often I've posted that before!) with Manatee - the fact that there are issues with the performance of the NHS is in no way a criticism of the dedicated staff who work for them: and really, in the 21st century, we should have no "sacred cows" of the state. There is - for whatever reason - quite clearly a complex problem: as tax payers and service users/patients, we deserve a good service that is both fit for purpose and value for money.

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tinofbiscuits · 06/02/2016 19:02

I know it has been recommended to me by doctors that I just put money away and then "barter" as necessary hmm instead of paying insurance

Shock How many people are in a position to barter when they're feeling ill?

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EmbroideryQueen · 06/02/2016 19:15

How about a system whereby an appointment charge is set and each time a patient is late or absent they pay, but each time the NHS is late of cancelled they pay the patient Wink that's a system my bank balance would be in favour of! Wink

Still cross that my DC had to be put on a drip as a baby due to a nil by mouth operation being delayed by 12 hrs! 20hrs total nil by mouth is not acceptable for a 3 month old!

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BeaufortBelle · 06/02/2016 19:20

My physio charges for a dna. I had to cancel at short notice because my stepfather was ill. Rang up and apologised and put a cheque for £50 in the post. She phoned me when she got it to say she'd put it through the shredder because she filled my half hour with an emergency. But then I'm very reliable and she pokes me if she sees me in waitrose Grin

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BeaufortBelle · 06/02/2016 19:33

No offence taken hefzi but you did ask Wink. I agree entirely with othehugemanatee. What I have difficulty reconciling is the fact that anyone should be grateful to the NHS. I am grateful for good, kind care from wherever it comes. I accept that if DH needed a procedure he would have to pay because it has to be convenient for him. We are however talking about the man who had his piles done at 9am and was in work by 1.30pm. Only a local though - and he did moan a lot for about a week.

When I get good care, I always write and say thank you because I think bouquets are as important as brickbats. But it concerns me that it is 50/50 overall. 80/20 vis a vis doctors, physio, radiologists, etc - probably higher for the latter two but sadly closer to 20/80 vis a vis nursing care. It is massive problem.

We are London or outskirts so experiences might be skewed, I accept that.

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hefzi · 06/02/2016 20:00

No, absolutely, BB - I was just interested (and nosy - I appreciate it was none of my business) because I think our general opinions are fairly similar despite the significant income disparity ( and I also send flowers and write letters, as well as pay for appointments if I haven't given 24 hours notice of a change: again, though, when people know you're not a flake, they tend to return the cheque!) And like your husband, I also went into work after piles: though I wasn't there for all that long, as it was a GA and day surgery, so I only made it just in time for my 4 o'clock lecture: I was moving a bit gingerly all class, though Grin

tin that's what I was told by several GPs at the practice where I was a child - they are the sort, though, who affect to be enormously offended by private medicine Hmm I don't think, if something was serious enough to need to jump a waiting list, I'd be in any mood to quibble, frankly (and actually, I think it's rather rude to barter with professionals as though it were a car boot sale Hmm)

I know my father needed to see a cardiologist urgently about four years ago (according to the GP): the waiting list was at least three and a half months - but strangely, if he paid the £180 consultancy fee, he could be seen the same afternoon.

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BeaufortBelle · 06/02/2016 20:40

What I haven't said is that I am still spitting feathers because whilst dd has had the best MH care available in the UK, other young people in my area who were in the same clinics position have not had care from the NHS and will not get it until their mental health escalates and they attempt suicide and have or are close to dropping out of school. It makes my blood boil and I have now met twice with my MP about it. I am getting the impression that it is as much about mismanagement of resources as it is about limited resources. It is absolutely unacceptable.

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susurration · 06/02/2016 21:48

I agree with this. And also I'd like it to be easier to mix and match services where possible.

For example, I had a serious breakdown two years ago that landed me in hospital. I was promised an urgent psych referral that never materialised. So husband took me to and paid for a private (fully qualified) psychiatrist who did a full mental health assessment, recommended treatment and medication and sent me back to the NHS. When we got back to the NHS GP there was a hell of a palaver actually getting the prescription fulfilled, in fact a three day delay during which my health obviously continued to deteriorate. If there had been a way to simply get the script in front of a GP without having to wait three days for an appointment it would have been much simpler. The second problem with this was that when the 'emergency' psych referral actually arrived TEN months later, they too did not believe that the fully qualified psychiatrist was just that.

The way I see it, we spent £300, but in theory saved the NHS money and time by finding and seeing my own psychiatrist, leaving an appointment for someone else. I wish we hadn't had to do so, but we were getting no where with the NHS anyway, so why can't we just mix and match to try and actually smooth things out anyway?

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