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Share your dilemmas and get honest opinions from other Mumsnetters.

Private education and healthcare

325 replies

LeafUsAlone · 31/03/2024 21:58

I'm just curious as to why they are considered morally indefensible when people being able to afford better quality clothing, houses, safer cars etc aren't commented on in the same way?

Considering both private healthcare and education doesn't necessarily mean a better quality, why do people get so annoyed over them?

OP posts:
goldenretrievermum5 · 01/04/2024 00:18

Didimum · 01/04/2024 00:03

You do not opt out – both are still available to you whenever you wish to use them. That’s a privilege. There are also no emergency services available in private healthcare, so one can most definitely not opt out of A&E and emergency ambulance services.

Furthermore, in using NHS for healthcare in other non-essential ways you can avoid pushing up your premium for private health insurance. Also a privilege.

Edited

Lucky you if you can actually get access to this ‘non-essential NHS care’ that you speak of. Certainly doesn’t exist anymore in these parts! I don’t even try to get through to our NHS GP anymore, it’s pointless

JassyRadlett · 01/04/2024 00:19

izimbra · 01/04/2024 00:12

"Society will always be unequal. If you make everyone go to state school, house prices will shoot up around the good schools and you’ll have a two tier state system with richer kids going to the best schools. This is what I think will happen if the next government puts VAT on school fees"

  1. The fact that inequality exists is not an argument for society refusing to make attempts to reduce inequality.
  1. There are ways to address selection by postcode - such as fair banding and lottery selection. And the best comprehensives in the country still have more kids in FSM than any mainstream private school in the UK.
  1. The whole 'state schools will be overwhelmed by kids from private schools after VAT imposition is nonsense. Private schools have double the number of staff per pupil than state schools. This means they have plenty of scope to cut costs to absorb the cost of VAT for parents by reducing school fees. Private school fees have increased by 20% in real terms since 2010 with zero fall in pupil numbers.

Also many state schools have falling rolls anyway. There are undersubscribed state schools in almost every borough.

Many secondaries in particular will face a nightmare over the next decade - likely that quite a lot of subjects will become uneconomic to offer at GCSE in individual schools unless the funding model changes.

A bit of an influx would be quite welcome, tbh.

goldenretrievermum5 · 01/04/2024 00:20

izimbra · 01/04/2024 00:18

You're simply wrong.

People with money access diagnostic services in the private sector, then often return to the NHS for care, meaning they get care NHS quicker than people who can't afford private diagnostic services. It's a way of jumping the waiting list.

And privately educated children trample over the backs of brighter kids in the state sector who haven't had the privilege of expensive educational hothousing, in the competition for the best university places and jobs.

And all the research bears this out.

The list jumping has now been outlawed. No more private to NHS transfers allowed

Boombatty · 01/04/2024 00:21

Didimum · 01/04/2024 00:14

I think you are being defensive because you’ve written a fairly long paragraph defending it. I am not saying people should not use private healthcare, I’m saying I don’t think it should exist. Those are two different things.

So you don't judge anybody for using private healthcare?

Didimum · 01/04/2024 00:23

goldenretrievermum5 · 01/04/2024 00:18

Lucky you if you can actually get access to this ‘non-essential NHS care’ that you speak of. Certainly doesn’t exist anymore in these parts! I don’t even try to get through to our NHS GP anymore, it’s pointless

You don’t need to defend your choice to use private healthcare (if you do). Individual use of is not what I’m arguing.

CinnamonJellyBeans · 01/04/2024 00:24

@izimbra Not sure that you read the second part of my post correctly. I am not at all in agreement with private education (or tuition).

Didimum · 01/04/2024 00:26

Boombatty · 01/04/2024 00:21

So you don't judge anybody for using private healthcare?

I judge those with the power and privilege to aid our public service for perpetuating a society where it has become increasingly necessary.

izimbra · 01/04/2024 00:27

@Goldenretrievermum

"The list jumping has now been outlawed. No more private to NHS transfers allowed"

Not true. In reality it's happening all the time.

izimbra · 01/04/2024 00:28

CinnamonJellyBeans · 01/04/2024 00:24

@izimbra Not sure that you read the second part of my post correctly. I am not at all in agreement with private education (or tuition).

I apologise - I've been back and reread your comment.

Didimum · 01/04/2024 00:28

StormingNorman · 01/04/2024 00:09

I got a private consultation in two weeks that would have taken 12-18 months on the NHS. Getting what you need quicker is objectively ‘better’.

Ditto physiotherapy. I get what I need because I pay for private weekly appointments. If I used the NHS, I’d wait months for a course of up to 6 sessions. Getting the treatment I need to manage chronic pain is ‘better’ than being woefully undertreated.

I think you quoted the wrong person.

goldenretrievermum5 · 01/04/2024 00:36

izimbra · 01/04/2024 00:27

@Goldenretrievermum

"The list jumping has now been outlawed. No more private to NHS transfers allowed"

Not true. In reality it's happening all the time.

I work in a private hospital. At least where we are (NI) it has recently been completely outlawed, much to the frustration of a lot of patients + consultants alike. NHS GP practice nurses can and will now even refuse to see patients with wound issues etc after private surgery

goldenretrievermum5 · 01/04/2024 00:40

Didimum · 01/04/2024 00:23

You don’t need to defend your choice to use private healthcare (if you do). Individual use of is not what I’m arguing.

The issue is it’s really not a choice anymore for a lot of people. You can either languish on an NHS waiting list for years on end whilst you deteriorate, lose the ability to socialise, work, gain an education etc or you can pay privately and have things sorted within weeks/months. I don’t ‘choose’ to fork out £££ per month on private healthcare that frankly I can’t really afford, I do it because there is now no other option.

Popettypop · 01/04/2024 01:04

Londonscallingme · 31/03/2024 23:07

You should read a book by Michael Sandel called ‘What Money Can’t Buy, the Moral Limits of Markets’ it’s about this.

people get worked up about private schools because they entrench privilege and reduce social mobility.

people get worked up about private health care because most find the idea that rich people get to live longer than poor people quite difficult to justify.

the reason people don’t get worked up about cars snd fancy clothes is because they have no societal impact and no one died from having an undesirable car or a cheap outfit.

What she said with 24carat balls on.

All most people want is equality from birth to death.

Eastcoastie · 01/04/2024 01:19

Its an interesting question, with regards to healthcare in particular, private healthcare can have huge advantages in comparison with the struggling NHS. One solution would be to privatise healthcare and then the insurance landscape would change and new cheap insurance would need to become available or some kind of gov assisted program for those who couldnt pay. Yet people wont even entertain the nhs being privatised.

MariaVT65 · 01/04/2024 02:42

People are likely jealous and I couldn’t give a fuck.

My dad paid for private secondary school as I had problems with physical bullying at state primary, and my catchment secondary is pretty much constantly under special measures even 20 years later. My dad started his own business from scratch, why is he not allowed to spend his own money giving his kids a better life if the option is there?

Private healthcare is also a wide range of costs. I paid for private physio for my 1 year old to help him walk, as the wait for NHS physio was too long, and then they discharged him too early. One of the best things I did for him. I also paid for a private speech therapist, again due to the NHS wait.

MariaVT65 · 01/04/2024 02:51

Question then - when we say ‘private healthcare’, is this only things like health insurance and cash for big operations? Or literally everything private?

What’s the problem with me paying for my son’s private physio at £50 a session? Not breaking the bank, meant my son could walk, and it is supporting a local business.

StormingNorman · 01/04/2024 03:02

JassyRadlett · 01/04/2024 00:02

Aren't many of the arguments based on the idea that the impact of private education in particular isn't neutral - and that objections come from a social policy rather than a fiscal policy point of view?

Private education isn’t neutral. People wouldn’t pay for it if it was. I was pointing out a fiscal benefit of private education. I wasn’t dealing with the social aspects because I don’t believe taxing or even abolishing private education would contribute to greater social mobility. It would contribute to rising house prices around good schools and exclude children whose parents couldn’t afford to live within the catchments. So on a social policy front it’s just same same but different.

Skippythebutterfly · 01/04/2024 03:40

CinnamonJellyBeans · 01/04/2024 00:07

When people access private healthcare, it does not affect the health outcomes of those without.

When people pay for private education for their children, it has an impact on the success of other children in obtaining limited Russell group university places, training courses and jobs. This is not fair.

Some universities try to mitigate this inequality by offering more places to state school students, but these students still have to attain the same A level grades.

not sure what Russell group unis you’re thinking of but here in Scotland the unis widening access programs have meant that Scot’s that do not live in the poorest 20% of postcodes have been excluded from popular courses in past years. Regardless of their achievements. Students from these poor postcodes were guaranteed places if they met the (reduced) entrance requirements. Which would be fine if the not-extremely-deprived students were told this but they weren’t, so had their heart set on something totally unobtainable due to their parents choices.

goldenretrievermum5 · 01/04/2024 04:02

Skippythebutterfly · 01/04/2024 03:40

not sure what Russell group unis you’re thinking of but here in Scotland the unis widening access programs have meant that Scot’s that do not live in the poorest 20% of postcodes have been excluded from popular courses in past years. Regardless of their achievements. Students from these poor postcodes were guaranteed places if they met the (reduced) entrance requirements. Which would be fine if the not-extremely-deprived students were told this but they weren’t, so had their heart set on something totally unobtainable due to their parents choices.

Due to widening access programs DD has even found it incredibly difficult to get NHS work experience - most programs are only open to students of poorly achieving schools so being a grammar school student she is automatically excluded, which would be fair enough if there was another way to gain this work experience, but there isn’t! This has put her at a severe disadvantage when applying to university as when it comes to healthcare courses they really do need it - surely equality for all is what we should be going for, not promoting even more division?

RiderofRohan · 01/04/2024 04:30

izimbra · 01/04/2024 00:18

You're simply wrong.

People with money access diagnostic services in the private sector, then often return to the NHS for care, meaning they get care NHS quicker than people who can't afford private diagnostic services. It's a way of jumping the waiting list.

And privately educated children trample over the backs of brighter kids in the state sector who haven't had the privilege of expensive educational hothousing, in the competition for the best university places and jobs.

And all the research bears this out.

Not necessarily.

I went private for fertility treatment, got pregnant taking up almost no NHS resources and then cancelled my NHS fertility appointment, which hopefully went to someone else who might not have the funds to go private.

ichundich · 01/04/2024 05:57

Because they want to drag everyone down to the same low level. If state school provision and the NHS are fit for purpose, people won't see a need to go private. Unfortunately they are not (anymore).

Didimum · 01/04/2024 08:03

goldenretrievermum5 · 01/04/2024 00:40

The issue is it’s really not a choice anymore for a lot of people. You can either languish on an NHS waiting list for years on end whilst you deteriorate, lose the ability to socialise, work, gain an education etc or you can pay privately and have things sorted within weeks/months. I don’t ‘choose’ to fork out £££ per month on private healthcare that frankly I can’t really afford, I do it because there is now no other option.

Once again, I don’t judge people choosing to use private healthcare, but there’s not point giving a speech about how it isn’t a choice – of course it’s a choice and of course you choose to ‘fork out’ for it. You can afford it, because you have paid for it. You have the luxury and privilege of this choice.

You say for ‘many people’ when it’s not many people at all. It’s people with the excess income or savings to pay for it – this is only for those on high enough incomes to afford it. If you truly believe that the NHS is a death sentence then you are buying into a society that dictates that only the rich should afford their human right to health and, quite honestly, to live at all.

Purplevioletsherbert · 01/04/2024 08:08

It’s jealousy. If everyone using private healthcare and private education stopped using them, our public systems would collapse under the strain.

In an ideal world, they’d be well funded enough to provide everyone with a good healthcare service and a good education. But they’re not. The reality is, some people pay for better, and it frees up resource for those who can’t.

JassyRadlett · 01/04/2024 08:10

StormingNorman · 01/04/2024 03:02

Private education isn’t neutral. People wouldn’t pay for it if it was. I was pointing out a fiscal benefit of private education. I wasn’t dealing with the social aspects because I don’t believe taxing or even abolishing private education would contribute to greater social mobility. It would contribute to rising house prices around good schools and exclude children whose parents couldn’t afford to live within the catchments. So on a social policy front it’s just same same but different.

Ok, so you do understand, you just don't agree based on your own analysis of the impacts - which others may disagree with, and have pointed out those things aren't inevitable on this thread? That's cool.

Didimum · 01/04/2024 08:10

MariaVT65 · 01/04/2024 02:42

People are likely jealous and I couldn’t give a fuck.

My dad paid for private secondary school as I had problems with physical bullying at state primary, and my catchment secondary is pretty much constantly under special measures even 20 years later. My dad started his own business from scratch, why is he not allowed to spend his own money giving his kids a better life if the option is there?

Private healthcare is also a wide range of costs. I paid for private physio for my 1 year old to help him walk, as the wait for NHS physio was too long, and then they discharged him too early. One of the best things I did for him. I also paid for a private speech therapist, again due to the NHS wait.

It’s naive and reductionist to label the dislike of dismantling of severe inequalities as jealousy.

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