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Original post by Captain Crash
Sure, but patients have been paying for treatments anyway since prescription charges have been introduced. Also, the downsides of charging for treatments is that people may be put off accessing healthcare unnecessarily.



Original post by Renal
Most people don't need to pay for prescriptions though. A significant number of those with chronic illness are exempt (but not me! :angry:) and the rest will pay by subscription - I pay £108 a year if I take £3700 worth of tablets or not.



Id be fecked if i had to pay prescription charges!
I take on average 4 different medications per day.

Is it the inverse care law that would apply for your logic?
I saw somebody standing in town with a bucket raising money for the scleroderma charity. Must be quite difficult to raise money for it, when I'd guess the majority of people have never heard of it before.

Quite proud I knew what it was though :proud:
Original post by Renal
Most people don't need to pay for prescriptions though. A significant number of those with chronic illness are exempt (but not me! :angry:) and the rest will pay by subscription - I pay £108 a year if I take £3700 worth of tablets or not.


Sure, but these aren't the kind of people who qualify for free prescriptions or subscribe aren't the ones you want to be discouraging superflous attendences.
Reply 5363
Original post by Captain Crash
Sure, but these aren't the kind of people who qualify for free prescriptions or subscribe aren't the ones you want to be discouraging superflous attendences.
There's a mixed group of people who get free prescriptions.

You get the evil poor who tear the ****ing arse out of the nash and should be shot.

You get the good poor, but we tend to see very little of this group.

But you also get those who are chronically ill (who admittedly make up a reasonable chunk of the first two groups - remembering that poverty=illness for practically any disease or trauma you care to name) who we mustn't discourage from seeking medical care (unless they're *****, in which case they can ****ing swing for all I care).
Original post by mrs_bellamy
It seems strange that in the SJT most of the points are for getting the middle answers in the right order. Surely if you know what is the best thing to do in the situation, in real life you would just do that? You wouldn't need to know what your second best option would be. Or are you meant to know that in case you can't carry out option one for some reason? I'm not a fan of the idea, or a particularly big fan of the white space questions. I agree that completely random allocation would probably be better. I quite like the idea of a national medical knowledge exam. I would probably do rubbish in it but I would like to know how I compare to people outside my university. But no-where seems keen for that, which is understandable because it would be quite hard to make an exam that isn't biased towards certain medical schools.


The easy solution (in an ideal world) would be to have the test written by postgraduate educators in collaboration with the GMC and all UK medical schools. Set at the standard required for FY1 doctors to adequately enter foundation training.

However, I would not make the questions entirely clinical, there should be equal testing of basic science knowledge as well as applied clinical medicine.

Essentially the AMK (Applied Medical Knowledge Progress Test, for the rest of you) but with 250 questions half being basic science related, the rest standard AMK questions.
HFerguson
x


I have a strange feeling that I met you today :colone:

:ninja:
Original post by FFCrusader
I have a strange feeling that I met you today :colone:

:ninja:


reveal yourself! You could be one of 4 or 5 people i saw today :tongue:
and surely we've met before? probably without me knowing it though lol

edit: seriously its gonna drive me ****ing nuts now D:
(edited 12 years ago)
Original post by Captain Crash
Sure, but patients have been paying for treatments anyway since prescription charges have been introduced. Also, the downsides of charging for treatments is that people may be put off accessing healthcare unnecessarily.


We do want to put off unnecessary access of healthcare - the point is that patients don't know what isn't necessary. We also want to not put people off from presenting - that they do all the time since it costs them nothing, which is right and should continue. The problem is that those with genuinely serious problems tend to present late either from other committments, embarrassment, or failure to appreciate the nature of the problem. We could move towards a Frech system where you are reimbursed for tx costs, but charged for missing appointments. Those identified with urgent problems through A&E would be seen free anyway. One of the most common problems with pills is that they have some sort of side effect, which the pt feels is embarrassing or disruptive to their lives, but dosn't realise that this is common, and that we can do something about it. They then don't take the pills, and then don't tell people - so we end up changing treatments and labelling them as 'resistant' with quite possibly unecessary investigations and pointless treatments. If patients paid more for their treatment, they would regard it as a service, perhaps treat it with more respect - you wouldn't miss a GP appointment you'd paid for, would you? And actually be more prepared to work with doctors to sort it out. They can be reinbursed later if they complete the treatment - blood levels, community DOT if necessary. Otherwise, non-compliance is just a waste of time and resources, the patient dosn't get better and everyones' pissed off. It's also pissing taxpayer $ up the wall. It cannot continue.
Original post by xXxBaby-BooxXx
I saw somebody standing in town with a bucket raising money for the scleroderma charity. Must be quite difficult to raise money for it, when I'd guess the majority of people have never heard of it before.

Quite proud I knew what it was though :proud:


Seen a lovely lady with it - evil bastard of a disease.
Original post by carcinoma

Original post by carcinoma
Essentially the AMK (Applied Medical Knowledge Progress Test, for the rest of you) but with 250 questions half being basic science related, the rest standard AMK questions.


But surely that would then favour anyone from Peninsula, bearing in mind they've been taking a similar test for the previous 5 years? :p:
Original post by xXxBaby-BooxXx
But surely that would then favour anyone from Peninsula, bearing in mind they've been taking a similar test for the previous 5 years? :p:


Yes/No, It would favour them on half the exam, but would favor those with heavier basic science teaching and examination on the other half.

Swings and roundabouts.

I don't think the test should favour anyone specifically, if its done to the appropriate level of an FY1, then it is bound to favour everyone to some degree, if we assume all medical schools prepare everyone for to be a doctor. (which the do)

On a side note, you do realise that the GMC PLAB Part 1 (for international graduates) is pretty much exactly the same as the AMK
(edited 12 years ago)
Damn, that was an ace stag in bristol last night. Madness that friends back home are getting married.

Then its my girlfriends sisters wedding this afternoon, better not start feeling more hungover than this!
Original post by HFerguson
reveal yourself! You could be one of 4 or 5 people i saw today :tongue:
and surely we've met before? probably without me knowing it though lol

edit: seriously its gonna drive me ****ing nuts now D:


:awesome:

I don't think we have met properly before!

I could reveal who I was... Or I could leave you to wonder :colone:

I may have lent you chalk at the gym
Placement Saturdays and whole weekends and finishing at 10pm.
Welcome to final year.
After the last week I can totally see why studying medicine somewhere like Riga or Vilnius may be attractive. I could totally live here. :awesome:
Original post by FFCrusader
:awesome:

I don't think we have met properly before!

I could reveal who I was... Or I could leave you to wonder :colone:

I may have lent you chalk at the gym


ohmygosh yes that was me! haha, had no idea you was FFCrusader! :tongue:
legend for the chalk btw :awesome: ****in grip failure :frown: *sigh*
Too may weddings, too much whiskey.....
Reply 5377
Original post by Mushi_master
Too may weddings, too much whiskey.....


Weeee whiskey!:biggrin:

Deaddddified after a week at A&E at a specialist ObGyn hospital, a lot of pelvic examinations and a cold (that damn air con that's either freezing cold or boiling hot...my throat and nose do not approve of this!! *sniffles miserably*), being expected to actually know instrument names in OR (amagawddd), and babies, lots of (noisy, ugly) babies; just another week to go. I fear I may well have to invest in a pair of support stockings though.

And my IELTS results are released this wednesday, scaryyy! Hopefully I will have proven myself good enough at teh englishies (well, at least hopefully better than the girl who approached my boyfriend with "I am excused! Where is exam room? You I thank!"...).

*runs around sneezing and sniffling some more*
Jesus wept: http://www.thestudentroom.co.uk/showthread.php?t=1765419

Also, in the applicants thread:
Hey, I'm hoping to apply to UCL!
I have 11A* 1A at GCSE
5 High A's at AS - bio, chem, phy, psych, and maths
My UKCAT average was okayish at about 643, but the BMAT is yet untaken!
Personal statement and references are also excellent...

See compared to that my application must have been terrible - kids of today....
Original post by crazylemon
Sorry, Land value tax. Similar to council tax but rather than a tax on property is only on the bas land rental value. Impossible to avoid unlike many taxes (people refuse to pay you can take the land!) and doesn't have the problems of things like VAT which are regressive and income tax which is a tax on productivity. It also discourages people sitting on un utilised land.

I think it is inevitable we limit the system. We can't do everything without ramping up tax. I would not be surprised to see 2 tier healthcare opening up in the UK. It has been resisted but at some point the current model will be unsustainable.


I have visions of soviet collectivisation. But then everyone who dosn't have a house is exempt. Council tax is not that unfair, is it?

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