NHS should be a co-pay system.

[PeonyPatch]

Who agrees? Other countries who use this model include France, Germany and the Netherlands and they are some of the highest ranked healthcare systems in the world. The NHS is no longer fit for purpose, and it hasn’t been for a long time. I am proud that we have a free at point of access system here but it’s no longer sustainable and has been mismanaged and inadequately funded for a very long time. The only way I think it could improve is by gradually making it co-pay - perhaps capping it like Germany does.

Increase in population, yes. But you are (deliberately?) not mentioning our ageing population, living longer with more long term health needs.

This is a short term issue. The elderly will pass away in the next few decades ending the increase and fewer people will follow equalling less demand.

However, mass immigration means the demand will increase. All these youngsters get old and ill like everyone else. There is the issue.

How much older do people live now compared to the 90s? Come on its a couple of years difference. Now onto the aging population, you are correct. Young people simply cant afford to have any children mainly because of house prices. House prices are again effected by imigration, no supply lots of demand. The solution isn't to flood the country with Young imigrants.

Um no. Unless you are expecting life expectancy to suddenly drop this problem is not going away.

I would be happy with a co-pay system

Let's be honest though, flooding the country with extra people wont help either.

Absolutely not. It was made clear that the private hospital’s priority was its profits (It was Spire, btw). They wouldn’t even call an ambulance because they have to pay for it if an ambulance is called to a private hospital.

The NHS paid for the NHS bit. And to be fair, I was already on the NHS list for the same surgery by the same surgeon that did it privately, I just went private because of the wait. I’d have had the same complications in the NHS hospital had it been done there.

Aside from immigration we have a falling population. Less people, less treatment less medical staff required.

100% agree

But most of the spending occurs in the final years of life and the population is unhealthy and ageing!

It didn't "work better" in 2008 and 2010 when negligence and incompetence killed my mother and FIL respectively.

The boomers are the large group and are already old. Generation X and millennials are smaller cohorts, so reduced numbers of elderly.

I disagree. Under-investment is the number one reason the NHS is on its knees.

Is it better now? Sorry for your loss.

Did you even read the stats I put down? 50 billion in 2000 to 250 billion in 2026

But without immmigration we go bust. The UK has built an economy that requires continual growth to finance pensions etc.

Why can't the existing population take the jobs?

No, the uk has 9 million economically inactive people under the age of 50. Just a couple million of them working would make up for it.

Yes, I did… you do realise that a lot of those people contribute in tax as well? Immigration isn’t inherently bad. However, government mis-spending IS.

I don’t know what the answer is but I was in A&E with my grandma last week and it was bedlam. People on drips in the corridor and no seats in primary care as it was that busy. My grandma had broken her arm, needed seeing, but could easily have contributed £100 to be seen.

So many drunk people there too giggling and being loud and some even sat with a takeaway.

When I went for my ectopic pregnancy I could have paid to be seen (would have been better than the 10 hour wait). I would worry for those that wouldn’t go if it meant paying though.

Agree with co-pay. On the proviso that everyone has to pay something, relative to their income (unwaged - inc UC/pension credit, low waged, inc state pension, waged )

Otherwise those who pay nothing will exploit the system as they have no incentive not to.

Payments for those on state benefits could be taken off their next month's benefits to ensure access at point of need.

There are not 2 million people in the UK who are able to take up a job.

The UK has 9.3 million total people who are ecconomically inactive. The vast majority are either in education, early retirement, long term sick or have caring responsibilities.

https://www.bbc.co.uk/news/business-52660591

Why can't we incentivise the youths in education to study medicine?

Your link showed 300K 'other'. Why can't they take the lower level NHS jobs such as porters?

Doesn't matter if they contribute tax if it costs more to build the infrastructure to look after them

The number i listed was 16-50, 2 million should be able to work.