Tag Archives: National Health Service

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How do governments control costs in a single-payer health care systems?

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Take a look at what a new study shows about UK’s National Health Service. (H/T ECM)

Excerpt:

Financial pressures may mean junior doctors are not given training posts within the NHS and the overall number of places at medical school could drop, a report has said.

This is despite extra burdens on the health service, including European rules limiting doctors’ hours, more hospital admissions and people living longer than ever before, according to the study from the UK Royal Colleges of Physicians (RCP).

Those specialties dedicated to looking after very ill people are facing particular strain, it said.

Dr Andrew Goddard, RCP director of medical workforce, said the combination of factors was ‘adding further stress to a system which may reach breaking point within the next few years’.

In 2009, the number of consultant posts created across the UK increased by 10.2 per cent.

However, financial pressures on the NHS mean that rise may not continue and there are ‘growing fears’ of a lack of training posts for young doctors.

Dr Goddard said: “We have already seen a drop in the number of new posts being advertised in 2010, and although we have enough doctors in training to develop a consultant-delivered NHS, these doctors need to have jobs to go into if this service is to be realised.”

The latest study comes after the RCP in England warned last week of patients being left in the hands of junior doctors because of inadequate consultant cover on weekends.

And here’s how it works out in Canada, which is a pure single-payer system – the kind that Democrats want to enact here in the USA.

Excerpt:

It’s no surprise to Thelma Lee that emergency room wait times are not meeting provincial targets.

Lee said her 41-year-old daughter, Marlene Stephens, died Saturday after waiting nearly 90 minutes at the William Osler Health Centre’s Etobicoke campus emergency room with breathing problems.

Lee feels her daughter was not seen fast enough by medical staff.

“They didn’t touch her,” said the grieving Lee. “She was crying out, ‘I can’t breathe, I can’t breathe’. . . Nobody attended to my daughter.”

On Monday, Auditor General Jim McCarter released his annual report which found that despite putting an extra $200 million into shortening emergency room wait times over the last two years, “significant province-wide progress has not yet been made.”

“Complaints about overcrowding and delays in hospital emergency rooms have persisted for years,” McCarter told a news conference on Monday.

Emergency room waits for people with serious conditions sometimes reached 12 hours or more, the report said. That is far greater than the province’s 8-hour wait time target, the report found.

And for emergency patients who need a hospital bed, they waited on average for about 10 hours but some waited 26 hours or more, according to the 2010 Annual Report.

“Our audit found that wait times for patients with less serious ailments have been reduced somewhat,” McCarter said. “However, there has been only minimal progress in reducing wait times for patients with more serious conditions.”

If this woman had offered to BUY her own health care in Canada, she would have been ARRESTED. That’s “equality” in a socialist system. Everyone has an equal right to scream in agony while waiting in line for a doctor. And the most productive people have the additional joy of shoveling half of their salaries into the coffers of bureaucrats to waste on expensive family vacations at taxpayer expense.

In fact, the provincial government of Ontario is very busy right now trying to push a gay rights curriculum onto grade 1 students (and up) in public and private schools – that’s what they do with the money that Canadians are forced to pay them – they BUY VOTES FROM LIBERAL SPECIAL INTEREST GROUPS SO THEY CAN GET RE-ELECTED. They don’t have money for health care. They have their hands full with social engineering.

When you give the government your money, it’s theirs to spend on whatever they want – while you die on an emergency room floor. When you keep your money in your own pocket, you get to use it to buy whatever you want – including life-saving medical care.

And do you know where the Liberal Ontario bureaucrats go when they need health care? The United States of America! Dying is for the plebians – the elites go to the capitalist health care system down south. Equality for thee, not for me.

Do not vote for secular leftists – if you value your life – DO NOT DO IT.

News

NHS patients giving birth in waiting rooms

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From the UK Daily Mail. (H/T Secondhand Smoke via ECM)

Excerpt:

Women are being forced to give birth in a hospital waiting room because there are not enough beds in overstretched maternity units. Expectant mothers are going through one of the most agonising ordeals of their lives in a crowded seating area, while other patients look on. Campaigners last night warned that such an appalling standard of care is putting the health of women and their babies at risk. King’s College Hospital, in South London, has admitted that mothers ‘regularly’ go into labour in the maternity unit’s waiting room as there are not enough beds. Managers said the department is often so full that some women have their babies in the seating area – with nothing more than a temporary screen to protect their privacy. The hospital admits the unit is severely overstretched and there are not enough beds to cope with the increasing birth rate of the catchment area. But critics warn that the dire situation will soon be commonplace up and down the country as increasing numbers of hospitals close their maternity units to save money.

Remember Donald Berwick is Obama’s health care guy, and he loves the NHS. He wants the NHS for YOU!

 

News

How is socialized medicine working out in the UK and Canada?

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First, this one from ECM, which appeared in the leftist UK Guardian. (H/T Secondhand Smoke)

Excerpt:

Blunders by GPs, hospital doctors and nurses jeopardised the health of thousands of patients when cancer was misdiagnosed or not spotted soon enough, according to an NHS report.

Over a period of a year, doctors failed to spot key signs of cancer, tissue samples were mixed up, some patients were wrongly given an all-clear and vital diagnostic tests were delayed because of staff and equipment shortages, the study, undertaken by the NHS’s National Patient Safety Agency (NPSA), found.

[…]When 508 cases were examined in detail, it was found that 177 patients were harmed. Two died, 25 suffered severe harm, 52 moderate harm and 88 low harm. Of a sample of 150 patients, 37% experienced delays of up to three months, 38% of more than three months and some had delays of three years. The government estimates that 10,000 die each year because of late diagnosis of cancer. The UK is poor by international standards at diagnosing cancer, studies have shown.

The post features tons of alarming examples. There’s socialism. When you don’t have your money in your hand, you cannot expect to be treated properly. You need a choice among providers to negotiate the best deal for your dollars.

Next, also from ECM, this one from the UK Telegraph.

Excerpt:

The Ambulance service is being paid bonuses for not taking patients to hospital in a bid to help the NHS hit controversial targets.

Patients’ groups expressed horror at the “sick experiment” in which NHS managers have agreed to pay £38 for every casualty that ambulance staff “keep out of Accident and Emergency” (A&E) departments after a 999 call has been made.

The tactic is part of an attempt to manage increasing demand for emergency care amid failings in the GP out-of-hours system.

[…]The bonuses are among dozens of schemes being tried out by ambulance trusts across the country as they attempt to improve their emergency response times and help A&E departments meet controversial targets to treat all patients within four hours of arrival.

Another plan uncovered would see thousands of 999 calls currently classed as urgent downgraded so that callers receive telephone advice instead of an ambulance response.

But we’ll soon surpass them, I’m sure.

But wait! Maybe Canada’s single-payer system is better!

The left-wing Montreal Gazette reports.

Excerpt:

Health Minister Yves Bolduc said Friday over-crowding in Quebec’s hospital emergency rooms would be resolved in “four or five years.”

“We have the best health care system in the world,” Bolduc said, while admitting that patients sometimes have to wait for that care.

“All the patients are well treated,” he said.

[…]Quebec still has a shortage of doctors and nurses, he said…

[…]Bolduc announced his newest timetable in response to reports patients are kept for 48 hours and longer in emergency.

As well, relatives are blaming deaths in their families on emergency-room congestion.

From the communist CBC, here’s more:

Guy Morisette, head of the Outaouais health agency, told CBC News that the hospital has worked hard to fix the situation, but recruiting and retaining enough staff remains a problem, and additional solutions such as training personnel and developing new programs are longer-term efforts.

Hospital Average ER Wait Time
Buckingham 20 h 30 min
Gatineau Hospital-Hull campus 20 h 06 min
Gatineau Hospital-Gatineau campus 25 h 36 min
Gatineau-Memorial 17 h 00 min
Maniwaki 10 h 24 min
Pontiac 13 h 12 min
Outaouais average 20 h 42 min
Quebec average 16 h 30 min

Taxing and regulating doctors and treating patients for paper cuts for FREE doesn’t create a shortage of health care at all. Oh, no. And anyway, the politicians just get treated in the USA anyway.

Last, Quebec, Canada’s most liberal province, proposes massive user fees.

Excerpt:

Quebeckers are bracing themselves for sweeping increases in taxes, rates and fees after a provincial budget that also proposes a controversial user fee for health-care services.

By proposing a fee for medical appointments, the 2010-11 budget tabled Tuesday represents a shift in how the province addresses spiralling health-care costs, and could trigger a national debate over conflicts with the Canada Health Act.

[…]The user fee would take the form of a deductible that, according to one proposal, would be capped so that total charges do not exceed 1 per cent of a family’s annual income. It would involve charging $25 per medical visit and be paid on a fee-for-service basis. It was estimated under one proposal that a couple with two children making 10 medical visits a year would pay a maximum of $250 annually.

The government of Premier Jean Charest also announced a new health tax to commence in June, 2010, that will be levied on individuals when they file their income taxes. The “health contribution” will cost adults $25 this year and eventually climb to $200 in 2012. Lower-income families will be exempt. When fully implemented, the new tax will generate $945-million a year.

Ontario already has massive income tax rates, property taxes, surtaxes, sales taxes, municipal taxes and health care surcharges of hundreds of dollars a year. It’s not just that they have no freedom of speech, but they die waiting for health care. (This isn’t the Conservative Party’s fault – they don’t have a majority yet to bring in market reforms to lower the cost of health care, and they don’t have a majority of the Senate and not even close to a majority in the Supreme Court).