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Health Tax - a proposalFollow

#52 Jan 30 2009 at 8:07 AM Rating: Good
Samira wrote:
I think it would go over better if you offered a tax break to the healthy, rather than a penalty to those who don't meet your pristine standards.

Go in for an annual checkup and come out with a clean bill of health and get a tax deduction for that year.


Going off on a slight tangeant, I never really understood why our society punishes bad behaviour so vigorously, but rarely rewards good behaviour. I think if you spend 5 years without getting a crimnal record, you should get tax deductions. If you stayed employed for 10 years, tax deduction. If you don't smoke and drink once a week, tax deductions. It doesn't always have to involve tax deductions, it can be Marks and Spencers vouchers or whatever, but I do think that it might encourgae some people to do the right thing i they knew that they'd be rewarded for it. Whereas now, there's no reward for good behaviour, and only a possible, though unlikely, punishment for bad behaviour.

Why is that?
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#53 Jan 30 2009 at 8:11 AM Rating: Excellent
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Punishments are easier to think up and cheaper to implement, typically.

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#54 Jan 30 2009 at 8:20 AM Rating: Good
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RedPhoenixxx wrote:
Samira wrote:
I think it would go over better if you offered a tax break to the healthy, rather than a penalty to those who don't meet your pristine standards.

Go in for an annual checkup and come out with a clean bill of health and get a tax deduction for that year.


Going off on a slight tangeant, I never really understood why our society punishes bad behaviour so vigorously, but rarely rewards good behaviour. I think if you spend 5 years without getting a crimnal record, you should get tax deductions. If you stayed employed for 10 years, tax deduction. If you don't smoke and drink once a week, tax deductions. It doesn't always have to involve tax deductions, it can be Marks and Spencers vouchers or whatever, but I do think that it might encourgae some people to do the right thing i they knew that they'd be rewarded for it. Whereas now, there's no reward for good behaviour, and only a possible, though unlikely, punishment for bad behaviour.

Why is that?

Possibly becuase good behaviour is expected, and bad behaviour is seen as aberrant?

I'd be against getting a tax deduction for staying employed for 10 years. Ever since the 80s there's been a big push by business to chop workers at the slightest excuse. Who cares about keeping our trained and knowlegable personal and expanding what we do for greater profits? Lets make the same stuff with far less people and get greater profits that way!

A deduction for 10 years and more would encourage workers to stay in bad employment situations because they would be trapped financially by loss of income from finding work at a better place elsewhere.
#55 Jan 30 2009 at 8:23 AM Rating: Excellent
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Well, being employed doesn't necessarily imply "at the same job".

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#56 Jan 30 2009 at 8:25 AM Rating: Good
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Samira wrote:
Punishments are easier to think up and cheaper to implement, typically.

As Gwyn's happily drivelling about this from a position of ignorance, I'm happy to point out that many of our Primary Care organisations (similar to US HMOs) have tried offering incentives (cash, goods or services) for people who improve their lifestyles.

Alas, the same morons who scream "why should I pay for fat people's healthcare?" manage to lobby against incentives - "ZOMG why should I pay for people to quit smoking/drinking/eating lard?".

No different to offering them tax breaks, but gets good right-wing headlines in the Daily Mail.

The incentives are already there - if I quit smoking, I pay about £2 a pack less in tax.

This is a stupid non-debate that keeps red-top newspapers selling to morons.
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#57 Jan 30 2009 at 8:43 AM Rating: Good
Nobby wrote:
The incentives are already there - if I quit smoking, I pay about £2 a pack less in tax.

This is a stupid non-debate that keeps red-top newspapers selling to morons.


Ok, maybe not incentives for ceasing to do bad things, but what about incentives for simply doing good things? Like having a clean criminal record. Or paying income taxes 10 years in a row. Or donating to charity 10 years in a row. Or doing a week of volunteering every year for 10 years.

I realise you should do good stuff because its morally right and personally rewarding, but still. I know there's a book called "Nudge" out there which is apparently along these lines, I might give it a read.
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#58 Jan 30 2009 at 9:17 AM Rating: Good
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Nobby wrote:
Samira wrote:
Punishments are easier to think up and cheaper to implement, typically.

As Gwyn's happily drivelling about this from a position of ignorance, I'm happy to point out that many of our Primary Care organisations (similar to US HMOs) have tried offering incentives (cash, goods or services) for people who improve their lifestyles.


Really? I would have agreed to that. And I did post at silly o'clock, I was tired, pissy and seeking a debate Smiley: tongue
Also a lot of what I posted was far from drivel and if you wish I will go tack the facts and cite them. What I did not know was the cost of keeping a healthy old person alive.

Also, how dare you accuse me of being a 20+ dress size Smiley: mad

Nobby wrote:
Alas, the same morons who scream "why should I pay for fat people's healthcare?" manage to lobby against incentives - "ZOMG why should I pay for people to quit smoking/drinking/eating lard?".

No different to offering them tax breaks, but gets good right-wing headlines in the Daily Mail.

The incentives are already there - if I quit smoking, I pay about £2 a pack less in tax.

This is a stupid non-debate that keeps red-top newspapers selling to morons.


Good thing I do not read the papers then Smiley: tongue

Are you really saying that we should do nothing about rampant child obesity? It is not self policing.
#59 Jan 30 2009 at 9:31 AM Rating: Good
Dunno how available they are outside of Georgia, but our local vineyard, Chateau Elan, makes many delicious cheap things. Look for Duncan Creek and their season wine selection.
#60 Jan 30 2009 at 9:50 AM Rating: Good
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GwynapNud the Eccentric wrote:
This tax should be taken as part of your income, as income tax. For example: You smoke? That 2% more tax. Drink excessively? 1% more tax. You do not exercise? 1% tax ..
I don't know how it works in the UK but in Canada the taxes made off of alcohol and tobacco sales far outweigh the costs associated to any health treatments of those individuals. In essence, your roads, police, military, etc are all paid for with the taxes of those that smoke and drink heavily. You actually owe those people money.
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#61 Jan 30 2009 at 10:17 AM Rating: Good
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Uglysasquatch, ****** Superhero wrote:
GwynapNud the Eccentric wrote:
This tax should be taken as part of your income, as income tax. For example: You smoke? That 2% more tax. Drink excessively? 1% more tax. You do not exercise? 1% tax ..
I don't know how it works in the UK but in Canada the taxes made off of alcohol and tobacco sales far outweigh the costs associated to any health treatments of those individuals. In essence, your roads, police, military, etc are all paid for with the taxes of those that smoke and drink heavily. You actually owe those people money.
Smoking and drinking: it's patriotic. Do your part. I feel like I should make a poster reminiscent of those war bonds ones from WW2
#62 Jan 30 2009 at 10:40 AM Rating: Good
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My local bar has this hanging.

Not exactly patriotic, but us drunks rally behind it!



Edited, Jan 30th 2009 11:41am by baelnic
#63 Jan 30 2009 at 11:15 AM Rating: Good
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GwynapNud the Eccentric wrote:
Really? I would have agreed to that.
And yet not to Nurses having lifting equipment, or larger patients not having a right to dignity? Go figure.


GwynapNud the Eccentric wrote:
Also a lot of what I posted was far from drivel and if you wish I will go tack the facts and cite them. What I did not know was the cost of keeping a healthy old person alive.
It was blithering pish, and you know it.

How do you determine whether someone is a lardy overweight couch potato or just naturally big? Pay tax inspectors to follow them to the Gym (or Burger King)?

And what about those motorcyclists, footballers and athletes who deliberately put themselves at risk, and expect Auntie NHS to pick up the tab when they pull a ligament or break a leg?

Even if the principle weren't so offensively elitist and bourgeouis, it's simply impossible to implement.

GwynapNud the Eccentric wrote:
Also, how dare you accuse me of being a 20+ dress size Smiley: mad
Because I want to think about you in a hoist Smiley: sly

GwynapNud the Eccentric wrote:
Are you really saying that we should do nothing about rampant child obesity? It is not self policing.
No. I'm saying we shouldn't attempt to penalise people who may or may not have exacerbated their healthcare problems, especially when it's impossible to do so.

We should carry on promoting exercise, stop the Government selling schools' playing fields to property developers, and ban junk-food advertising. And hope to Bob that if you ever need surgery or expensive meds, reactionary, judgmental, ill-informed people like you haven't managed to undermine universal healthcare, free at the point of access.
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#64 Jan 30 2009 at 11:35 AM Rating: Default
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Nobby wrote:
GwynapNud the Eccentric wrote:
Really? I would have agreed to that.
And yet not to Nurses having lifting equipment, or larger patients not having a right to dignity? Go figure.


I do have a problem as supplying the lifting equipment treats the symptom and is not a cure. The cure is to ensure the population remains relatively fit and healthy and never requires such equipment.

Nobby wrote:
GwynapNud the Eccentric wrote:
Also a lot of what I posted was far from drivel and if you wish I will go tack the facts and cite them. What I did not know was the cost of keeping a healthy old person alive.
It was blithering pish, and you know it.

How do you determine whether someone is a lardy overweight couch potato or just naturally big? Pay tax inspectors to follow them to the Gym (or Burger King)?

And what about those motorcyclists, footballers and athletes who deliberately put themselves at risk, and expect Auntie NHS to pick up the tab when they pull a ligament or break a leg?

Even if the principle weren't so offensively elitist and bourgeouis, it's simply impossible to implement.


I should give up sports now?

Nobby wrote:
GwynapNud the Eccentric wrote:
Also, how dare you accuse me of being a 20+ dress size Smiley: mad
Because I want to think about you in a hoist Smiley: sly


Smiley: rolleyes

Nobby wrote:
GwynapNud the Eccentric wrote:
Are you really saying that we should do nothing about rampant child obesity? It is not self policing.
No. I'm saying we shouldn't attempt to penalise people who may or may not have exacerbated their healthcare problems, especially when it's impossible to do so.

We should carry on promoting exercise, stop the Government selling schools' playing fields to property developers, and ban junk-food advertising. And hope to Bob that if you ever need surgery or expensive meds, reactionary, judgmental, ill-informed people like you haven't managed to undermine universal healthcare, free at the point of access.


Focus on the cure, yes. I am loathe to spend money on treating symptoms of the problem of Ill health caused by lifestyle. I'll informed? I do not think so. You prevent disease by proactive treatment and immunisation: aka, the cure. You do not stop disease effectively by waiting for its effects to be seen then treating those.

This is all about behaviour on a social scale but that all starts with personal responsibility. Free at the point of access is only true in Wales.
#65 Jan 30 2009 at 3:52 PM Rating: Good
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Skipped some of the discussion, but the bit that struck me as odd is the demonization of a private health insurance system which bases the insurance rates on a person's health, while at the same time advocating a government run system which taxes people differently based on their health. Um... Why is one a good idea, but the other not?
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#66 Jan 30 2009 at 4:02 PM Rating: Good
The government won't turn you down for a pre-existing condition, it'll just tax you more. Smiley: schooled

#67 Jan 30 2009 at 4:20 PM Rating: Good
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catwho the Pest wrote:
The government won't turn you down for a pre-existing condition, it'll just tax you us all an infinitecimally small amount more.
. . . on the basis that it could happen to any of us Smiley: schooled
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#68 Jan 30 2009 at 5:05 PM Rating: Good
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By the standard medical test most people use for weight the entire England Rugby team is clinicly obease.

Body mass index alone is about as much use as tits on a fish.
#69 Jan 30 2009 at 5:18 PM Rating: Decent
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gbaji wrote:
Skipped some of the discussion, but the bit that struck me as odd is the demonization of a private health insurance system which bases the insurance rates on a person's health, while at the same time advocating a government run system which taxes people differently based on their health. Um... Why is one a good idea, but the other not?


Because in a socialist government, the Government is the good guy and the private corporations trying to make money are SATAN!
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#70 Jan 30 2009 at 5:34 PM Rating: Good
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Quote:
By the standard medical test most people use for weight the entire England Rugby team is clinicly obease.


I swear I saw one of their "friendlies" a few years back where they made a tackle and I'd swear after they counter-rucked (is that how you phrase it?) there wasn't anything left but a pair of bloody spikes. I know most athletes have several thousand calorie diets but I had no idea that your union needed to graze during the match.
#71 Jan 30 2009 at 5:51 PM Rating: Decent
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Quote:
I swear I saw one of their "friendlies" a few years back where they made a tackle and I'd swear after they counter-rucked (is that how you phrase it?) there wasn't anything left but a pair of bloody spikes. I know most athletes have several thousand calorie diets but I had no idea that your union needed to graze during the match.
To be honest i'd rather get caught up in 20 rucks than do one Bleep test.

Bleep tests are EVIL!
#72 Jan 30 2009 at 6:03 PM Rating: Default
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catwho the Pest wrote:
The government won't turn you down for a pre-existing condition, it'll just tax you more.


And then deny care for conditions that are deemed too expensive for joe random taxpayer...
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#73 Jan 30 2009 at 7:10 PM Rating: Good
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gbaji wrote:
Skipped some of the discussion, but the bit that struck me as odd is the demonization of a private health insurance system which bases the insurance rates on a person's health, while at the same time advocating a government run system which taxes people differently based on their health. Um... Why is one a good idea, but the other not?
They're not. They're both shit ideas.
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#74 Jan 30 2009 at 9:19 PM Rating: Excellent
Quote:
And then deny care for conditions that are deemed too expensive for joe random taxpayer..


Just like private insurance companies already do today! Smiley: schooled

"Nope sorry, can't do that liver transplant. That's too expensive. And you have no medical need. Cirrhosis doesn't count. But we'll cover your IVF or Viagra if you need those!"

*headdesk*
#75 Jan 31 2009 at 6:19 AM Rating: Good
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catwho the Pest wrote:
Quote:
And then deny care for conditions that are deemed too expensive for joe random taxpayer..


Just like private insurance companies already do today! Smiley: schooled

"Nope sorry, can't do that liver transplant. That's too expensive. And you have no medical need. Cirrhosis doesn't count. But we'll cover your IVF or Viagra if you need those!"

*headdesk*
Well unless a private or public healthcare system is they have to draw a line between affordability and benefit.

In the UK there are few clinically proven drugs that aren't available. Sure there's a hoo-ha every time one is rationed, and they usually wheel out the specialist who recommends it, but he only ever has to think about the 1 patient in front of him, not the hundreds of others who would be denied treatment if he prescribed the new unproven one.

We have discussed giving consultants their own budgets so they have to worry about cost (put the decisions in the hands of docttors, right?) but the Royal Colleges aren't stupid. They know they'd have to make the nasty decisions, so they refuse budgets and slag off those who have to manage em.
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#76 Jan 31 2009 at 6:43 AM Rating: Decent
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Nobby wrote:
Well unless a private or public healthcare system is they have to draw a line between affordability and benefit.

In the UK there are few clinically proven drugs that aren't available. Sure there's a hoo-ha every time one is rationed, and they usually wheel out the specialist who recommends it, but he only ever has to think about the 1 patient in front of him, not the hundreds of others who would be denied treatment if he prescribed the new unproven one.

We have discussed giving consultants their own budgets so they have to worry about cost (put the decisions in the hands of docttors, right?) but the Royal Colleges aren't stupid. They know they'd have to make the nasty decisions, so they refuse budgets and slag off those who have to manage em.


My family have suffered at the hard end of these policies and I openly resent them. I realise I may have offended many with my posts here but I will not normally bleat my families life stories on a message board to explain my point of view. Suffice to say that I come from an active and fit family which has on occasion suffered illnesses like cancer.
The NHS has let us (the family) down. Great personal expense was put into care from the family as it was not covered by the NHS or refused. Prescriptions when given had to be paid for and when they cost £6.50 that soon adds up over time.
It is very hard to remain unbiased when I see other people treated for Illnesses that result from their own actions. All that money that could and should be used to treat those for whom the illness is unavoidable.

Free at the point of entry is a point of view that I have found to be a flat lie. So with due respect Nobby, GFY.

You talk about tough decisions? I wonder which hair brained idiot decided to give an alchoholic George Best a new liver?
In this case who is the irresponsible? The consultants that thought a hard drinker like him would make the best use of his liver, or him for not stopping his habit? This is a clear case of why I say that your health is directly related to personal responsibility.
He could have stopped drinking. Had he not drunk like a skunk his entire life he may not have needed a transplant. Had the consultants chosen to give the liver to someone else, maybe someone with a responsible attitude to life and not an alchoholic, they might be alive today. Did someone die from not being given a liver so George Best could sate his drinking another 4 years?

So, in George Bests case it should have been a clear summation of "Has this person looked after their life and body?" No .. "will they likely stay off drink and do what is necessary to maintain a long and fruitful life?" No ... he should never have been given the liver as it was throwing good liver after bad alchoholic.

George Best is quite simply a great example of my point that health is directly related to personal responsibility (or in his case blatent irresponsibility). You can argue that it is the fault of the state or "someone else", but in reality it all starts with individuals who all pressurise and create change in unison. Society is nothing but a collection of individuals afterall. If the individuals have no sense of responsibility, neither will the society that results.
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