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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

Wasting NHS resources

131 replies

Gothenthereareotherworldsthanthese · 20/06/2025 19:04

https://www.bbc.co.uk/news/articles/cn0q2z725llo
If you are fool or vain enough to have weird stuff injected into your face why should the NHS be wasting money on this.
AIBU - Yes the NHS should be there for ABSOLUTLY every medical requirement.
YANBU - People like this should be charged for their treatment as it was self inflicted.

Nicola Fairly, a blonde woman in her 30s who is wearing a black vest and black sunglasses on her head. One side of her face is droopy which is a symptom of botulism. She has a tattoo on her left shoulder and is sitting on a sofa with cushions of differ...

Bishop Auckland mother among 28 'poisoned' by fake Botox

In recent weeks 28 cases of botulism caused by fake Botox are recorded in the north-east of England.

https://www.bbc.co.uk/news/articles/cn0q2z725llo

OP posts:
Onescoopofmashplease · 21/06/2025 08:21

I’m definitely up for a system like France where everyone has obligatory not-for-profit health insurance and you pay a subsidised amount to see the doctor or visit A&E, part of which is then reimbursed according to your means, and those under a certain line don’t pay anything and are subsidised by the rest.

It’s madness in the uk where people are prepared to pay hundreds of pounds to their vets and won’t put even £5 towards a gp visit.

Paying a little also makes the patient a little more respectful of appointments, and less inclined to kick off in A&E, and puts them less in a position of grateful recipient and more inclined to be motivated and able to question and be an active participant in their own health care.

The problem with issues like Botox correction is where do you draw the line (no pun intended)? Lots of people do foolish things to themselves. Lots of people drink to excess. I ride horses which puts me at high risk of injury.

But if everyone who can contributed something, the NHS would be in a much better state, I don’t understand how some Londoners for example who earn way above £500k a year can go to A&E and access all of the services for free.

smilingcurtains · 21/06/2025 08:26

Medics are meant to treat illness and injury without judgement. The Hippocratic Oath emphasises that care should be provided based on clinical need, not moral judgment.
This means that if there’s a terrorist attack, they will treat both the victims and the attacker based on severity of injury, not whether they think the person ‘deserves’ it or not. If a sex attacker arrives at hospital from a prison, they are treated. If a drunk driver arrives at a hospital they are treated.

It must be the hardest job in the world to separate your feelings from your job, but that’s what makes frontline medics great.

So no, regardless of how a person got their injuries, I don’t want personal values/judgements to influence medicine and whether a person gets treatment or not.

OddBoots · 21/06/2025 08:40

It could be made that part of the licencing of these kinds of cosmetic treatment clinics would be that they would need insurance that would repay the costs of fixing their mistakes back to the NHS. I know that won't help when people go abroad for cosmetic treatment though.

ittersbitters · 21/06/2025 08:50

But if everyone who can contributed something, the NHS would be in a much better state, I don’t understand how some Londoners for example who earn way above £500k a year can go to A&E and access all of the services for free.

They could be paying 250k in tax a year & you think they shouldn't be entitled to "free" healthcare?! 😆

ittersbitters · 21/06/2025 08:52

Paying a little also makes the patient a little more respectful of appointments, and less inclined to kick off in A&E, and puts them less in a position of grateful recipient and more inclined to be motivated and able to question and be an active participant in their own health care.

A lot of the time the ones who are going to kick off in A&E, not care about missing appointments will be the ones who won't earn enough to have to pay.

logicisall · 21/06/2025 08:52

Perhaps we should have a priority list, taking into account that it is not illogical to draw an arbitrary line.

It's a false equivalancy to claim that choosing cosmetic enhancements is the same as choosing to play sports.

I would definitely prefer my taxes to go on treating a broken leg (sports injury) than correcting botched botox.

ittersbitters · 21/06/2025 08:53

They could stop making prescriptions free for the over 60s if they want to save money.

ittersbitters · 21/06/2025 08:54

It's a false equivalancy to claim that choosing cosmetic enhancements is the same as choosing to play sports.

But why? Why is choosing to ski more noble than getting a breast reduction? What about criminals? What about people who have never paid anything into the system?

Looploop · 21/06/2025 08:57

ittersbitters · 21/06/2025 08:50

But if everyone who can contributed something, the NHS would be in a much better state, I don’t understand how some Londoners for example who earn way above £500k a year can go to A&E and access all of the services for free.

They could be paying 250k in tax a year & you think they shouldn't be entitled to "free" healthcare?! 😆

I’m not worried about the high earners! They are putting in a lot more than they cost. Usually they will have insurance too but then A&E is still the place for emergencies.

Fine to charge for missed appointments but first the NHS will have to be organised enough to send out the correct appointment letters. There are still cases of people being told about their appointment after the event.

I’m not sure either about blaming people for their illnesses. Pregnancy is self-inflicted. Should we not treat that?

Sadcafe · 21/06/2025 08:59

Perhaps the argument here is that, by undergoing cosmetic procedures that perhaps aren’t essential to health and well-being which then go wrong, people should be treated for what may be a life changing result but should maybe have to contribute to the cost, perhaps some form of health insurance to cover potential risks. It’s difficult, the NHS is pressured enough without treating poorly administered private care but as many have said, where do you draw the line, no treatment if it’s the result of drinking too much or drugs or generally poor lifestyle choices, that’s not what the NHS does

AbzMoz · 21/06/2025 09:01

Onescoopofmashplease · 21/06/2025 08:21

I’m definitely up for a system like France where everyone has obligatory not-for-profit health insurance and you pay a subsidised amount to see the doctor or visit A&E, part of which is then reimbursed according to your means, and those under a certain line don’t pay anything and are subsidised by the rest.

It’s madness in the uk where people are prepared to pay hundreds of pounds to their vets and won’t put even £5 towards a gp visit.

Paying a little also makes the patient a little more respectful of appointments, and less inclined to kick off in A&E, and puts them less in a position of grateful recipient and more inclined to be motivated and able to question and be an active participant in their own health care.

The problem with issues like Botox correction is where do you draw the line (no pun intended)? Lots of people do foolish things to themselves. Lots of people drink to excess. I ride horses which puts me at high risk of injury.

But if everyone who can contributed something, the NHS would be in a much better state, I don’t understand how some Londoners for example who earn way above £500k a year can go to A&E and access all of the services for free.

Edited

Because the Londoner who earns £500k will have contributed £225k in tax (I had to look that up on a tax calculator, I am very very far off this as a personal experience, mores the pity!)

Of course they should get A&E care and whatever other NHS or public services the same as everyone else. The alternative for the £500k earner is presumably private a la America - and would you rather the two tier system of Medicaid and medical insurance extortion?

Onescoopofmashplease · 21/06/2025 09:02

ittersbitters · 21/06/2025 08:50

But if everyone who can contributed something, the NHS would be in a much better state, I don’t understand how some Londoners for example who earn way above £500k a year can go to A&E and access all of the services for free.

They could be paying 250k in tax a year & you think they shouldn't be entitled to "free" healthcare?! 😆

Yes I stand by my post. It’s what happens in many countries in Europe and it works well. Everyone has obligatory health insurance and are reimbursed according to individual means.

Looploop · 21/06/2025 09:02

“Poor lifestyle choices”. Define that. Obesity is a result of needing to eat. We all eat! It’s only a question of how much you eat of what and your metabolism.

Sporty and skinny people also get ill.

ittersbitters · 21/06/2025 09:03

Yes I stand by my post. It’s what happens in many countries in Europe and it works well.

Which countries? And there aren't really any private A&E departments so how does that work?

logicisall · 21/06/2025 09:04

ittersbitters · 21/06/2025 08:54

It's a false equivalancy to claim that choosing cosmetic enhancements is the same as choosing to play sports.

But why? Why is choosing to ski more noble than getting a breast reduction? What about criminals? What about people who have never paid anything into the system?

Who said anything about "noble"? And aren't breast reductions usually for health reasons?

TheWandyDoorholes · 21/06/2025 09:05

SatsumaDog · 21/06/2025 08:20

There are ways to cut wastage in the NHS without refusing people treatment. Missed appointments, unnecessary repeat prescriptions, equipment discarded when it could be reused….

This right here!

Looploop · 21/06/2025 09:06

Maybe people should be ranked in the queue according to income, BMI and nature of illness and injury?? High earners first, of course, as they paid most. Skiers and horse riders at the back. How would any of us like that???

There is a lot of “othering” of people here.

ittersbitters · 21/06/2025 09:06

Everyone has obligatory health insurance and are reimbursed according to individual means.

Everybody in France doesn't have private health insurance. Plus you have to look at the whole tax system.

ittersbitters · 21/06/2025 09:07

There is a lot of “othering” of people here.

It's crazy as I reckon very few of us couldn't be othered by someone else!

Boredlass · 21/06/2025 09:07

The NHS waste far more in management and other schemes. This is nothing. It’s not for for purpose

Itallcomesdowntothis · 21/06/2025 09:08

Lyocell · 20/06/2025 22:21

What about type 2 diabetes? COPD? Vastly vastly more money spent on these than fixing botched Botox. (I’m playing devils advocate by the way before others kick off at me)

But type 2 diabetes can be genetic so hardly self inflicted in all cases.

logicisall · 21/06/2025 09:09

ittersbitters · 21/06/2025 08:53

They could stop making prescriptions free for the over 60s if they want to save money.

Why pick on the over 60's? Many of them are still working and paying taxes.

ittersbitters · 21/06/2025 09:10

Who said anything about "noble"?

Well why is somebody who skis different to someone who has a breast reduction? Why should one get NHS treatment?

And aren't breast reductions usually for health reasons?

Are they all? You could argue this about other cosmetic surgeries too surely? deviated septum's & nose jobs, ab separation & tummy tucks, etc

Looploop · 21/06/2025 09:10

Genetics and luck are big factors in a lot of things!

ittersbitters · 21/06/2025 09:10

botox for excessive sweating

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