Reducing Inequalities – A possible Welsh Health Budget

The Welsh Government (WG) have decided to reduce inequalities further…..

From April 1st 2014 it is not enough for prescriptions to be free, so chemists will be encouraged to give “cash back” for each prescription. This ensures that the obese diabetics will get more money, and money means extra years of life, thus reducing inequality. More money will be handed out for each increasing prescription, as complex cases with multiple pathologies are disproportionately disadvantaged.

The money spent on this will be raised by a Welsh Tax on capital. Anyone owning a house over the national average valuation will be asked to return an extra 2% of the capital value to the WG each year. Holiday homes will be taxed incrementally to encourage sales. This should depress house prices and reduce inequalities.

The WG realises that it can raise very little by direct taxation. Therefore indirect taxation will be the rule. There is already a thriving UK wide “black market” in Tobacco and Alcohol, so the WG has decided to run this properly, and become import/export facilitators for the UK, and undercut the villains profiting illegally. The scheme may be expanded to include hard drugs and Organs (from Welsh donors).

An Indirect tax on Sugar at £1 per 100g of product, including honey and any other natural sugar products will be introduced.. Thus a £1 mars weighing 100g will cost £2 from tomorrow….. This tax may be extended to Chips, Burghers, Sausages and Lava Bread, depending on the average Body Mass Index of supermarket customers (Overweight seen as the norm, says chief medical officer).. who will be weighed automatically on passing over entry scales and past height assessing lazers, which will then announce the customers weight and BMI publicly. Sugar products should still be be affordable because of the prescription cash back.

With regard to Private Medical Insurance, WG will now insist that once any private consultation is made, that all future care, for the remainder of the patient’s life, will be NHS excluded. To get accurate data Wales will pay UK insurance companies for their data and personal information. Since The insurance companies have already got our NHS data. (Jon Ungoed-Thomas  14th March 2014: NHS sells 1,000,000 records! ) they will be able to cross reference and give information on anyone who pays their insurance premium from outside Wales..

Saving on signage. The Welsh Government has decided dual signage and paperwork will be stopped. A decision has yet to be reached as to which language will be retained, but this decision alone could reduce waiting lists……. and on top of this, the savings will be used to fund special scanners to reduce waiting times throughout the principality.

Since Wales cannot train or recruit enough British graduates, recruitment will be centred on Cuba, where doctors currently earning $40 per month will be encouraged to settle in Wales. (Cuba doubles its doctors’ pay — to £40 per month)

Finally, the WG has decided to raise an NHS tax. Details to follow … but it may be in “Bitcoin”..

Chris Smyth writing in The Times on 15th March reports: The wealthy enjoy an extra 20 years of healthy life 

Since Wales is one of the poorest regions in the UK (We should rage against the dying of Wales) and since waiting times are rising fastest in the UK for tests (Record wait for hospital tests in Wales forces patients to England) you might expect the Welsh Government to review some of its policies.

On 14th February 2012 Kimberly Palmer for Money personal finance confirmed the suspicion: Do Rich People Live Longer?

Wealthier people do live longer, but the reason isn’t as obvious as it seems.

On January 8th in the Times, Daniel Finkelstein opined: A separate NHS tax would rein in spending and Frank Field commented on January 10th: How will we pay for the NHS in future?

Frank Field letter on NHS tax

Read Dewi Evans in the Western Mail 25th February 2014: Letter Western Mail First duty of care is to the patients – Dewi Evans. How similar is Mr Drakeford’s denial to that made in Mid Staffordshire 12 months ago?

The state of Wales: Should we all rage against it’s dying?

Update 1st April.

Chris Smyth in The Times 1st April 2014 reports: Health Chief attacks “like it or lump it” doctors.

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About Roger Burns - retired GP

I am a retired GP and medical educator. I have supported patient participation throughout my career, and my practice, St Thomas; Surgery, has had a longstanding and active Patient Participation Group (PPG). I support the idea of Community Health Councils, although I feel they should be funded at arms length from government. I have taught GP trainees for 30 years, and been a Programme Director for GP training in Pembrokeshire 20 years. I served on the Pembrokeshire LHG and LHB for a total of 10 years. I completed an MBA in 1996, and I along with most others, never had an exit interview from any job in the NHS! I completed an MBA in 1996, and was a runner up for the Adam Smith prize for economy and efficiency in government in that year. This was owing to a suggestion (St Thomas' Mutual) that practices had incentives for saving by being allowed to buy rationed out services in the following year.

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