3 thoughts on “Choose one (again)

  1. On a similar theme:
    1) There aren’t enough houses to go around, and they’re all too expensive!

    2) Lets increase the population by a town the size of Swindon every year!

    1) People are terrible poor and suffering from lack of food and energy because of austerity and benefit cuts!

    2) Lets make food and energy more expensive because Greta Thunberg says so!

    1) Taxes must go up and no-one ever stops working or moves away to avoid higher taxes

    2) Something must be done about NHS surgeons stopping working because they are being taxed so highly on their pension funds!

    1) Brexit must be cancelled because its going to make us all poorer, and stop us travelling around Europe!

    2) Climate Change means we must stop consuming so much and all unnecessary flying must be banned!

  2. “(a) The NHS doesn’t have anywhere near enough money to be able to deliver adequate services to the existing population.”

    The NHS has way more money than it needs to deliver **adequate** services to the existing (and expanding) population. What it doesn’t have, is enough to supply the demand for something that’s (essentially) free to the customer.

  3. I don’t even think its that (the unlimited demand problem). Unlimited demand for a free service is easily solved – ration the service via waiting lists, which is what happens. But even when you get to the top of the list, the care is still sh*t. The entire system is basically inefficient, which is unsurprising, its a Soviet system. I’m pretty sure that someone worked out that productivity hardly increased at all in the USSR, the only way they got more output was to throw more resources at the problem. The NHS is identical – there is zero process whereby the people working within it are incentivized to be more productive, ie the profit motive. No one thinks ‘If we can double the throughput of patients in this clinic with less than double the inputs we can make lots more money!’ All doubling the throughput of patients does is make the job harder for the staff, so why should they bother, given it won’t make an iota of difference to their pay?

    Thus its not the unlimited demand thats the main problem, if you reduced demand by stopping all the freeloading and limited everyone else to X amount of healthcare per year, the healthcare that did get done would still be slap dash and take little regard for the needs of the patients. Thats the fundamental nature of a socialist system of provision.

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