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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To think the NHS will eventually have to be privatised ?

401 replies

Felixsmama · 25/07/2022 10:23

When the NHS was founded 1 in 2 people died before the age of 65. It's now 1 in 8, the last 10 years of people's lives can be spent with multiple co-morbid conditions which are expensive to treat and keep under control. The NHS wasn't designed for what it's not having to do, we have an aging population. Shouldn't we start to have conversations about what going forward our health service should look like? There's multiple models not just the US one.

OP posts:
Discovereads · 25/07/2022 20:16

AndreaC74 · 25/07/2022 20:12

Maybe but then you have answer where the tax payers are going to come from to pay to care for the ever growing elderly population?

Just putting corporation tax up to the average in the G7 would more than cover the costs. Taxes don’t have to come from just people.

User135644 · 25/07/2022 20:19

It won't be now because Labour will win the next election.

User135644 · 25/07/2022 20:22

Sistanotcista · 25/07/2022 10:33

I’m constantly astonished at the way most British people I know think about the NHS. These are intelligent, educated people to whom it should be perfectly clear that the system is broken, but they are unwilling/unable to accept it. As the OP states, the NHS was set up long ago, in very different times. It definitely needs a revamp, if not to be scrapped altogether.

To be clear, my criticism is of the organisation and how it is mismanaged - not of the over stretched, dedicated, hard working HCPs who are working for it. I have nothing but praise for them.

I think it's fear of copying the American system, which we have in so many other areas and rarely for the better.

Phineyj · 25/07/2022 21:00

A lot of independent schools provide chargeable, taxable private insurance to their staff as an optional benefit. I've paid just under £100 a month for the last 5 years and have had three operations paid for, minus a small excess, arranged for school holidays. The cover disregards previous illnesses/conditions. I think I'm possibly in surplus...

Of course it is a good deal for the insurance company as we have one of the youngest teaching workforces in the OECD. If they were all like me they'd make no profit.

I think £100 a month is affordable for a lot of professionals and if the healthcare workforce issues can be sorted out, companies could be encouraged, maybe even subsidised, to provide this.

I had to use the doctor in France last week. It was 25EUR, payable on the spot. That wasn't the surprising bit - it was being able to get through on the phone straight away. That was amazing! My UK surgery are fine but it takes 45 min to get through.

championsugar · 25/07/2022 21:01

There are some revolting people on this thread who clearly know nothing about the vast needs of patients who need healthcare.

As an NHS worker, I don't know a single person who would carry on in healthcare if it were privatised.

Threads like these make me want to just give up being health professionals all together and go and live in a cave.

ArseInTheCoOpWindow · 25/07/2022 21:10

There are some revolting people on this thread who clearly know nothing about the vast needs of patients who need healthcare.
As an NHS worker, I don't know a single person who would carry on in healthcare if it were privatised

Its called health fascism. Only the lean, active and young deserve health care. All the rest with athritis who can’t exercise, or with mental health issues with prescription meds that make you eat non stop, or alcoholics who try and fail to give up should be disregarded. Or the obese with eating disorders, although it’s fine to treat anorexia as another eating disorder.

Eugenics is the word. Just like Hitler. No one disabled, or mentally ill, or struggling in any way can have treatment. Makes me feel🤢

TheGoogleMum · 25/07/2022 21:27

I think privatisation has caused more problems in other areas (energy?) . It isn't the answer.

Fancydancer1934 · 25/07/2022 21:31

antelopevalley · 25/07/2022 14:47

Just get rid of all the poor people. Poor health is very strongly correlated with poverty.

Get rid of the alcoholics as well! Did you know that they get extra benefits so they can afford to drink? Crazy!

TimeFlysWhenYoureHavingRum · 25/07/2022 21:38

How would privatising it improve the situation? Just means poor people will be allowed to die while the rich get treated. Doesn't sound great to me.

coffeeandbiscuittime · 25/07/2022 21:58

I am proud of the NHS and the fact that we can treat people regardless of wealth/religion/ culture- I really do not want a privatised system, it is not an equal system.

FangsForTheMemory · 25/07/2022 22:00

Every time I see a thread like this, I assume it's been planted by the Tories to gauge opinion.

If it hasn't, why are you doing their dirty work, OP?

ticktickticktickBOOM · 25/07/2022 22:03

It's been purposefully run into the ground for the last 20 years so it can be privatised. We'll have American in style health insurance (well the few that qualify) by the end of the decade.

Jedsnewstar · 25/07/2022 22:04

The worry is that if it is privatised the people making the decision will be the people who financially benefit from screwing us all over. The same people who financially benefit the younger the rest of us paupers die.

All the Tories care about is how to line their pockets and the private school chums pockets.

newhere989 · 25/07/2022 22:05

Discovereads · 25/07/2022 11:10

No, privatising would be a disaster. It would result in increased costs for no net benefit to patients. Haven’t we learned that not only from privatising trains and utilities but also by looking at countries that have privatised their health systems?

Yes the NHS isn’t the best system in the world, but multiple studies have shown that compared to countries that spend the same per capita, it is the most efficient system with the highest patient outcomes. So we are literally getting the best we can get for the money paid.

Systems elsewhere in the world may be better but they all spend considerably more as a % of GDP and per capita than we do.

The NHS doesn’t have to have been “designed for an ageing population” FFS. It was designed to provide universal, equal access to healthcare. It doesn’t really matter if there are tons of maternity wards and pediatricians for a young population or tons of oncologists and heart surgeons for an ageing population. It’s not some inflexible system with quotas for each type of healthcare.

The point made repeatedly above is 100% true the NHS has been slowly starved of cash for decades resulting in a massive gap between the level of funding it should have and what it has now. Showy announcements every five years of a few billion here and there don’t close the gap. It’s just window dressing to convince you the NHS has plenty of money, when it doesn’t. Not when you compare to healthcare spending per capita, # hospital beds per capita, # MRIs and other equipment per capita, # GPs per capita, # nurses per capita, and so on that our peers economy wise like France and Germany. Do you not even wonder why in Covid we had to scramble to get more ventilators and ICUs set up but other countries did not so much? It was because we already had fewer ICU beds and ventilators per capita than anyone else in the EU…due to lack of funding.

This this this 🫥

prinnycessa · 25/07/2022 22:05

I think the best option would be some kind of hybrid system as PP above have suggested.

The NHS is on the brink of collapse but nor do we want an American system. Hopefully something can be done soon as the current situation is not sustainable

Phineyj · 25/07/2022 22:08

world101.cfr.org/global-era-issues/global-health/how-health-care-works-around-world this is an informative article for anyone interested in what options are out there. It's not as simple as "NHS pays for everything" versus "privatise everything, poor die."

That's the kind of narrative that means we can never learn anything from other countries.

I don't think the current system where you have to do so much advocacy for yourself serves anyone very well.

prinnycessa · 25/07/2022 22:14

Phineyj · 25/07/2022 22:08

world101.cfr.org/global-era-issues/global-health/how-health-care-works-around-world this is an informative article for anyone interested in what options are out there. It's not as simple as "NHS pays for everything" versus "privatise everything, poor die."

That's the kind of narrative that means we can never learn anything from other countries.

I don't think the current system where you have to do so much advocacy for yourself serves anyone very well.

Number two looks like a great option

SonicHg · 25/07/2022 22:20

I think everyone should pay a small amount towards healthcare for every appointment and treatment just like we do with dental care and also ensure that no foreigners get free treatment. Need a complete overhaul with management, less of them and salary should be capped at 100k. NHS is badly abused by people, especially from people from lower social communities.

Ehneh · 25/07/2022 22:32

This reply has been withdrawn

This message has been withdrawn at the poster's request

StoneofDestiny · 25/07/2022 22:43

We need to value our NHS more.

Far better to prioritise things that benefit the majority of the population over unnecessary projects that support a minority. An example would be to plough the £106 Billion that is the current estimate for HS2 into the NHS. Meanwhile its estimated every person sent to Rwanda will cost £30,000 per person. (£120 million so far ear marked for the scheme).

midgetastic · 25/07/2022 22:45

Keeping people who should be dead alive

What are the criteria for that please?

Keeping women who bleed in childbirth alive?
Keeping a diabetic alive?
Keeping a child who jumped into a lake alive?
Or just older people
?

Do you have an age at which you would like the population killed ?

GrowlingManchego · 25/07/2022 23:03

The NHS is good value for money. If we want better we need to all be prepared to pay for it through higher taxes. Privatisation is rarely the right answer. Someone mentioned raising corporation tax, which would help fund improvements.

onthefencesitter · 25/07/2022 23:54

championsugar · 25/07/2022 21:01

There are some revolting people on this thread who clearly know nothing about the vast needs of patients who need healthcare.

As an NHS worker, I don't know a single person who would carry on in healthcare if it were privatised.

Threads like these make me want to just give up being health professionals all together and go and live in a cave.

I haven't seen a single poster on this thread who was not advocating for universal health insurance and where the premiums of the poor would be paid for by the state. Maybe there were a few I missed but that's not the consensus. There are doctors and nurses in Singapore, Germany, Switzerland, France, Australia and I don't think they are any less noble than NHS staff. They do the same job. Except they can help more people and achieve better outcomes because the system actually works.

antelopevalley · 26/07/2022 00:01

@onthe we would not have a system like those though. We would have a system where the MPs friends could make the most money possible.

And explain to me why adding a while extra layer of bureaucracy that an insurance scheme would make necessary is good value for money?
In my job I try and get rid of bureaucracy and streamline services. I have never understood why adding more bureaucracy could be seen as a good thing.

sst1234 · 26/07/2022 00:18

Another day, another thread. Lots of hysterics about NHS not being funded properly. Yet no one, not one person here or anywhere else has been able to say what is the right amount of funding.

Instead of generic, meaningless, regurgitated words about ‘underfunded NHS’, why not question how that funding is used. The UK spends well above the OECD average on healthcare. We spent 12% of our GDP on the NHS last year. How much is enough? 25%, how about 100%? What will the shrieking hysterics do when they find out that more spending doesn’t buy you better results. Just look at the US.

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