A curse on all their houses. Banal debates omit the really important questions. Entertainment has come before long term politics and unity..

For anyone who has watches the banal ITV debate (Boris v Jeremy)  and BBC question time leaders special I can only sympathise with the shallow nature of the questions, and the replies. They have omitted the really important questions. Entertainment has come before long term politics and unity. What a pity for those who gave their time to watch this display of denial. A curse on all their houses. They have all conspired to put patients and doctors lives at risk….

Here are some of the questions that NHSreality would like to have asked:

Brexit.

Do you feel that the Union of Great Britain and N Ireland is more or less likely to survive if we leave the EU?

Do you feel that continuing peace is more or less likely to continue if we leave the EU?

Do you feel that varied opportunities for work, particularly for younger people, are more or less likely if we leave the EU?

Do you believe the reports of the Economist, Governor of the Bank of England, World Bank, EU economists, all UK economists (bar one) and most politicians before the first referendum, when they indicate that prosperity and influence will diminish after leaving the EU?

Proportional Representation.

Please can you give your parties’ arguments against PR? Do these still apply?

If Proportional Representation is good enough for the devolved dispensations, why is it not good enough for the UK?

What form of PR would you advocate if we changed our system?

Do you think the vote should be extended to all those over 16, as in Scotland?

Identity

Since we have a virtual identity system with face recognition and other methods connected to central databases, and since we have a problem with identifying those eligible for state benefits, including health, would you support ID cards?

Could these ID cards lead to means related co-payments or taxes?

Tax

Would you support Land Rental Tax?

Do you think it could be at a level that allowed replacement of Estate Duty, Stamp Tax and reduction of Council Tax?

Health.

Do you feel that the 4 health services are sustainable under their present rules? Do you think that the pace of technological advance is faster than any government’s ability to pay? Given the demographics how would you change the rules?

If social care is means tested, then why not medical care? Or would you advocate the Scottish model of social care for England?

Is health care rationed covertly, so that nobody knows what is unavailable to them until they are denied it?

As far as health is concerned, has devolution worked in Wales and N Ireland?

Bearing in mind the excess of able applicants, for decades: Why are there so few doctors and nurses to meet the nations’ needs? Do you think this has anything to do with our political system and FPTP time horizons?

Usually when trying to fill the bath you put the plug in rather than turn the taps on more. We are now training more doctors, nurses and allied professionals than ever before. What are you going to do to change the culture  in the health service to stop the loss of the workforce soon after these individuals  qualify .

Bearing in mind that most purchases of equipment for the 4 health services are in dollars, and the costs have gone up 20% since the referendum, and this without trade barriers, do you believe leaving the EU will make our health as a nation better?

Education.

Bearing in mind job applications and competition for places at university, and interviews: Do you feel that all education is divisive? Is it more important to aim for excellence, or to reduce inequalities, when there is competition for resources and people? Do parents have the right to choose how to educate their children, and whether to spend their money on private tuition, sports activities, music etc?

Spin doctors – what the economist thinks about the conservatives health manifesto promises.

Northern Ireland health collapses. It would be kinder to bring in co-payments than to let more suffer.

Cloud cuckoo land….. The poor will remain slaves in a GIG economy.

Disgraceful leadership, and a longstanding culture of fear. Successive PMs of all colours are to blame. Spending money on bribing the electorate will bring only short term gains..

What the GP did best: used time as a diagnostic tool. The “failiing fiasco” of health care in the UK.

 

In the BMJs subsidiary magazine “Doctor” on 16th November the headline article is “On the cusp of collapse”. Overcrowding and Underfunding have left patients and doctors at risk……

This entry was posted in A Personal View, General Practitioners, Junior Doctors, Professionals, Rationing, 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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