Do we believe in “undeserved free gifts – which reduce self sufficiency, discourage healthy lifestyles, & encourage excess.” I believe patients and citizens should have responsibility for their own bodies, and the philosophy of “everything for everyone for ever” needs to be challenged. Why cannot these proposed services be linked to means, or volunteering, or exercise take-up, or a combination of these? Why can’t there be co-payments, if necessary on loans? Alcohol, obesity and poor sedentary and dietary lifestyles need to change, and “tablets for drinkers”, and “operations for obesity” are not going to help. They are perverse, in that they encourage the very behaviours we seek to change because patients feel they have a right to treatment. It is an emphasis on duties rather than rights, or individual and family responsibilities rather than expanded expensive services that is needed. The Regional Health Services will go bust, and those very services which are needed for cancer, stroke and heart diseases will be reduced, and waiting times increase, if we spend our limited funds chasing illusions.. I think I have answered a question NHSreality posed in an earlier post: What’s the opposite of “deserts based rationing”? Of course, commissioners in poorer areas (like Wales) will be unable to afford NICE recommendations compared to richer areas where the operations are needed less frequently!
and Mark Lefty adds on the same day in the same paper: Alcohol is far more deadly than cannabis, former minister Norman Baker says
Schools urges to step in as major study pinpoints obesity window between ages of seven and 11