mcteeth wrote:mrblackbat wrote:Yes I realise that its not all about pay disputes. The problem with the NHS is that its a megalith; its far too large to be able to operate as an efficient system, so the sensible solution is to break it up into smaller, more autonomous areas.
Are you aware that many of the companies who are taking on the NHS contracts are not for profit companies like the Red Cross?
And frankly, I don't give a shit if anyone makes a profit if the service is good. That's what I really don't get, I don't see how it has any importance whatsoever if the service is good. Afterall, all the individuals working there make a profit; they get their pay check at the end of the day. It seems to me, that it's only when certain people make a profit that people get all uppity.
You talk about smaller autonomous units and yet the direction of travel is the new NHS Vanguards, GP Federations and devolution of power, in Manchester for example.
Exactly, which would be smaller, more autonomous units.....
To be honest, the other thing that's ridiculous is the concept of free health care for all. Frankly, I don't need free healthcare, nor should I be given it: I can more than afford to pay for private healthcare. Instead, I much prefer the Japanese model, whereby those that cannot afford healthcare get it for free,
paid for by all through taxation, and then there is a sliding scale of percentage of payment on use as you move up through the tax brackets, with those in the highest tax brackets paying 30% cost of their treatment. Payment is completely waived for those whose income is lowest, and for those who are homeless. You could quite easily implement this going all the way up to 100% cost for the highest tax brackets, in my opinion.
That way, you can ditch the clusterfuck that is the NHS altogether, and instead be sure that everyone has the healthcare they need without it bankrupting the country at the same time.