Well old friend, after knowing you for nearly 61 years, it seems that today marks the beginning of the end for something that I thought would be with me until the end of my days.



We first met in 1952 when you oversaw my safe arrival at Hedon Road Maternity Hospital, Hull. An institution that would not even existed 5 years previously. I would probably have been delivered at home and if a midwife or doctor were needed then I'd best hope my parents had the money to pay for them. Less than a year later I was back in your care after the family dog took a bite at my face and you took the time and trouble to save the sight of my left eye. Four years later, there I was again, this time you removed the tonsils that had caused me so much pain and discomfort.



By the time I reached 16 years of age, I'd had a fair bit of care from you, as an in-patient, an out-patient, free dental treatment etc and although I didn't thank you at the time for my BCG or for lining up to take my polio sugar cubes or the spoonsful of castor oil, I didn't think twice about making my contribution back to you, once I started earning a wage. Throughout my working life, I have continued to contribute to the fine work you have done, without complaint and although I tried not to bother you too much, you were always there when I needed you, offering the help I required without complaint.



In 1992 you helped deliver my daughter safe to this world and again, made sure that she received all the preventative injections etc that would help keep her safe and healthy.



I had hoped that this relationship would continue for time immemorial but unfortunately that is not to be. Nearly three years ago, a large proportion of the British voting public voted for a man who promised: "No top-down re-organisation of the NHS" and "I will cut the deficit, not the NHS". Both of these statements have been proven to be outright lies. The country's deficit has increased and the NHS has been instructed to deliver £20bn of "savings". Now I may be stupid here but what is the difference between a saving and a cut?



Parts of you are now being hived off to people whose only motive is profit and not welfare. Not only that, we won't even know who is taking OUR money because these companies are allowed by law to hide behind the NHS logo.



Well old friend, we may yet die together. I'll be 61 soon and I seriously doubt that I can look forward to the care that you gave my parents and my grandparents before them, in the latter stages of their lives. I fully expect there'll come a time when I make one of my seldom visits to my GP and although I've been told that he/she will have total budget control, I'm not so daft to believe that. Some faceless goon somewhere will conduct a cost/benefit analysis and sooner or later my file will be shuffled into the too difficult (expensive) tray. What boils my pi[is[/is is the fact that most of the bastads who decided on this plan will be the recipients of private medical care anyway.



So goodbye NHS, it really has been good knowing you. I wish you well for the future but I truly fear for the future of those follwing behind me.

Blimey, i d best start saving to pay for my regular blood tests and results, my yearly hospital check up, my yearly endoscopy, ultra sound scan and CT scan. its going to cost me a fortune in the future!!!!!!!!!!!!!!!!!

Hold, on i ll have no hospital or doctor to go to!!! i ts all finished, gone, no more, deceased.

woe is us, we re dooooommed.

it s just been announced on our local news, all the patients have been turfed out of our hospital and the shutters have gone up.looks like you are correct coddy, the NHS is finished!!

I've just seen all the ambulances at Kings Mill Hospital have Nike logo's on the side and some dudes are installing EPOS machines in the back to take a swoosh of your card before any treatment....

Cod'ead has a 21 year old daughter?

Good April Fools joke.

following the swedish model then that you approve of.

I am generally pro-markets and pro bringing competition into public services but these NHS reforms are not a good idea, they will make healthcare in the UK worse not better.



There are basically two problems:



1. Co-ordination failures. When there are multiple providers delivering different bits of healthcare, you run in to problems when a patient has treatment provided by two different providers. There will be co-ordination difficulties and extra administration costs - this is one of the problems that makes healthcare in the US so expensive. Healthcare is a natural monopoly and when it is delivered by a single body (the NHS) it is easier to co-ordinate the treatment of a complicated case.



2. Separating out opportunities to profit in a taxpayer funded system. Private healthcare providers are motivated by maximising profits. The way to profit in healthcare is to provide treatment at lower cost than the fee charged for it. This would be good if it provided the motive for investing in how to deliver treatments more efficiently, but the way they have set up these NHS reforms, the motive instead will be on selecting which cases to treat and which not to treat. The way to make profits is to bid for the simple relatively easy cases, deliver these below cost and make a margin between what the NHS (taxpayer) pays and what it costs the provider. Serious illnesses like cancer, chronic conditions, complicated cases etc are not profitable because they are so expensive to treat - as medical technology improves, it makes previously untreatable cases treatable albeit at very high cost: there is no incentive for this to a profit making provider as they want to minimise costs.



So you will get private companies bidding for the cheaper relatively simple cases - and charging the NHS over and above what they are spending on providing them to make their profits, whilst leaving the complicated cases to the NHS.



Now the complicated cases were in the hands of the NHS, so whats different? The fact that there is less resource available to treat it because part of the NHS budget has been creamed off in profit margins to the private providers. The profits come out of the NHS budget, it is a transfer of resources from the taxpayer to the owners and shareholders of private health providers, rather than from the taxpayer to patients. The NHS has a big budget so there are good opportunities for making profits and no doubt these reforms will be successful for private health providers but they are not going to improve health outcomes.



The cunning part of the plan, from a right wing perspective, though is that it will still have the name of the NHS. So when patients start complaining in 5 -10 years time about declining health outcomes, this will be a failure of the NHS, and will provide the basis of an argument to dismantle some more of the principles of the NHS like free at the point of delivery, to move towards a fully privatised system, because people will then be told that "the NHS is failing, what was right in 1945 is simply not right for 2020".

I suggest you:



a) Attempt to understand the "swedish model" of which you speak



b) Make an effort at comprehending what I have written in the past



At no point have I indicated approval of the Swedish healthcare system

The NHS was a difficult concept from day 1. People were going to live longer and treatments were going to become more expensive as medicine advanced. Still, there is no excuse for spending money on treatments like this: www.dailymail.co.uk/news/article ... lants.html

The NHS was a difficult concept from day 1. People were going to live longer and treatments were going to become more expensive as medicine advanced. Still, there is no excuse for spending money on treatments like this: www.dailymail.co.uk/news/article ... lants.html

The starting point was probably as low as you can get to start from with health care consisting of only the very wealthy being able to afford to consult a doctor for debilitating illness, the rest, including I'd guess most readers of these forums, having to depend on charitable hospitals, cheap insurance policies, or just hope that they didn't get ill - a bit of a long shot in times of heavy manual labour and no controls over air pollution or factory safety.



The reality now is that very few people earn enough to be safe in the knowledge that whatever ailments come their way they can afford a private team to put them right again and for anyone who has ever checked recently even if all encompassing and unlimited private health care existed (it doesn't), it would be beyond most of our wallets, particularly those with families and ironically its those with children who are most likely to need a health care plan and ironically again its childrens ailments that often have the highest success rates, albeit often with cost expensive requirements.



Anyone who thinks that they are ok and won't need an NHS in a socially funded framework and not dependent on markets or accountants is probably deluded enough to need help from that very health service.

Quote The Video Ref="The Video Ref"The NHS was a difficult concept from day 1. People were going to live longer and treatments were going to become more expensive as medicine advanced. Still, there is no excuse for spending money on treatments like this: www.dailymail.co.uk/news/article ... lants.html'" What an ugly looking women

Quote The Video Ref="The Video Ref"The NHS was a difficult concept from day 1. People were going to live longer and treatments were going to become more expensive as medicine advanced. Still, there is no excuse for spending money on treatments like this: www.dailymail.co.uk/news/article ... lants.html'" What an ugly looking women

There are a lot of misconceptions amongst the supporters of private healthcare, about what it will mean for them in practice. I expect most of its supporters are relatively rich, and expect that in a private healthcare system, they will either get better healthcare for similar cost to their current tax contributions or get the same level of healthcare for lower insurance premiums than their current tax contributions. They expect that the people that will lose out are those lower down the income chain who were being subsidised by the tax contributions of the rich.



However, in a private healthcare system you are only better off if you are relatively healthy. In that case, insurers compete for your custom, because the way they make their money is by having relatively healthy people that do not claim much. If you have a simple condition that needs straightforward treatment like a one off operation (eg a hernia) then a private insurance system is likely to work better for you than the NHS, you will get seen quickly at a time to suit you and there will be no waiting lists like there are in the NHS. Also if you want general appointments or scans again you can get these quickly.



The problem comes when you have complicated or expensive treatment or something chronic, or something that is likely to compromise your health going forwards (eg a heart attack, stroke, cancer etc). From this point on, you are a likely loss maker for any health insurer as you are a risk of being a heavy claimer in the future. So from now on they do not care about having your custom, they want you off their books. Their goal from now on is providing the minimum treatment they and their legal teams can get away with providing (and they will have made sure their policies are tightly written to minimise their obligations). The idea that you now have great 'patient choice' goes out of the window, the insurer chooses what and how much treatment you can have. If they don't cover it then either sell your house, find the money elsewhere or tough.



The NHS, for all its faults, does not give up on you. No matter who you are and how much of a burden you will be on it in the future, it does its best to treat you, it does not thrust its legal teams in your face when you are sick to show you the small print so that it can get out of obligation to treat you. The NHS is not there to profit, a private insurer is, so sadly at the point you become no longer profitable for it, the insurer will drop you like a stone.