Cyclists, disability wheelchairs, and all dog, cat and exotic pet owners should be insured, licensed and registered

I have been reading a book first published in 1908. It is “Bonapartism” and is  six lectures delivered in the University of London by H.A.L.Fisher and published by Oxford University Press.

Bonaparte liked order, and recognised that the French as a nation , after the revolution, preferred order and equality, and when this meant a small loss of liberty they would accept this. The argument applies to identity cards as well. Although he had many faults, and by the end of his reign he was ignoring much of the advice he was given, his fundamental thinking might be useful to a health service disintegrating in chaos, and without engagement or support from its professionals or its members – just like the French Revolution had led to the disintegration of France. Frontier differences in provision and outcome, for people paying the same taxation, could lead to civil unrest and disturbances… and the citizen needs to be reminded of their responsibility to the population as a whole.. If fees came in, then usage and ownership might fall, but there would be funds for improvements and reduction of harm, (The Cycle plan: Cities fit for cycling) and the state could claim the expenses back from insurers, much as they are entitled to do for Road Traffic Accidents. The perverse incentive to have multiple pets would disappear, and jobs would be created, and nature would benefit.. Cyclists, disability wheelchairs, and all dog, cat and exotic pet owners should be insured, licensed and registered…

NHSreality notes to rise in Cycle accidents, Billy Kenber in the Times 7th November 2014 reports: Cycle crash toll rises 10 per cent in a year but most of these road users do not have insurance, and they are not licensed or registered.

The number of cyclists killed or seriously injured on the roads has risen by 10 per cent in the past year, new figures show. A total of 3,530 cyclists died or suffered serious injuries in the 12 months to June, according to figures published by the Department for Transport (DfT).

In the same period almost 9,000 drivers and car passengers were killed or seriously injured, a 4 per cent increase, while there was a 7 per cent increase among motorcyclists, with 5,510, and little change among pedestrians, with 5,570. Overall, 1,760 people were killed on the roads during the 12-month period.

Officials at the DfT said that warmer weather in the spring compared with the previous year might have increased the number of vulnerable road users.

The Times’s Cities Fit for Cycling campaign is calling on the government to create a £600 million annual budget for cycle provision.

On October 16th Kaya Burgess reported in the same paper: Cycling plan could save NHS billions.

The economy would reap £6 billion of health benefits per year by 2025 if the government invested just £10 per person each year on safe cycling routes, according to new scientific research.

The study, by the universities of Leeds and Cambridge, comes as the government today publishes its “cycling delivery plan”, which has already been condemned for failing to create an annual budget or invest new money in cycle provision.

The draft plan, first proposed by the Department for Transport more than a year ago, will be published this morning, hours before MPs debate the stalled progress of David Cameron’s “cycling revolution”, promised last summer. It will put pressure on the government and on Labour to commit to substantial funding.

The Times’s Cities Fit for Cycling campaign calls on the government to spend £400 million a year on cycling, worth 3 per cent of the transport budget or £10 per capita. Matched by devolved governments, including in London, this would create a national budget of £600 million….

In America there are an increasing number of “escapes” sometimes causing grave injury: “The Tiger next door” warns people about exotic animals…

Miranda Prynne in The Telegraph reports 6th Nov 2013: Dog attack laws and statistics: The number of people admitted to hospital due to dog bites has risen in the last five years prompting calls for changes in the law.

Cats and Dogs Are Household Hazards – LiveScience

Sharp toothed cat injuries cause punctures which rapidly seal over, trapping bacteria from the cat’s mouth under the skin of the victim, where they can readily multiply. People with immune deficiency (Splenectomy or on drugs) are particularly at risk.

Vote Cycling – The Times’s briefing leaflet

 

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This entry was posted in A Personal View, Community Health Councils, Patient representatives, Perverse Incentives, Political Representatives and activists, Stories in the Media on by .

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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