Fisking Polly Toynbee – Part Four
The NHS is the most efficient health system in the world: now it is well financed, it can be the best.
I am going to assume for the sake of argument that there are some studies out there which have compared some standard procedures across the Western world and come to the conclusion that the British ones are the cheapest.
But that's a long way away from saying they're any good. It could quite easily be the case that other countries provide operations of higher quality. Ones where, for instance, there's no 2-year waiting list or no MRSA super bug or where nursing staff are pleasant to you and the wards are nice places to be. If money is to be spent then I would suggest much of it would have to go on these areas which, of themselves, would not actually increase the number of operations performed.
There is also the issue of scalability - the ease at which you increase the size of something. Doctors, nurses, hospitals and operating theatres do not grow on trees. It takes many years for them to appear. The Splurge might look good over the next two years but it won't be long before the next recession kills it stone dead. And then where will we be?
This is also something odd going on here. Miss Toynbee claims that the NHS is "efficient" implying that that is a good thing. So, how did it get to be good? I can't imagine that it has become massively more efficient over the last 6 years of Labour Government - after all, it doesn't seem to have changed much in any other respect - so the conclusion must be that it must be the old Conservative Government that must take the credit. Miss Toynbee, do be careful.
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FWIW Reason.com have a article up called "Free Market Health Care, It's time for a truly radical proposal" which, amongst other things, blows the "40million Americans have no health cover" shibboleth out of the water.
I thought the 30-50% saving by bypassing bureaocracy was an amazing figure.
Perhaps the time has come in which some brave policy makers can step forward and advocate true free market health care. Already, patients and physicians are seceding from today's barely disguised system for rationing health care, and moving to free market models. Consider the case of SimpleCare, which is spreading across the United States. In SimpleCare, patients agree to pay physicians in full on the spot. This cuts out the morass of administrative paperwork, allowing doctors to slash their fees by between 30 percent and 50 percent. Uninsured people can access SimpleCare physicians by paying an annual $20 fee. Since patients are paying up front for routine maintenance, they can afford to buy high-deductible catastrophic insurance policies to cover emergencies like cancer and heart attacks.
Oops
that article is at http://www.reason.com/rb/rb052803.shtml
FWIW Reason.com have a article up called "Free Market Health Care, It's time for a truly radical proposal" which, amongst other things, blows the "40million Americans have no health cover" shibboleth out of the water.
I thought the 30-50% saving by bypassing bureaocracy was an amazing figure.
Posted by mark holland on June 1, 2003