The NHS - time for a radical shake-up

[vetran]

I'd make insurance compulsory, and forcibly enrol those who failed to chose themselves. Deduct payment from wages or benefits, and put in a sensible excess for 'stupidity' related treatments. They would pay.

Have you seen the cost of health insurance in the US?

[doodab]

Have you seen the cost of health insurance in the US?

Not really relevant IMO, there are plenty of other examples. A state run default scheme with compulsory enrolment could be priced as a %age income, with options priced seperately and an opt out for those who choose another scheme.

[IR35FanClub]

What you need is two lists: 1 from the NHS, one from the DSS. The first contains a list of the amount of funding a patient has recieved under the NHS. The second the amount of benefits a person has recevied. Add the two lists together and then you have how much someone has cost the state.

If they are still in the same situation and likely to cost more, you then get a billionaire to sponsor a project that goes like this...
You offer the person at the top of the list a job on £50k a year. They get given a barret sniper rifle and the list of the top 100 and a free plane ticket to a country with good weather and no extradition agreement with the UK. If they refuse the job, the list gets offered to person number two on the list. Until someone accepts. And someone will.

Its not that bad, people die in accidents all the time and the familys have to get on with their lives. Removing the top 100 drain on the state (maybe even the top 100,000) wouldn't be so bad for society as a whole. We have lost "individual" natural selection and are heading for the most succesful breeders are fat lazy lazy abouts who die young from poor health. Really - is that where we want to take the species? Shouldnt we as a species have a bit more influence on what attributes we want to flourish?

The biggest problem is the middle class is taking too long to breed [20-30 years] because they have careers in the way and the "NOT working class" are knocking out broods on a 15-20 years cycle. thankfully some of the immigrants that come here WANT TO WORK, even in carp [not a fish] jobs. I'd support that more than lazy useless feckers costing me multiple tens ouf thousands a year in tax. I may pay only circa 20-30% direct taxes, but I added all my direct and inderect taxes up 2 years ago and it came to 65% of what I earn. Do I get more army, street lighting, school places, police protection, planning control and healthcare than someone who's contribution is MINUS tens of thousands. It's this I'm sick of.

Being poor and sick should be miserable cramped and not nice. No one should get given a house, just a "family unit" in a towerblock, which consists of 1 room, with a shared bathroom. And voucher for rice and fresh veg a 1 bottle of butane per week. I've been to Africa - people do live like this and don't effing compalin the government gives them nothing, becuase they don't expect it.

Personally I'd FREEZE the NHS budget but not cut it. And start cutting what treatment you can get instead. EG. and most importantly Fertility treatment only availble for people who work and are not claiming benefits. We want to create a nation of workers not lay abouts. Want kids, then unless you can support them and have the money to do so then great.

Next - again FREEZE the beneifits budget - but come up with ideas like Ian Duncan Smith. No new benefits for welfare parents with kids born say 2015. But they can get sterilised FREE on the NHS. None of this is compulsory - just the state offering options to control demogrpahics and try and get us back to a nation of worker.

In fact the state could argue that "handing out benefits" is against their human right to "live a life without interference from the state".

[Mich the Tester]

What you need is two lists: 1 from the NHS, one from the DSS. Lots of stuff about eliminating the top 100 benefit and healthcare claimants, something about guns and natural selection...

Lighten up and have a cup of tea, man. It's POETS day.

[The Spartan]

Wow that was pretty good, I enjoyed reading that

[IR35FanClub]

Reading that back it makes it sound like I don't like the NOT working class. I don't mind them at all, in fact I've had a few as friends over the years. What I object to is their lifestyle choices costing ME money. Typical examples are when someone's partner loses a job and decides its better to sign on and get £50 a week and go fishing that dealing with work.

Oh the NHS also needs to be throughly audited. I knew someone who (though it was ok and) told me about how her boss had bought them both a new all weather jackets costing hundreds and digital cameras. They werent actually needed for the job. WTF? Did she not realised I'm a tax payer and would think that was a waste?

Same in local councils. My mum worked in recption for 20 years and every time they had a new chief exec they would redo the recpetion. One decided showing off the towns heritage with a carpet including the town crest, the next though open plan gave a better customer service, the next they needed screeens to protect the staff, the next a modern noughties deisgn was needed. Each time costing hundreded of thousands, yet business make do with what they have. (Unless they're banks).

The worst is her stories about council tenants expecting a replacement light bulb to be installed - at a cost to the council of £50. As "it's not their house" depsite them having lives there for 20 years. Strangely - they opted not to convet to a housing assoication when offered (I think they were worried they might lose out somewhere and be told No! )

It's this sponging off the state and the idea of entitlement I can't stand. It's enough to make me take my cash and leave the country. (But I'll stay a few more years to build up that warchest first).

[IR35FanClub]

Lighten up and have a cup of tea, man. It's POETS day.

Well I was joking, it was from a pub conversation where eeveryone is having laugh going - you know what we should do... que lists and guns.

But thinking about it - forget the billionaire sponsor... the state already pays people to go overseans and bump off people who do not share the same economic interests as us, like for example - who should get oil contracts or access to natural resources. They have already trained people who know how to use a rifle - and access to the needed data.

So.. if the biggest risk to the economic stability of the country is "The Enemy Within", shouldn't they have a bit of a purge. Its' a bit barbaric. But then so is keeping giving someone money to buy enough food to make themselves weigh 30 stone.

They could even sell the TV rights and make a running man style show, where everyone tunes in on Saturday night at 7pm to see who will get the knock on the door and be given a 2 hours head start. The main show would have to be after the watershed. It could give us something to be proud of. My choice of presenters would be David Attenborough for the lifestyle introduction background about the person. And then Dame Edna and Richard Hammond, and Peter Snow for the running commentary whilst the "lucky winner" is hunted down. Hammond on location to provide the techincal details on what weapon the hunters had chosen and reactionary Ooohs and aaarghs and yucks. Graham Norton in the studio for the annoying innuendos and chats with the "winners" family. Info graphics from Peter Snow, prediciting the time taken to kill, and likely location.

Maybe with a musical iterlude from the latest unsigned band. I'd called the show "Wasted", Waste of money, waste of a life, you've been wasted!

[SueEllen]

The worst is her stories about council tenants expecting a replacement light bulb to be installed - at a cost to the council of £50. As "it's not their house" depsite them having lives there for 20 years. Strangely - they opted not to convet to a housing assoication when offered (I think they were worried they might lose out somewhere and be told No! )

It's not about the light bulbs.

Housing associations:
1. Put rents up - they are obliged to and unlike councils don't have legal excuses not to do repairs and improvements.
2. Stop family members inheriting the house when the original tenant dies.

It's this sponging off the state and the idea of entitlement I can't stand. It's enough to make me take my cash and leave the country. (But I'll stay a few more years to build up that warchest first).

You can go and work in other European countries where people don't rip the tax payer of so much. However you do have to pay higher taxes.

[OwlHoot]

Have you seen the cost of health insurance in the US?

That's because of their vindictive greed-ridden absurdly litigious jury-determined compensation culture, which requires doctors and hospitals etc to pay huge medical insurance premiums.

If federal law introduced strictly limited liability, with various maximum negligence payouts based on the risk of the procedure or the drugs administered, and the age and health of the patient etc, then medical treatment in the US would be far cheaper, and the only people out of pocket would be lawyers.

Also, there would be nothing to prevent patients taking out extra lifetime care insurance and suchlike if they chose.

[vetran]

In fact the state could argue that "handing out benefits" is against their human right to "live a life without interference from the state".

Actually quite a good argument, would like to see that tried.

Yes there is litigation but also US doctors & health companies also make significant amounts of money.

Drug costs are also astronomic (NHS has similiar)
A relative was a UK medical secretary and they were constantly trying to bribe her with marketing items worth £50+ to get access to the consultants diaries.