The Dirty War on the NHS – a film by John Pilger will only be released after the election

You can see a flyer on the Dirty War on the NHS here. 

Mr Pilger makes a good case against privatisation, and points out the comparisons with the original establishment rules, where almost everything, except GP services, was provided “in house”. GPs remain technically self employed which gives them great advantages, and they also have by agreement, access to the NHS Pension scheme. Many Social Care beneficiaries are private, but the state is meant to step in when their assets fall below a certain figure.. It might help if politicians read In Place of Fear A Free Health Service 1952 Chapter 5 In Place of Fear but i fear from listening to the debates on the TV and Radio that they never have. Bevan thought that people should never have to pay, but he retracted on eyes, dental and prescription charges… he originally felt that the scheme encouraged dependency and discouraged autonomy too much, but was unable to get modification agreed.

A description of John Pilger’s film is here.

Peter Bradshaw in the Guardian 28th November 2019 reports: The Dirty War on the National Health Service review – fierce and necessary diatribe – John Pilger’s passionate film addresses threats to the NHS, from the burgeoning presence of private healthcare companies to the invasion of bureaucrats

Veteran campaigning reporter John Pilger makes no apology for returning to the subject of the National Health Service, and nor should he. The NHS could become Britain’s Gazprom: a gigantic public resource that could so easily be carved up to make corporate oligarchs even richer than they are already.

These are points that have been made by Michael Moore’s Sicko (2007) and Ken Loach’s The Spirit of ’45 (2013), but Pilger brings us more up to date. He takes us through the familiar history, from the founding of the NHS in 1948, through to the 70s, as a new generation of Thatcherite rightists (such as Oliver Letwin and John Redwood) took on health care with a new objective – privatise by stealth. The complaisant Blair government brought in private finance initiatives, which allowed hospitals to be built with private capital but burdened their governing trusts with heavy debt repayments; and the Cameron/Clegg coalition gave us the 2012 Health and Social Care Act “freeing up providers to innovate” – that is, opening the door to private healthcare companies and a metastasising invasion of bureaucrats and management consultants.

Most worryingly, there is our current health secretary, Matt Hancock, and his questionable enthusiasm for a smartphone self-diagnosis app called Babylon – could it be that GPs and nurses will be phased out for this cost-cutting tech? A Babylon spokesperson tells Pilger its diagnoses are “100% safe, but not all of the time”, which is like the claim made in the comedy Anchorman about a sexy brand of cologne: “Sixty percent of the time, it works every time.”

Pilger makes a persuasive and passionate case that the secret war on the NHS will create more poverty and homelessness, a dishonest media spectacle of squalor and chaos that will in turn be used for specious arguments in favour of “reform”.

There is one point missing from Pilger’s argument, and I can hardly bring myself to type the word: Brexit. Our self-harming abandonment of the EU will leave us more dependent on an American trade deal, and the Trump government makes no secret of its desire for our lucrative healthcare market. A fierce, necessary film.

The Dirty War on the National Health Service is released in the UK on 29 November.

‘NHS for sale’ nonsense ignores a real crisis David Aaronovitch in The Times 5th December

Labour and the Tories are happy to keep distracting us from the fact that neither has grasped the nettle of social care

Honest and pragmatic solutions to Social Care are ignored – by all parties. ( And the media )

This entry was posted in A Personal View, 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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