asthmatic camel
Illuminator
- Joined
- Apr 23, 2003
- Messages
- 4,510
Quick way to save billions... Remove the Scottish Parliament, the Welsh Assembly and whatever kind of shambles is left in Northern Ireland. Less talk, more work.
asthmatic camel said:Quick way to save billions... Remove the Scottish Parliament, the Welsh Assembly and whatever kind of shambles is left in Northern Ireland. Less talk, more work.
Shane Costello said:I don't think such a commercial venture exists. If memory serves the NHS is the biggest employer in Europe with a workforce of 2 million or so. I work for a large multinational and I'm only one of a piffling 60,000.
richardm said:I've just been chatting to someone who thought that the fear of a potential Tory victory would bring out the Labour voters (who have heretofore been apathetic) in droves, maintaining a large majority. An interesting viewpoint. I'm expecting a win with a much reduced majority myself.
Matabiri said:
...snip...
Vote Labour, because the alternative's too bad to contemplate. Which isn't really a good basis for a campaign, in my opinion.
I think they're genuinely afraid of large numbers of Lib-Dem defections by the middle classes.
Shane Costello said:I don't think such a commercial venture exists. If memory serves the NHS is the biggest employer in Europe with a workforce of 2 million or so. I work for a large multinational and I'm only one of a piffling 60,000.
Darat said:I would disagree, since the alternative is far, far worse then another term of Labour.
For instance reminding people that the published Conservative plans regarding the NHS is to take at least one billion out of the NHS and just give it to people who could afford to pay for their treatment privately is just an example of how the NHS "is not safe in Conservative hands". When the alternative is worse then the other options it isn't wrong to tell people that.
Darat said:When the alternative is worse then the other options it isn't wrong to tell people that.
Jaggy Bunnet said:I presume you are referring to the proposal to pay half the cost of the NHS operation to people who pay to go private?
In other words they are using NHS resources to get twice as many operations carried out, if people are able/willing to pay the difference themselves. They are also cutting waiting times for those who can't afford to pay.
For example, the NHS has funding for two operations in the next year for the condition you have. You are third in the queue. Under Labour, you wait until next year. Under the Tories, the two people ahead of you may pay extra to go private, and there are sufficient funds to treat you this year. How is this bad for anybody?
…snip…
Matabiri said:But that's not what they say. They say, "You don't want the Conservatives back, do you?" Not, "Look at our plans, look at theirs. Ours are better because..."
And I also disliked the attempt to make the UK a two-party state by deliberately marginalising the Lib-Dems.
Darat said:Because (apparently) the proposed money isn't "new" money it comes out of the current pot. So in your example the NHS Trust would actually only have enough money to pay 1.5 operations this year not two so in fact it will (in theory) delay operations for people who can’t afford to pay privately.
richardm said:Using a very simplified model like that, the NHS plans seem reasonable. In reality, if there is any point to letting people pay for their operations then there must be an element of "Getting my operation done sooner than if I waited in the queue".
So in your example, it is not the two wealthy people in the queue ahead of the person relying on NHS funds, but the two wealthy people behind him that we need to worry about.
Suppose instead of having 3 people in the queue, you have six. You can still only afford to do 2 ops in a year.
People who can afford to opt out are represented as O. People who can't are represented as N.
O1 O2 N1 O3 O4 O5
Under the current model, everyone gets treated in turn. At a rate of 2 ops per year, We'll see O1 and O2 in Year 1, N1 and O3 in year 2, and 04 in year 3.
So the new scheme comes in, and in principle O1 and O2 pay half their operations, leaving enough for N1 to get his done in year 1 instead of year 2. Yay!
But O3 and O4 are wealthy, and can pay half their op. If they're paying good money they'll want it done ASAP, otherwise they might as well just wait. So what is to stop them paying to effectively jump the queue, leaving no resources for N1 in year 1? What happens if there are O5 -> O10? What happens to the various Ns? They find their operations delayed and put back, because the people who could potentially pay the full cost of their operation are being given a subsidy out of resources that are intended to be used by everybody.
Darat said:Because (apparently) the proposed money isn't "new" money it comes out of the current pot. So in your example the NHS Trust would actually only have enough money to pay 1.5 operations this year not two so in fact it will (in theory) delay operations for people who can’t afford to pay privately.
Jaggy Bunnet said:Don't understand what you are trying to say here. Why does the amount of money available go down?
There is enough (existing) cash for two operations if they are 100% funded by the NHS - total of 200% of the cost of an NHS operation. Under the Tory proposals, this can fund 50% of two operations (carried out privately) and 100% of one (carried out by the NHS), meaning three people get treated instead of two and the total cost is exactly the same - 200% of the cost of an NHS operation.