I'd cut administration. Sack the workers with wishy washy job titles. Make the top job at a given hospital or trust to an actual doctor.
Then I'd charge fat people/alchoholics (but not smokers as they pay enough tax already) and sufferers others of any other medical conditions directly caused by their own choice of lifestyle over a prolonged period of time and wasnt just an accident.
Tax is on most food items - especially junk food, and alcohol. So your argument there is flawed. Also, not all fat people are fat because of lifestyle...
Then I'd cut IVF, because more likely than not, the Earth doesn't need another one of you two and if you have been blessed with such good genes you wouldn't be infertile now would you?
The country also has a very low birth rate, it's in the countries own interests to encourage procreation
Then I'd cut back treatments on the terminally ill because they're frankly incurable. As a sweetener pill, offer the next of kin 50% of what the hospital would have been expected to spend as treatment as cash in hand.
Are you stupid or just a troll? Do you honestly think people would be happy with money in replacement for a couple of extra months with their loved ones? At the end of the day, if it was pointless, then the patient would be sent home to die comfortably, or to a hospice - which happens!
Now I'm no doctor or even a medical student but I think I'd do a pretty good job as the Health Minister.
Yes, definitely, you should send your application in right away!
(although i acknowledge that he is an evil power hungry twit, just like nearly all the politically related staff and their politicians, i aint blind to that! its good to know the truth).
I have little knowledge of the inner workings of NHS management, but as I think was pretty clearly shown in the run-up to the election managers as a whole are being exploited as scapegoats of waste and inefficiency, when there is a definite need for them.
Absolutely
What does need to change though is the culture of mediocrity. If you have a crap manager it is so difficult to fire them. Crazy difficult. So they end up getting promoted up or moved horizontally. Meanwhile the really good managers don't seem to get anywhere, mainly because they get so sick of all the crap they just chose to stay someone isolated.
What does need to change though is the culture of mediocrity. If you have a crap manager it is so difficult to fire them. Crazy difficult. So they end up getting promoted up or moved horizontally. Meanwhile the really good managers don't seem to get anywhere, mainly because they get so sick of all the crap they just chose to stay someone isolated.
Or conversely, good manager get the job done and don't brown nose/play politics/go for their own career
The cynical part of me says any patient fit enough to walk out of hospital for a fag in this weather should either be charged for the rest of their admission, or be discharged, stat. Its so frustrating to see people smoke outside, wheeze and cough all over the place...But then plenty of medics indulge, pot kettle black to some extent.
Have a look into how many lung cancers are smoking related.
Then do yourself (and future patients) a favou and flip it around. How many are NOT smoking related.
I was exaggerating, yeh. My point was that it is silly to suggest that the NHS only treat un-self-inflicted diseases because my belief is that the majority of things can be argued to be self-inflicted.
Well, I'd cut all funding for non-life threatening treatments/stuff like IVF, fertility treatments. Also, alcholics, drug addicts etc will pay a fine, and any cosmetic surgery on the NHS cut completely for the duration of the cuts.
I was exaggerating, yeh. My point was that it is silly to suggest that the NHS only treat un-self-inflicted diseases because my belief is that the majority of things can be argued to be self-inflicted.
But to a point, anything can be argued in any way, depends on the spin. But it's pretty hard to argue that alcoholics with liver problems aren't self inflicted, whilst cancer patients are...
I've just read Trust me I'm a Junior Doctor by Max Pemberton. He saw how an alcoholic got treatment, NHS arranged accommodation (he was homeless) specialist care after treatment and rehab. Upon leaving A&E, instead of going to his accommodation, he goes straight to the pub, cycle continues.
At what point should we draw the line and say, right, we've given you enough chances, no more. Is it after 4 livers have been used in an alcoholic? After three expensive gastric bands placed in an overweight person?
It's cruel and extremely difficult, but perhaps, at this time, we should take a harder approach to those who's illnesses are through their own lifestyle choice.
Would you prefer the government to spend more of your money treating you because of your own ignorance?
certainly not. IMO this is a compelling argument against socialised healthcare. or, at least, one for excluding from (free - maybe loans should be guaranteed or something) treatment those who caused their own illness.
it's not really the waste of money that i take issue with, though, as much as the principle.
certainly not. IMO this is a compelling argument against socialised healthcare. or, at least, one for excluding from (free - maybe loans should be guaranteed or something) treatment those who caused their own illness.
it's not really the waste of money that i take issue with, though, as much as the principle.
So in your opinion we should punish those who make poor lifestyle decisions while at the same time cutting the funding needed to educate people into making better decisions?