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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:
RafaistheKingofClay · 28/12/2024 11:18

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.

How did you end up with a PE?

Beekeepingmum · 28/12/2024 11:18

Nanny0gg · 28/12/2024 11:17

Doubt it

There's no treatment for Stupid

Well there clearly is. As the OP stated lots of people are being treated for their poor decision making skills.

Crunchymum · 28/12/2024 11:18

A first time poster (or namechanger) ✔️
Highearner (paid £80k in tax last year ) ✔️
Hates smokers ✔️
Hates overweight people ✔️
Still uses the NHS themselves ✔️

Anything else to add for froth bingo? 😂

The OP is on the wind up.

Waterweight · 28/12/2024 11:19

ButterCrackers · 28/12/2024 11:15

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

Food is affordable for the majority of binge eaters

Alcohol is affordable for the majority of drinkers

Drugs are affordable for the majority of occasional users

Pregnancy is affordable for the majority of women needs fertility treatment & support

So what your really saying is the cost of living is too low for people to make good decisions & speciality taxes will fix it.

Nanny0gg · 28/12/2024 11:20

thescandalwascontained · 28/12/2024 11:09

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. Zero, zip. Only damage in the forms of poor health, pollution, waste (vapes) and grossness, and it also hurts others in the form of second hand smoke. And in some families, children go without while their parents find the money for cigarettes and vapes.

YANBU

What benefit to society is skateboarding? Or others exercising?

It benefits the individual

Doseofdopamine · 28/12/2024 11:21

I mean if you don't think people with nicotine addiction should be treated then presumably you think no-one with any sort of addiction should receive treatment? So obese people addicted to food for example? That's basically over 50% of the population you're talking about. You can't cherry pick which medical conditions should be treated depending on the person's addictions. And thankfully it's not up to you or anyone else on here.

SerendipityJane · 28/12/2024 11:21

Nanny0gg · 28/12/2024 11:17

Doubt it

There's no treatment for Stupid

Death is a pretty final statement though.

Beekeepingmum · 28/12/2024 11:22

Nanny0gg · 28/12/2024 11:20

What benefit to society is skateboarding? Or others exercising?

It benefits the individual

On average it makes people healthier which is positive for society. On average smokers end up with cancer which is bad for society. It is not that difficult to understand.

ButterCrackers · 28/12/2024 11:23

Oneanonymouspost · 28/12/2024 11:16

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.

Nurses should not be away from their work whilst they take smokers outside to smoke. What about the non smokers who are waiting for care? Smoking should not be part of hospital care. Let the families take their relative out to smoke and have this noted in the treatment plan - outside for smoking means you might miss planned treatment and care - meals, washing etc let the family do this instead.

ButterCrackers · 28/12/2024 11:23

Waterweight · 28/12/2024 11:19

Food is affordable for the majority of binge eaters

Alcohol is affordable for the majority of drinkers

Drugs are affordable for the majority of occasional users

Pregnancy is affordable for the majority of women needs fertility treatment & support

So what your really saying is the cost of living is too low for people to make good decisions & speciality taxes will fix it.

Smoking needs a higher tax.
It needs saying but I’ve seen kids go without proper food whilst the parents are smokers. They buy cigarettes instead of nourishing food. Also the effect of alcohol and drugs - that’s another topic though. I’m against both drinking and drugs.

SerendipityJane · 28/12/2024 11:24

Really this thread should have been "why is smoking still legal". Because that actually addresses nearly all the points made here. Only the problem with that is it doesn't really lead onto the "logical" step of moving to health insurance so private companies can hoover up premiums whilst spending most of their time working on new ways to exclude people from treatment.

PandoraSox · 28/12/2024 11:24

Longma · 28/12/2024 11:08

To be fair, our two big hospitals says you can't but there are always people near the doors smoking. I've never seen them moved on or asked to stop.

Are you in England? It is now illegal where I am and I think England is planning to follow suit soon.

Plastictrees · 28/12/2024 11:24

Beekeepingmum · 28/12/2024 11:18

Well there clearly is. As the OP stated lots of people are being treated for their poor decision making skills.

Are you calling those who have smoked / those who are overweight, stupid? Also those who have mental health issues and have self harmed?

Starlightstarbright4 · 28/12/2024 11:25

do we refuse to treat overdoses because they are self inflicted .

i was a self harmed - without treatment would be dead .

you live in a lovely little bubble ..
many peoples mobility is restricted due to waiting lists , diet is not as simple as eat healthy. We are now aware genetics are involved .

I have had high bp since I was 21 was a healthy weight then .. but it can be linked to obesity too, it is also linked to stress and genetics Do we not treat that if someone has a stressful job🙄

NearlyNewHip · 28/12/2024 11:26

Beekeepingmum · 28/12/2024 11:22

On average it makes people healthier which is positive for society. On average smokers end up with cancer which is bad for society. It is not that difficult to understand.

Really???? So the free base climber who falls off a cliff or ends up stranded costing the rescue services thousands, that's ok. He or she should be treated? Or do they pay for treatment and the cost of rescuing them? I see no benefit to society, do you? Really???

UndeniablyGenXmasOfAWomblingMerryType · 28/12/2024 11:26

ButterCrackers · 28/12/2024 11:23

Nurses should not be away from their work whilst they take smokers outside to smoke. What about the non smokers who are waiting for care? Smoking should not be part of hospital care. Let the families take their relative out to smoke and have this noted in the treatment plan - outside for smoking means you might miss planned treatment and care - meals, washing etc let the family do this instead.

The nurses might appreciate the chance to get outdoors for a few minutes.

Oneanonymouspost · 28/12/2024 11:26

ButterCrackers · 28/12/2024 11:23

Nurses should not be away from their work whilst they take smokers outside to smoke. What about the non smokers who are waiting for care? Smoking should not be part of hospital care. Let the families take their relative out to smoke and have this noted in the treatment plan - outside for smoking means you might miss planned treatment and care - meals, washing etc let the family do this instead.

I agree and I wouldn’t do it and have never in 13 years but again you don’t know what the situation is. I haven’t taken patients outside to smoke but I’ve taking patients who have been in ICU for months outside for a coffee when they are finally well enough to leave their bedside. I do it when the unit is safe for me to leave and it has been risk assessed. We shouldn’t really pass judgment on one situation that the OP witnessed but has no background knowledge of.

AliceandOscar · 28/12/2024 11:27

I have a question for the OP.
Recent lung function test showed my lungs are working at 50%. Waiting for consultation appointment but have been told it’s either.
Damage from Radiotherapy for breast cancer or COPD.
Now if it’s the damage, should I not be allowed treatment as I chose to have the Radiotherapy, knowing the risks.
and if it’s the COPD, I’ve never smoked, but my dad did and I willingly put myself in places like pubs and clubs growing up where I came home smelling of smoke.

What would you decide OP, do I deserve treatment or not?

Serencwtch · 28/12/2024 11:28

If only there was a way we could get smokers to fund their own treatment through taxes.....

Smokers also die younger & so don't clog up hospitals & care services as frail dementia patients for years on end.

Tricho · 28/12/2024 11:29

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.

How arrogant does a person need to be to deign who should and shouldn't be treated on a national health service- that is propped up might I add by huge taxes on cigarettes.

If only there was a treatment for how utterly unpleasant you are.

Azerothi · 28/12/2024 11:29

ALL immigrants and visitors to the UK (in their hundreds of thousands) whether they are permanent or not get free HIV and TB care on the NHS (easy to google to fact check) costing millions of pounds and yet you go after regular people doing regular things.

Anyone from anywhere can just rock up to an STI clinic and be treated for HIV etc, with or without a UK address. Some just come to the UK every 6 months for a free prescription after the very expensive initiation of treatment period.

You're spiteful to say the least.

Whoarethoseguys · 28/12/2024 11:29

HRkittenheels · 28/12/2024 09:40

I work for the NHS (backroom role) in a part of the country where I swear they're the reason British American Tobacco continues to operate in this country... I was speechless recently when I heard a consultant say the reason there was so much respiratory disease in the area was because of the area's industrial past.

So nothing to do with bad housing, pretty much the worst weather in England, and the fact most of the population has a cigarette stuck in their mouths most of the time then!

Edited to add I'm not sure if treatment should be withheld but there are some bloody tough decisions ahead for all of us including lifestyle choices and how much some of them cost the NHS.

Edited

Are you suggesting society just let's those people die in pain?
Many illnesses/accidents are due to lifestyle and choices people have made, sometimes their circumstances have forced an unhealthy lifestyle sometimes they have just made bad choices. But the NHS should never pick and choose who should be treated.
You are being very unreasonable.
Sorry I didn't mean to add that quote to the post. My post was to the OP but I can't delete the quote

ButterCrackers · 28/12/2024 11:30

UndeniablyGenXmasOfAWomblingMerryType · 28/12/2024 11:26

The nurses might appreciate the chance to get outdoors for a few minutes.

That’s their break time. It’s not standing in secondhand smoke that goes on their uniform and person and affects other patients due to the toxins and smell. Just horrid.

Beekeepingmum · 28/12/2024 11:30

Plastictrees · 28/12/2024 11:24

Are you calling those who have smoked / those who are overweight, stupid? Also those who have mental health issues and have self harmed?

Edited

I believe anyone who smokes knowing what we know about the impact of smoking is stupid.

RosesAndHellebores · 28/12/2024 11:32

I've always thought that fir people on a tight budget who may be smoke about five cigarettes a day, that it's a small pleasure that probably helps them.deal with other shit.

They are people who probably don't have holidays, theatre trips, much to look forward to generally. I don't resent them having a fag or judge it. If it were 20 a day I might rather than 20/30 a week.

I'm also not persuaded that the draconian approach to cigarette smoking hasn't helped rocket other addictions, namely to sugar, fat and alcohol and probably also harder drugs. We are not yet clear about whether the impact of obesity will cost more than cigarette smoking.

I think the consultant's comment about the impact of the historical industrialisation of an area refers also to its deprivation and has been quoted out if context.