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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To think we shouldn't be funding this on the NHS?

571 replies

AgileJadeDog · 28/12/2024 09:29

I recently had my first stay in hospital due to a respiratory issue and I kid you not, every other person in the bay smoked+had a smoking related disease.

I have no idea if this is typical in other specialties/hospitals but it really hit me how much gets spent on completely self inflicted stuff. AIBU to think we shouldn't be funding stuff like this?

OP posts:
ButterCrackers · 28/12/2024 11:10

Smoking is a choice and one that should be taxed greatly. Those stuck in secondhand /third hand smoke don’t have a choice on avoiding the effects of smoking. It’s these people whose health is ruined due to selfish smokers.

schmeler · 28/12/2024 11:10

AgileJadeDog · 28/12/2024 09:43

Doing anything which is very widely known to be harmful and can easily be avoided.

Smoking (it literally says on the packs you will get cancer if you smoke)
Obesity
Drugs
Alcohol
Extreme sports/irresponsible behaviour

Most people who are obese get refused treatment anyway and have to go back repeatedly before they get anywhere. That costs the NHS more than if they got the same treatment initially.

Barney16 · 28/12/2024 11:10

Smokers attract a lot of criticism but drinkers don't. I find that odd. Drinking has a massive impact on health, costs a fortune and leads to all sorts of difficulties. Yet no one really seems bothered. I get the passive smoking argument but drinkers too inflict loads of secondary harm on other people. Lots of bad decisions made under the influence of drink more perhaps than made by someone with a vanilla and lemon vape in their hand.

Nanny0gg · 28/12/2024 11:10

AgileJadeDog · 28/12/2024 09:43

Doing anything which is very widely known to be harmful and can easily be avoided.

Smoking (it literally says on the packs you will get cancer if you smoke)
Obesity
Drugs
Alcohol
Extreme sports/irresponsible behaviour

You do know that when a lot of older people started that warning wasn't there?

Datgal · 28/12/2024 11:11

My partner was an alcoholic (and depressed, often goes hand in hand). He'd probably be dead now if it wasn't for the NHS. Alcoholism is a disease.
He's got an amazing life now. Teetotal, and really into fitness.
I don't see how he shouldn't have received help.
Dangerous, crazy thoughts you have there.

MsCactus · 28/12/2024 11:11

I think horse riding is more dangerous for health than taking class A drugs. Should we not give NHS treatment to people who ride horses as it's "self inflicted" by your definition?

YABVU

RafaistheKingofClay · 28/12/2024 11:11

Mrsttcno1 · 28/12/2024 09:36

Exactly this.

If we’re ruling out treatment for things that are self inflicted then anyone who drinks, is overweight, drives a car, does any kind of exercise that leads to injury, walks around, essentially is on that list. There’d be very few people left to treat!

But you need to balance that with enough exercise because the risks of being sedentary are self inflicted too. You need to find the balance between at least 150mins of moderate intensity exercise per week and injuring yourself doing that.

Nanny0gg · 28/12/2024 11:11

AgileJadeDog · 28/12/2024 09:56

Pulmonary embolism (blood clot in lungs). I've never smoked, have a BMI of 20, exercise regularly and eat a good diet.

I don't hate these people it's just to think that this has got to be where a good percentage of my pay check is going... it's grossly unfair. They should be covering it themselves.

You know what?

You can fuck off

HoppingPavlova · 28/12/2024 11:11

The difference between smoking and most of the other things cited on here (skateboarding, driving, sports/exercise, pregnancy, etc) is that there is no benefit to society and individuals from smoking

What benefit to society does skateboarding provide🤷‍♀️.

Dutch1e · 28/12/2024 11:12

AgileJadeDog · 28/12/2024 09:37

If you're driving a car responsibly and crash or injure yourself playing tennis I think that should be covered. If it's an obesity related disease or something caused by extreme/obviously dangerous sports then I would be leaning towards the NHS not covering it.

I think my problem is that if my experience is typical it isn't a few people which are in hospital due to self inflicted stuff, it's the overwhelming majority.

Cars and vans are the biggest source of nitrogen oxides in the UK, and pollution from cars cost the UK £6b per year in healthcare costs.

Your choice to drive is a hazard to everyone, not just you, and I think you should pay for it.

(Or you know, just make sure that healthcare is delivered equally to all, without moral judgement)

ButterCrackers · 28/12/2024 11:13

Barney16 · 28/12/2024 11:10

Smokers attract a lot of criticism but drinkers don't. I find that odd. Drinking has a massive impact on health, costs a fortune and leads to all sorts of difficulties. Yet no one really seems bothered. I get the passive smoking argument but drinkers too inflict loads of secondary harm on other people. Lots of bad decisions made under the influence of drink more perhaps than made by someone with a vanilla and lemon vape in their hand.

Drink driving kills and ruins families but yet it’s allowed to drive after a drink. I’d ban driving if the person has had an alcoholic drink in the last 24hours.

Waterweight · 28/12/2024 11:13

Everybody self inflicts their own health problems to a degree though don't they ?

Women who purposely get pregnant or go ahead with risky pregnancies can't really be expected to avoid NHS care

whereisthebook · 28/12/2024 11:13

When people make suggestions like this, I’m always curious as to where they would draw the line.

You could argue that a lot of things people are treated for in hospital are self-inflicted.
I fractured my wrist as a child after falling off my bike. Would have appeared to have been an accident but it wasn’t really. I had deliberately crashed my bike into a wall because I wanted a new one with tassels on the handlebars (devious little sod).

oakleaffy · 28/12/2024 11:13

Coatsoff42 · 28/12/2024 11:06

The biggest risk factor for an early death is loneliness, should we refuse to treat lonely people?

That is awful to read.

I woke up to you tube’s algorithm to an old video of Hannah Hauxwell ( spelling?) where she lived on the high peaks , alone, farming in the 1980’s.
( time of film)

She spoke of having been hospitalised for 10 weeks and how she loved it, the company, being cared for.

Returning to her lonely farm was hard, she said.

She had animals, of course, but was very isolated.

Waterweight · 28/12/2024 11:14

ButterCrackers · 28/12/2024 11:10

Smoking is a choice and one that should be taxed greatly. Those stuck in secondhand /third hand smoke don’t have a choice on avoiding the effects of smoking. It’s these people whose health is ruined due to selfish smokers.

If only the government agreed with you & already applied taxes on it......

Oh wait! They do

schmeler · 28/12/2024 11:14

So do they not have to pay tax like you do if they do not get treatment? You cannot take money from someone and not provide a service - that is theft.

That would mean you pay more if you remove all those who have self inflicted injuries/illnesses etc get to stop paying that tax so you would have to cover the costs yourself.

StScholastica · 28/12/2024 11:14

Oh OP, your ideas are not new. The idea of treatment being available only for "worthy" people had been bandied around for decades.
But who is a perfect, worthy person?
As a nation we provide health care for all, without judgement.
I agree that a lot more work needs to be done on prevention of illness and promotion of healthy living (get Joe Wickes on the telly instead of bloody bake off) but to ration treatment to those who you feel are worthy of it is frankly disgusting.
I'm guessing that you have enjoyed a level of privilege in your life that others haven't, you can afford healthy meals and have the time to make them, you can pay for exercise classes and moreover, you were brought up to value these things. Others weren't so lucky.
I would hate to move to an American or indian system of healthcare where the poor are just left behind to die.

IncessantNameChanger · 28/12/2024 11:14

It's what they do in America. Your insurance stops paying out and you die. Lovely.

A lot of people are clinically obese without looking very fat so I hope your slim OP and never get a condition that impacts your mobility.

I don't drink or smoke but I can't begrudge paying anyone who drinks and smokes themselves to death nhs treatment.

Childless people pay for other parents schooling. Should all that stop? If we did things like this you'd live nicely surrounded by abject poverty. Not good for crime etc. Uneducated adults streetwise adults surrounding you in your dotage. Don't ever get old.

Posts like this make me wonder why I volunteer as a school governor. 99% of people it seems only do things to benefit themselves yet except schools to exist who legally need us volunteers. What's in it for me? Like what's in it for you paying for a smokers chemo?

Change the system and pray you never need to get from society what you didn't pay into. Never get old. Everyone for themselves.

ButterCrackers · 28/12/2024 11:15

Waterweight · 28/12/2024 11:14

If only the government agreed with you & already applied taxes on it......

Oh wait! They do

They can increase the taxes. At the moment smoking is affordable for the majority of smokers.

Xiaoxiong · 28/12/2024 11:15

I've been completely crippled with a piles flare-up this Christmas - first caused by pregnancy years ago, but I fell off the wagon of water, fibre and exercise thanks to a hectic month of travel and social functions so "lifestyle factors". One could argue I've done it to myself. Should I not have been allowed to be seen by the doctors at A&E on Christmas Eve?

There are so many illnesses that are preventable or ameliorated by good lifestyle factors that we can't use that as a reason to treat or not treat on the NHS. What we could do is ban smoking completely at a national level, or make it so expensive as to be out of reach to most. I'm always amazed how many people smoke considering the cost already.

Oneanonymouspost · 28/12/2024 11:16

AgileJadeDog · 28/12/2024 09:51

I have already mentioned this. 2 people were getting regularly wheeled out for a ciggy. Taxpayers money at work folks.

Honestly you have no idea what is going on with that patient. How do you know they aren’t terminal and in the last weeks of their life and don’t fancy going through nicotine withdrawal in that time. Nurses absolutely do not have to do this, that nurse sounds like she was doing the patient a kindness.

IthinkIamAnAlien · 28/12/2024 11:16

Theunamedcat · 28/12/2024 11:01

Friend of mine needed a hip replacement she could barely walk she was not obese but they refused to operate because she was "borderline" and quite young to be needing the surgery they said if they did it now she would need it doing again when she was older so they wanted to kick the can down the road she couldn't walk so the weight piled on they said eat less move more she tried she really tried and she put on weight (slower but still gaining) she struggled until they eventually decided that they would do the surgery happy days right? Wrong the effects of twisted walking on her good hip meant that she now needed that one replaced too but she was now obese she was told to again eat less move more she is dead now she got another chronic illness and died but the last ten years or more were spent trying to move in extreme pain to lose wait she would most likely never have gained had they just replaced her fucking hip in the first place

The NHS doesn't need to deny people treatment it needs to provide appropriate treatment at the right time

I think we're living with a time bomb, excess mortality is increasing, longevity rates are falling and the NHS has been underfunded for years and expected to jump to respond to every health need, cosmetic request and moral/cultural requirement. There used to be something called QALYs which facilitated health related decision making on the basis of age/quality of life, I have no idea if they still exist.
Those who want to read more might consult Danny Dorling, Professor of Human Geography at Oxford University, an expert in stats related to people, especially excess deaths. I heard him speak, he was fascinating. the link is an article about excess deaths related to failures in social care and health

https://www.dannydorling.org/?p=5951

https://theconversation.com/mortality-rates-are-still-rising-in-the-uk-and-everyone-is-ignoring-how-many-more-people-are-dying-119618

Excess deaths in 2015 may be linked to failures in health and social care – Danny Dorling

https://www.dannydorling.org/?p=5951

doublec · 28/12/2024 11:16

You're being unreasonable and unbelievably judgey. Shame on you. Who made you decide who should be treated anyone. Can only assume you're a paradigm of virtue.

Where will it end? What about those like me whom have faulty genetics and family history of certain cancers, whom despite neither drinking nor smoking, being healthy, exercising, wearing sunscreen, and taking care of myself and doing all the things one should do to avoid cancer, I still got cancer before 50. Should I/we not be treated too?

Edited to add that even though I've had a few cancer-preventative surgeries too, can still get those cancers anyway. And on a related note, did you know that those whom have had breast cancer are more at risk at developing primary lung cancer irregardless of if they've smoked or not. Honestly OP, you really haven't a clue.

Nanny0gg · 28/12/2024 11:17

Plastictrees · 28/12/2024 11:05

The OP is surely feeling very silly now, realising the astounding amount of ignorance and condescension she has inflicted upon us all.

Doubt it

There's no treatment for Stupid

Waitfortheguinness · 28/12/2024 11:18

AgileJadeDog · 28/12/2024 10:00

I paid £80k in tax last year and have never stayed in a hospital before this incident. I think I am funding my own and many other peoples healthcare thankyou very much.

Never surprises me that the bigger the earners, the more selfish and tight-arsed they are. If you’re earning that much why don’t you give the NHS a rest and go private…..you can obviously afford it!