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Nobby, and people from the UK.Follow

#1 Feb 11 2008 at 6:21 AM Rating: Decent
I'm not good at making long political debates, but I do have a question for you, and your fellow countrymen.

How do you feel that the establishment of NHS shaped the modern day of the UK, and how do you feel it will continue to shape it in the future? Do you see the NHS as something permanent or something temporary in the future of the UK? Do you, personally think, the US could financially afford something very similar to the NHS? Why or why not?

I can sit here and blow a lot of, word after word, like Gbaji, but I don't gain any insight that way.


If you can't be ***** to answer any of the questions, a simple 'GFY' will suffice.


#2 Feb 11 2008 at 6:45 AM Rating: Good
Rimesume wrote:
How do you feel that the establishment of NHS shaped the modern day of the UK, and how do you feel it will continue to shape it in the future?


The NHS, on the whole, is absolutely brilliant. People can still take private insurance to get better quality care if they can afford it, but everyone is covered. And the quality is very good too, despite all the horror stories. Everytime I've used it it was really good, clean, efficient, and friendly. Just a shame dental care is not covered.

Quote:
Do you see the NHS as something permanent or something temporary in the future of the UK?


As permanent as things can be in this world. It will evolve. But the basic principle of everyone having access to treatment for free, has got to stay, and I think it will, at least until the next major world/uk catastrophy.

Quote:
Do you, personally think, the US could financially afford something very similar to the NHS? Why or why not?


Of course they can. Theoretically, they can afford it, and it would be cheaper than the system the US currently has. Despite your lack of universal coverage, the US spends more per head on healthcare than the UK. Or France. And yet not everyone is covered, the premium system is fundamentally flawed, and lots of people can't afford simple and basic stuff. Your system sucks aS, there is no doubt about it.

The French system is awesome too, even mroe so than the UK one, but we run it at a huge deficit which will bite us in the *** one day. But until then, if you're gonna get treated anywhere, for pretty much anything, France is one of the best places in the world to get it done. And its free if you're a EU citizen. Pretty cool.
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#3 Feb 11 2008 at 7:12 AM Rating: Good
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RedPhoenixxx wrote:
France is one of the best places in the world to get it done. And its free if you're a EU citizen. Pretty cool.
You don't have to be a resident in order to receive the free coverage? Does that mean anyone from Britain or any other European country could come there to get everything done, or do is just mean you're covered if traveling in France?
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#4 Feb 11 2008 at 7:31 AM Rating: Good
Uglysasquatch the Great wrote:
You don't have to be a resident in order to receive the free coverage? Does that mean anyone from Britain or any other European country could come there to get everything done, or do is just mean you're covered if traveling in France?


Anyone from the EU can get treated for free, for routine health problems, in France. Practically, it rarely happens unless you're travelling there. No one in Bulgaria catches the flu and then decides to fly to France to get treated. But, theoretically, they could. And some do, though not for the flu of course.

If you need a serious operation not covered by the basic provisio of the NHS or the French SECU, its more problematic. Poor French residents will get financial help from the state, but non-French residents won't, and it usually won't be worth it for them to make the trip. It might still be cheaper than at home, though, and plenty of people come to France to get specialist treatment, because its high-quality and cheap. And if you can sneak in to the A&E, then you're pretty much sorted, for free.

The French government is trying to stop it, or curb it, because of the strain on ressources, but its not guaranteed they'll succeed. EU law enshrines the free movement of people, so if you're an EU people and become ill in a country, you get treated there.

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#5 Feb 11 2008 at 7:46 AM Rating: Excellent
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RedPhoenixxx wrote:
Uglysasquatch the Great wrote:
You don't have to be a resident in order to receive the free coverage? Does that mean anyone from Britain or any other European country could come there to get everything done, or do is just mean you're covered if traveling in France?


Anyone from the EU can get treated for free, for routine health problems, in France.
The NHS will treat any EU citizen free of charge, but prescription drugs are not covered (although sunsidised way below retail price).

Emergency care is free for anyone (yes, even dumb yanks), as is an initial consultation with a General Practitioner (Family Physician). Any further treatment beyond the initial emergency or consultation is chargeable.

I disagree with Red, however, about USA being able to emulate the NHS or SECU as it would mean dismantling hundreds of multi-billion dollar 'for profit' organisations, and that's not going to happen. UK & French costs are waaay lower than USA (our management costs are about 1/5th of US costs as a proportion of health spend) - you'd have to close down huge swathes of provision and make tens of thousands redundant before you even got properly started.

The biggest drain on US costs is the HMO system. Fine in principle (it's cheaper to keep people healthy than to fix 'em when they're sick) but as they're separate commercial organisations to the hospital care providers, you now have 2 sets of overheads, 2 sets of management costs, and 2 companies taking a profit from each patient.

Add in the mega-profitability of the healthcare insurance companies (they'd have to go too, comrades) and there's no way in a month of Sundays USA could establish a European style state funded system.

Sucks to be you Smiley: tongue
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#6 Feb 11 2008 at 8:09 AM Rating: Good
Nobby wrote:

Add in the mega-profitability of the healthcare insurance companies (they'd have to go too, comrades) and there's no way in a month of Sundays USA could establish a European style state funded system.

Sucks to be you Smiley: tongue


The older I get, the more failures I see in my own government. Being a member of the US military for several years, even I, can look at other governments and look at my government and say "WTF?!"

I love the United States as much as any American should, however, I feel more and more, due to unfair taxation, miss-government, and failure of communication between the people of the United States, and its representatives; I feel the US Government is becoming a lost cause. A lot cause, not to foreign governments, but because of huge corporate conglomerates. Reading the various reports of past presidents, congressmen, and presidents and congressmen to be, being bought by these huge industrial/commercial entities, that the US Government is failing, and will continue to fail, that which matters most: US citizens.

It is a sad day when Americans have to suffer because HMO's or Medical Insurance Companies refuse payment on customers that have been paying for decades.

While this might (and rightfully so) be considered a liberal issue, all of us, rich or poor, one day will succumb to illness. Those of you who know my personal view on the subject, might understand my personal interest in the topic.


What pisses me off further, is there are a lot of fuckwads in my generation:

"Politics doesn't matter'

"Because of <blah, blah, blah> my vote doesn't matter.

Et cetera.

They're all excuses for us (my generation) of not getting off our asses and voting for matter that are truly important. While I may not be the most political savvy person in the world, I do realize it's importance.

Edited, Feb 11th 2008 8:27am by Rimesume
#7 Feb 11 2008 at 8:42 AM Rating: Excellent
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None of this is new. Rime. "The business of America is business." "What's good for GM is good for America."

These quotes didn't come out in the last year, or the last decade.

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#8 Feb 11 2008 at 9:13 AM Rating: Good
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It might not be easy to set up national taxpayer funded healthcare in the USA, But I'm sure it can be done. Australia runs a duel public and private system. There are government run hospitals, and privately run/owned hospitals. There is "Medicare" and there are also private health insurance companies.

The USA government can start setting up its system, reguardless of what the private sector does. The government system is going to need plenty of medical staff recruits. If they offer enough, they'll attract staff from the present private system, which will naturally shrink as the government competition comes in.

the public is just going to have to stand fast against howls of pain and protest from the existing companies in that private industry. I think it's not a government responsibility to guarantee the existence of any particular type of industry, especially if they are being replaced by something better.

should we have protected the jobs and companies responsible for lighting the gas street lamps when electricity came in, or the jobs in Asbestos manufacture?

yes people's lives are dislocated when there are shifts in industry. This is why I believe people need to be supported with unemployment benefits, and why government should pay for retraining for people laid off in masses when their company shuts down or is restructured.
#9 Feb 11 2008 at 9:29 AM Rating: Excellent
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Quote:
Australia runs a duel public and private system.


I do hope you mean dual, unless you're saying diagnoses are settled with pistols at dawn.

In which case, carry on. (Get it? Carrion? Oh, never mind.)
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#10 Feb 11 2008 at 9:31 AM Rating: Good
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Samira wrote:
I do hope you mean dual, unless you're saying diagnoses are settled with pistols at dawn.
It would be an effective way of removing your competition.
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#11 Feb 11 2008 at 9:44 AM Rating: Excellent
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Samira wrote:
Quote:
Australia runs a duel public and private system.


I do hope you mean dual, unless you're saying diagnoses are settled with pistols at dawn.

In which case, carry on. (Get it? Carrion? Oh, never mind.)

They slap each other in the face with latex gloves. Smiley: nod
#12 Feb 11 2008 at 11:11 AM Rating: Excellent
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Samira wrote:
Quote:
Australia runs a duel public and private system.


I do hope you mean dual, unless you're saying diagnoses are settled with pistols at dawn.

In which case, carry on. (Get it? Carrion? Oh, never mind.)


This reminds me of a joke someone i knew used to tell... incessantly. And now I'm thinking I need to shear my little lambs o' cotton.
#13 Feb 11 2008 at 11:40 AM Rating: Excellent
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Nobby has a soft side for the NHS
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#14 Feb 11 2008 at 11:46 AM Rating: Excellent
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Mistress Darqflame wrote:
Nobby has a soft side for the NHS


If they covered perscriptions I bet it'd be harder... Smiley: sly
#15 Feb 11 2008 at 11:48 AM Rating: Excellent
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Celcio wrote:
Mistress Darqflame wrote:
Nobby has a soft side for the NHS


If they covered perscriptions I bet it'd be harder... Smiley: sly

Ugh, that joke flopped. You might even say it was... flaccid?
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#16 Feb 11 2008 at 4:09 PM Rating: Decent
Rimesume, your question: "Do you, personally think, the US could financially afford something very similar to the NHS?" assumes the wrong fact, that the UK system would be more expensive. In fact, it would be vastly cheaper. As many have pointed out.

Reducing health care costs will be the only way for the US to remain competitive economically. And therefore there is immense pressure for that to happen. It is likely to go through a period of mandatory private coverage (with government subsidies), which may well be more expensive then the current system. After this, either a known system like the one employed by virtually every other first world nation (socialized medicine) or something completely unknown will be tried.
#17 Feb 11 2008 at 4:16 PM Rating: Good
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yossarian wrote:
In fact, it would be vastly cheaper. As many have pointed out.
Wrongly.

For the reasons I posted earlier, USA is starting from a different place. The capital and opportunity costs of dismantling your current system far outweigh any savings, and the revenue costs would be unsustainable.

All the work by outfits like the Veterans Association, Kaiser Permanente etc bear this out.

And that's ignoring the political impact of the inevitable mass redundancies and shareholder losses that make it impossible.

Yes, USA could initiate socialised medicine, but never at the economic efficiency of Europe or Canaduh.

Sorry. Too late.

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#18 Feb 12 2008 at 2:15 AM Rating: Good
Nobby wrote:
Sorry. Too late.


You Brits are so pessimistic.

Why rule out the catastrophically horrifying doomsday scenario? Like a giant nuclear tsunami, or Yellowstone exploding at the same time at the start of WWIII, or France winning a war.

Those things can happen. They won't, but they can. And when they do, it'll be the perfect opportunity to give the 6 people left universal healthcare.
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#19 Feb 12 2008 at 2:53 AM Rating: Decent
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The simple logistics of transference of medical data alone would be so expensive as to send the deficit skyrocketing before treatment even began. Who would be in charge of such data? The current mucky insurance bureaucracy is hopelessly splintered. Already, states are spending tens of millions of dollars simply transferring data to digital format.

Is that a reason not to change? No.

Then again, comparing population numbers, the U.S has five times the population as France. Before any kind of socialized medicine scheme is in place, a very, very, very generous cost analysis needs to be made. I would think a nice cut up to 25% in defense spending could cover it plus necessary taxing increase.

Ultimately, I think it would be worth it. Just knowing that everyone has just as much of a right to health-care as me would make me feel all warm and fuzzy to be an American.

I can't really cite any of the info I used because I just pulled it off the top of my head. I might be completely wrong but it seems like the best option to me.
#21 Feb 29 2008 at 8:52 AM Rating: Good
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Forgive the necro-bump, but I thought this was a decent story.

Quote:
Ghanaian boy gets free kidney op

A 14-year-old Ghanaian boy is to receive a life-saving kidney transplant free of charge on the NHS.

Felix Yeboah, who has six weeks to live, was offered the operation after he spoke at a conference attended by University Hospital Birmingham doctors.

British Airways paid for him to be flown to the UK and he is being put up by the city's Ghanaian community.

His pastor father Michael is donating the kidney and surgeons and nurses are offering their time for free.

The operation will take place on Sunday when the operating theatre is normally closed.

University Hospital Birmingham NHS Foundation Trust said it hoped Felix would be in hospital for about a week.

It said it would fund the cost of his operation and time in hospital afterwards.
I'm now waiting for the backlash from selfish bastages who will claim the time and money should be saved for more white deserving people.
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#22 Feb 29 2008 at 11:22 AM Rating: Default
Just goes to show the fundamental difference between medicine for people, and medicine for business.
#23 Feb 29 2008 at 12:12 PM Rating: Decent
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I got a bill from an emergency room in France when my daughter was in an auto-accident over there. Apparently they dont' cover yanks.

As it is, with the baby boomers coming to retirement age and folks living much longer the government is on the hook anyways to be medically supporting a much larger percentage of the population than ever before.

They'd best start chiseling away at those exorbitant costs.
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#24 Feb 29 2008 at 12:31 PM Rating: Good
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Elinda, Star Breaker wrote:
I got a bill from an emergency room in France when my daughter was in an auto-accident over there. Apparently they dont' cover yanks.
UK would only cover the initial emergency care; Ambulance, triage, stabilisation etc. Any subsequent surgery or inpatient care can be charged (but that's at the hospital's discretion).

We recently treated a Mexican kid who stepped in front of a car while on vacation. Both legs smashed and needed K-wires and tension bands for 3 months, with 1 month of that in a hospital bed. Charges were waived.
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