Lweji
Not always, but at least when you have more than one option then you can switch supplier/provider etc if you aren’t happy with the product or service. When the state has a monopoly and there is no choice, then what? Sure, you can vote for another party at the next election- but all you get is a different shade of the same rubbish.
Politicians have shown time and again that they make promises they cannot keep but refuse to take responsibility for that- there’s always an excuse or a spin put on it. They will happily take the glory and praise when things work out well though (even when they deserve none of it). It’s all about the soundbite, point scoring and ideology. I don’t trust most of them to run a service for the benefit of everyone. They’ll do whatever will help them win an ejection or give them good headlines or appeal to their core vote and so on- whether it is achievable, sensible, or even the right or best way is irrelevant.
I work in the NHS, and it is a great thing that care is free at point of need. BUT the political interference in things they don’t fully understand, coming up with policies that are undeliverable- or at least not within the budget or timescale they set out, but then criticising those trying to deliver in their unworkable promises rather than take any responsibility for the mess. There is too much playing politics- one local example is there is a national policy is to do x, which actually has some good clinical reasons behind the changes. Health board makes changes necessary to deliver the change in service as asked but it pisses of constituents so local MP feigns umbridge and demands “answers” and so on despite having been fully aware of what was happening as he had been involved in, and approved of, said changes in a previous meetings he attended about those changes.
Don’t get me wrong, there are lots of good things about the NHS but the current model is not the only way to deliver universal healthcare, free at point of need. And I am not an advocate of the US system, which is great if you are rich or have good, comprehensive insurance via your employer. If you don’t, it’s usually dire or totally unaffordable leading to people not getting the care they need.