The NHS - time for a radical shake-up

[doodab]

What about charging gays for any AIDS treatment? or porkers for gastric bypass?

Really fat people should be offered assistance with diet and exercise, if they can't be bothered then they should contribute to any treatment for heart attack, stroke, type 2 diabetes etc.
This will be equivalent to discounts if you don't smoke, eat properly and exercise regulalry.

[formant]

We can't go on with the status quo. Labour, Lib Dems, Tories will never change a thing. It's all talk about rearranging the deck chairs. Radical change is never going to be easy, but it's the only way to stem the slide into poverty for the majority.

Only if you assume that 'radical change' is going to make us better off.
There are a lot of indications to the contrary.

[sasguru]

Just to make it clear, my instinct is that the EEC is going down the wrong path. and we certainly don't want German economic domination as the PIIGS have.
But those who say we should leave should give serious thought to what the alternatives are and what the effects will be.
UKIP is generally a negative party. They want to come out of Europe but certainly don't want to embrace India and China. So what's the grand strategy, given the changeable world?
Bunch of whining old men who don't have a fooking clue, basically. If we followed them we would be Portugal within 10 years.

[doodab]

We can't go on with the status quo. Labour, Lib Dems, Tories will never change a thing. It's all talk about rearranging the deck chairs. Radical change is never going to be easy, but it's the only way to stem the slide into poverty for the majority.

Revolution. Lets march on parliament and demand something or other.

[DimPrawn]

whining old men who don't have a fooking clue, basically. .

Which brings us nicely back on topic.

How's your rotten tooth?

[BoredBloke]

.
I don't mind paying privately (and London does have a very good all-private sector which I'm largely using at the moment) , but whatever component of tax and NI goes into the NHS should be refunded to people who want to opt out.

How's that going to work then? You would be removing those from the system that contribute most and it would have to depend on the taxes from the least well off to fund it. Presumably you'd apply the same argument to schools also.

What is needed in the NHS is better management. Management of who it treats for free and who has to pay. Better management of its own costs and procurement and reduction in waste. I worked on a procurement role for the NHS and it was shocking to see how badly tax money is handled within the system and how much is wasted. In terms of the A&E departments, unless it falls under the A or E category then it should come under the remit of GP's. If the GP's are not serving their patients effectively, putting more of a burden onto the local A&E, then it should be addressed and dealt with at the GP level.

[sasguru]

Which brings us nicely back on topic.

How's your rotten tooth?

I'm reasonably sure my tooth will be fine and good by the end of the day.
You, sir, will, however always be a elderly whining loser

[vetran]

at one point there were millions more NI numbers than people legally here of working age.

They used to hand them out like smarties. Even now it only costs a few hundred pounds to get one illegally.

Until they tie NI number to a validated identity it will be abused.

The cleaners being immigrants is a result of a race to the bottom on wages despite hygiene in hospitals being a larger factor in recovery than medical competence in many cases. If we paid and respected our cleaners better many fewer people would die in hospitals. Most UK natives can't afford to live comfortably to western standards on the wages paid.

The same with nursing, there are plenty of native applicants for nursing, Police and firemen, 'positive' discrimination and possibly mild nepotism select more immigrants and their children which can be openly tagged as immigrants for posts. I'm not certain if that is a good or bad thing but it does skew the figures.

we have millions of unemployed many are ready & willing to work. We then import workers who are willing to work for less than benefits and moan about the feckless unemployed.

[sasguru]

at one point there were millions more NI numbers than people legally here of working age.

They used to hand them out like smarties. Even now it only costs a few hundred pounds to get one illegally.

Until they tie NI number to a validated identity it will be abused.

The cleaners being immigrants is a result of a race to the bottom on wages despite hygiene in hospitals being a larger factor in recovery than medical competence in many cases. If we paid and respected our cleaners better many fewer people would die in hospitals. Most UK natives can't afford to live comfortably to western standards on the wages paid.

The same with nursing, there are plenty of native applicants for nursing, Police and firemen, 'positive' discrimination and possibly mild nepotism select more immigrants and their children which can be openly tagged as immigrants for posts. I'm not certain if that is a good or bad thing but it does skew the figures.

we have millions of unemployed many are ready & willing to work. We then import workers who are willing to work for less than benefits and moan about the feckless unemployed.

Good rant, no data to back it up. Nil point. Can someone quote me please

[DodgyAgent]

Just to make it clear, my instinct is that the EEC is going down the wrong path. and we certainly don't want German economic domination as the PIIGS have.
But those who say we should leave should give serious thought to what the alternatives are and what the effects will be.
UKIP is generally a negative party. They want to come out of Europe but certainly don't want to embrace India and China. So what's the grand strategy, given the changeable world?
Bunch of whining old men who don't have a fooking clue, basically. If we followed them we would be Portugal within 10 years.

All the Europhiles scream about the terrible consequences of leaving the EU. Very little will actually change