Tag Archives: Competition

UK socialism in action: patients waiting on trolleys for over 50 hours

From the UK Daily Mail. (H/T Dina)

Excerpt:

Being rushed to hospital or taking your loved one to A&E can be a frightening experience. However, experts have recently highlighted a disturbing trend that will only make it worse.

They say hospitals are bursting at the seams, and a combination of poor out-of-hours GP services, budget cuts and a shortage of beds mean many patients are being parked on trolleys in A&E corridors and side rooms like left luggage.

Indeed, Department of Health figures, revealed last month by the Nursing Times, suggest nearly 67,000 patients waited  up to 12 hours on a trolley in the first half of this year.

And this may simply be the tip of the  iceberg, as NHS analysts say clever number-crunching by hospitals may be hiding the true extent of the problem.

As this Good Health investigation reveals, more than a quarter of hospitals have reported cases where patients have been left on trolleys for 12 hours or more — up to 50 hours in one case. In most NHS hospital trusts, patients waited less than three hours for a bed on a ward (the average was one hour 36 minutes). However, in six  (7 per cent) of hospitals the average wait on a trolley was three hours or more.

Think that’s an anomaly? Consider this.

From the UK Daily Mail:

NHS doctors are prematurely ending the lives of thousands of elderly hospital patients because they are difficult to manage or to free up beds, a senior consultant claimed yesterday.

Professor Patrick Pullicino said doctors had turned the use of a controversial ‘death pathway’ into the equivalent of euthanasia of the elderly.

He claimed there was often a lack of clear evidence for initiating the Liverpool Care Pathway, a method of looking after terminally ill patients that is used in hospitals across the country.

It is designed to come into force when doctors believe it is impossible for a patient to recover and death is imminent.

It can include withdrawal of treatment – including the provision of water and nourishment by tube – and on average brings a patient to death in 33 hours.

There are around 450,000 deaths in Britain each year of people who are in hospital or under NHS care. Around 29 per cent – 130,000 – are of patients who were on the LCP.

More from a different UK Daily Mail article:

The health service ‘looks like a supertanker heading for an iceberg’, the head of the NHS Confederation has warned.

His comment came as a survey revealed the squeeze on NHS finances is so serious that almost half of its leaders think it will reduce quality of care for patients over the next year.

The research, carried out before the confederation’s annual conference in Manchester, shows that NHS leaders fear that growing financial pressures will mean treatment rationing and longer waiting times.

Of the 252 chief executives and chairs of NHS organisations questioned, almost half believe the financial burden on the health service is ‘very serious’ and 47 per cent say this means quality of care will reduce over the next 12 months.

Mike Farrar, chief executive of the confederation which represents organisations providing NHS services, said: ‘Despite huge efforts to maintain standards of patient care in the current financial year, healthcare leaders are deeply concerned about the storm clouds that are gathering around the NHS.

‘Our survey shows that many NHS leaders see finances getting worse and that this is already having a growing impact on their patients. In response, they are cutting costs in the short term but they know that much more radical solutions are the only answer in the long run.

[…]Mr Farrar added that politicians had ‘consistently failed’ to put the long-term interests of the population’s health above their short-term electoral interests.

[…]Katherine Murphy, chief executive of the Patients Association said: ‘This survey confirms what everybody inside the health and social care system is already saying – the next decade is likely to be the most challenging one in the history of the NHS.

‘Treatments are being rationed, waiting times for elective procedures are going up and patients continue to be treated poorly on our hospital wards.

Where does the money go in a socialist system? Well, the NHS spends £1 million a week on repeat abortions. So if you like having abortions, those are free – and you can have as many as you want. It’s “health care”. You can also have free taxpayer-funded IVF, which is especially valuable for men. Or you can have treatment for AIDS, which is especially useful for married people and chaste people. Or you can have free breast enlargements and free sex changes – even if you are a convicted murderer. That’s government-run health care in a socialist feminist welfare state. Pay up, sucka.

Of course, if you need a drink of water, you’re out of luck.

In a government-run system, whether you get treatment or not depends on a bureaucrat, whose only desire is to be re-elected. Sometimes, killing you is the best way for them to get re-elected, as seen in the euthanasia numbers. But, in a private health care system, it makes no sense to kill patients, because then the money stops coming in. Doctors actually care about you in a for profit system. They want to help you, and they want you to live.

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Chicago teacher strike: average pay $71K, 80% of 8th graders not proficient at math

CBS News reports:

Thousands of teachers, parents and supporters marched through downtown Chicago on the first day of a school strike.

The crowd Monday afternoon stretched for several blocks and was expected to swell through the early evening and into the city’s rush hour. Some protesters carried signs that said “Chicago Teachers United” and “Fair Contract Now.” Others waved red pom-poms and chanted. Earlier in the day, thousands of teachers picketed around neighborhood schools.

[…]The city’s public school teachers make an average of $71,000 a year. Both sides said they were close to an agreement on wages. What apparently remains are issues involving teacher performance and accountability, which the union saw as a threat to job security.

They don’t want to be held accountable for failing to provide outcomes for their customers, the children.

Why do you think they might fear being held accountable? Are they doing a poor job of teaching? Is that why they fear being accountable? Let’s see.

CNS News explains:

Chicago public school teachers went on strike on Monday and one of the major issues behind the strike is a new system Chicago plans to use for evaluating public school teachers in which student improvement on standardized tests will count for 40 percent of a teacher’s evaluation. Until now, the evaluations of Chicago public school teachers have been based on what a Chicago Sun Times editorial called a “meaningless checklist.”

[…]In 2011, the U.S. Department of Education administered National Assessment of Educational Progress (NAEP) tests in reading and math to students around the country, including in the Chicago Public Schools. The tests were scored on a scale of 0 to 500, with 500 being the best possible score. Based on their scores, the U.S. Department of Education rated students’ skills in reading and math as either “below basic,” “basic,” “proficient” or “advanced.”

[…]79 percent of Chicago public school 8th graders were not grade-level proficient in reading. According to the U.S. Department of Education, this included 43 percent who rated “basic” and 36 percent who rated “below basic.”

[…]80 percent of Chicago public school 8th graders were not grade-level proficient in math. According to the U.S. Department of Education, this included 40 percent who rated “basic” in math and 40 percent who rated “below basic.”

Fire them all. Abolish the federal Department of Education. Make teacher unions illegal.

Education policy tutorial videos:

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A look at homeschooling and alternatives to college

I do think that college can still be a good deal as long as you are careful to choose a major that will re-coup the costs of your education in a timely fashion. That will probably mean a STEM degree in something like computer science or petroleum engineering. I myself have the BS and MS in computer science, and I think that those are excellent choices for a man to deliver on his obligation to provide for a family. But it was a much better deal back when tuition was very low, and salaries were very high. Plus, public schools used to me much better at preparing you to go to school to learn STEM subjects. These new problems: underperforming public schools, college debt, and a weak job market, it makes sense to consider alternatives to the mainstream education system.

Here’s an article about homeschooling – an alternative to brick-and-mortar schools – that was posted in the Wall Street Journal.

Excerpt:

Today in the U.S., some two million children are home schooled, growing at an annual rate of 7% to 15% for over a decade, according to the president of the National Home Education Research Institute. The term “home schooler” once implied “isolationist religious zealot” or “off-the-grid anarchist who makes her own yogurt.” Today, it also means military parents who hate to see their kids keep changing schools; or the family with a future Olympian who ice skates five hours a day; or your cousin whose daughter is gifted but has a learning disability. The average home schooler is no longer a sideshow oddity.

“I could never ever teach math,” more than a few parents told me in horror at the very idea of home schooling. Or science. Or a foreign language. But mostly, it was math. Here’s my secret: I can’t teach math either. Once they start calling them integers instead of numbers, I recoil as from a fat, angry snake, which is why Alice takes an online math class, with great lashings of help from her father.

But the biggest thing people want to talk about is socialization. Everyone is worried that I keep my child in a crate with three air holes punched in it and won’t let her have friends until she gets her AARP card. There’s a long answer, of course, but I’ll sum it up this way: Homo sapiens have walked the Earth for at least 130,000 years and, in this time, they learned to be human from their elders, not from their peers. Mandatory education in the U.S. is less than 150 years old. Learning to be a productive adult human by spending a third of every day with other kids might be a good idea, but it’s too soon to tell. I’m still unsure that the people best equipped to teach a 14-year-old boy how to be a man are other 14-year-old boys.

In fact, home-schooled kids are just as socialized as other children. They certainly seem to grow up to be, and feel, fully engaged. One study, by a Canadian home-schooling group, found that 67% of formerly home-schooled adult respondents said they are “very happy,” as opposed to the general population’s 43%. Another study, published in the Journal of College Admission, found that home-schooled students perform better on their ACTs, have higher college GPAs and are more likely to graduate in four years.

So how far would you go with alternatives to mainstream education? Well, the smartest engineer I know doesn’t even have a college degree in computer science – or the student loans that often go with them.

Just look at these numbers: (links removed)

Across the nation, graduates are tossing their caps into the air and investing their hopes of success in their sheepskins. Not since the Magna Carta has so much faith been put into a piece of paper; indeed, belief in the college diploma seems these days to outpace belief in the document that binds a man and a woman. For the past couple of generations, conventional wisdom has said that a college degree is the golden ticket to a great job. For a time, because of the simple laws of supply and demand, this was true.

In 1947, when just 5 percent of Americans age 25 and over held at least a bachelor’s degree, the supply was low, making demand for degreed employees higher. However, with easier access to college through taxpayer-funded student loans, today’s bachelor’s degree has become yesterday’s high-school diploma. Now that over 30 percent of Americans 25 and over have a college degree—and the President has called for that figure to grow to 60 percent—the supply is up, which might help explain why 53 percent of recent graduates are unemployed or underemployed.

What’s more, the burgeoning cost of college means that even for those who do land good jobs after graduation, payoff on their investment will be diminished and take more time. The graduation rates tripled between 1980 and 2010, rising 37 percent between 1999 and 2010. Two-thirds of bachelor’s degree recipients graduated with debt in 2008, compared with less than half in 1993. The average debt for last year’s college was $24,000, while the total outstanding national student debt has passed $1 trillion, more than the nation’s credit card debt. Not surprisingly then, the national student loan default rate is on the rise, too, hitting 8.8 percent for the 2009 budget year. Even the number of Ph.D. holders on public assistance has made recent headlines.

College still works for people, but you have to choose your major more carefully – or just choose to focus on practical skills and then attend a trade school. It’s probably a good idea to put more emphasis on getting work experience at an early age, no matter what you do after high school. Work experience is very important for getting a job, which is why the liberal fixation on higher minimum wage rates hurts younger workers. Sometimes, online degree options can be more cost effective than regular school, but again work has to be done to see where the jobs are and what skills are required before you make a decision.

People sometimes ask me whether this is it for civilization, and I point to new discoveries and feedback mechanisms like these alternatives to government-run or government-regulated schools as an example of how we can get things turned around. What taxpaying parents need to realize is that they have to start thinking practically about laws and policies that promote freedom in education. We have to vote for more choice and competition, and lower taxes, so that we can buy what we want instead of letting an ideologue who has spent his or her entire life in a bubble decide for us.