Tag Archives: Single-Payer

How privatization turned the worst-performing NHS hospital around

From the American Spectator.

Excerpt:

[T]he most successful of the “drastic” experiments put in place is that much-hated bête noire of progressives and Obamacare supporters everywhere: privatization. The Mail Onlinereports that Hinchingbrooke Hospital, “The first NHS trust to be operated entirely by a private company has recorded one of the highest levels of patient satisfaction in the country.”

In other words, the Brits were so desperate to fix their crumbling health care system, they experimented with the private market and it is outperforming government-run health care without breaking a sweat. Hinchingbrooke was, like so many hospitals in the UK, about to go under when a private company called Circle Holdings was awarded a 10-year contract to run it. This is the first time such a company has been given control of an NHS hospital and the results will not come as a surprise to anyone who understands free enterprise.

As the Mail Online goes on to report, “The company running the trust has slashed losses at the hospital by 60 per cent and will soon begin to pay… debts built up over years of mismanagement.” Though will be no surprise to free market advocates, it has been a real eye-opener to the NHS. Privatization isn’t the dirty word it once was in the much-maligned health system: “The takeover deal … is seen as a blueprint for the future of many NHS trusts. The George Eliot Hospital in Warwickshire is already considering adopting the model.”

It will also come as no surprise to those who believe the market provides the most efficient health care delivery model that, in addition to dramatically improving the financial prospects, privatization has improved patient satisfaction. Before Hinchingbrooke was taken over by Circle Holdings, patients had a very low opinion of the hospital and the care it provided. Now, this perception is dramatically improved: “Patient satisfaction has risen to 85 per cent, placing Hinchingbrooke in the top six of the East of England’s 46 hospitals.”

I took a look at the UK Daily Mail article and found an interesting section:

Patient satisfaction has risen to 85 per cent, placing Hinchingbrooke in the top six of the East of England’s 46 hospitals. The feedback is calculated by asking families and patients whether they would recommend the hospital, then weighting the answers compared to local peers.

Previously the trust was among the lowest ranking for satisfaction.

Figures also show that Hinchingbrooke has risen from being one of the worst performing trusts to one of the best under the private firm’s management.When Circle took over, the hospital was consistently near the bottom of the 46 trusts, with many patients waiting more than four hours in A&E.

It now tops the list for short waiting times, seeing 98.2 per cent of patients within the required window.
The hospital also ranks fifth for the proportion of patients with suspected cancer having tests within a fortnight.

Before the takeover it had missed targets every month since June 2010.

It now treats 89 per cent of cancer patients within 62 days, beating the 85 per cent target.

Circle saved millions of pounds a year by cutting out arduous paperwork and middle management.

Under the former ownership, a lengthy form had to be filled out every time a lightbulb needed changing, in a process that often took more than a week.

The group, which runs independent hospitals in Reading and Bath, inherited debts of £39million with the project.

The hospital had been expected to lose £10million last year, but this has been whittled down to  £3.7million by the Circle group.

It made up the deficit from its own coffers, rather than taxpayer funds, and is expected to break even in the current year.

Do you think that we might consider privatizing Medicaid and Medicare, since we know that privatization is good for health care consumers and taxpayers? Of course not, because privatization is bad for politicians, who want to retain control of health care. Privatization is good, but we’re not going to get it unless we vote the socialists out.

Government-run health care: starving sick babies and children to death

Here’s a scary story from the UK Daily Mail. (H/T Dan Mitchell)

Excerpt:

Now sick babies go on death pathway: Doctor’s haunting testimony reveals how children are put on end-of-life plan

  • Practice of withdrawing food and fluid by tube being used on young patients
  • Doctor admits starving and dehydrating ten babies to death in neonatal unit
  • Liverpool Care Pathway subject of independent inquiry ordered by ministers
  • Investigation, including child patients, will look at whether cash payments to hospitals to hit death pathway targets have influenced doctors’ decisions

Sick children are being discharged from NHS hospitals to die at home or in hospices on controversial ‘death pathways’.

Until now, end of life regime the Liverpool Care Pathway was thought to have involved only elderly and terminally-ill adults.

But the Mail can reveal the practice of withdrawing food and fluid by tube is being used on young patients as well as severely disabled newborn babies.

One doctor has admitted starving and dehydrating ten babies to death in the neonatal unit of one hospital alone.

Writing in a leading medical journal, the physician revealed the process can take an average of ten days during which a  baby becomes ‘smaller and shrunken’.

The LCP – on which 130,000 elderly and terminally-ill adult patients die each year – is now the subject of an independent inquiry ordered by ministers.

The investigation, which will include child patients, will look at whether cash payments to hospitals to hit death pathway targets have influenced doctors’ decisions.

Read the whole thing, but here’s a snip:

Bernadette Lloyd, a hospice paediatric nurse, has written to the Cabinet Office and the Department of Health to criticise the use of death pathways for children.

She said: ‘The parents feel coerced, at a very traumatic time, into agreeing that this is correct for their child whom they are told by doctors has only has a few days to live. It is very difficult to predict death. I have seen a “reasonable” number of children recover after being taken off the pathway.

‘I have also seen children die in terrible thirst because fluids are withdrawn from them until they die.

‘I witnessed a 14 year-old boy with cancer die with his tongue stuck to the roof of his mouth when doctors refused to give him liquids by tube. His death was agonising for him, and for us nurses to watch. This is euthanasia by the backdoor.’

This is what Democrats believe about health care. When the government runs health care, health stops being about curing sickness and starts being about buying votes. Suddenly, free abortions, breast enlargements, in vitro fertilization, drugs to calm down fatherless children, contraception, HIV/AIDS all become priorities. There are some people out there who want government to pay for the health effects of their own immoral / reckless choices, and that’s what government-run health care is really about. Enabling certain lifestyles that require health care subsidies so those people can live “as good as” traditional morality lifestyles. It’s interesting to note that in countries that have government-run health care, like Canada, doctors and nurses are regularly forced to act against their consciences to murder rather than cure. It’s no surprise because socialists in the Soviet Union and Nazi Germany have essentially the same view of conscience as modern leftists like the Democrat Party.

There isn’t enough money for us to pay people to voluntarily incur health care costs (and other social costs) with their immoral / irresponsible choices. But that’s exactly what happens when you make everything “health care” and then make it “free” in order to buy votes from people like Sandra Fluke. What Democrats do is look for groups that need subsidies or validation and they offer it to them with taxpayer money and laws prohibiting dissent. They essentially take the complete anti-freedom point of view on every question. They hate liberty, and love power. The want to control others and to be adored by those who depend on their benevolent redistribution of other people’s money.

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Public health care working as designed in the UK and Canada

The UK Daily Mail gives us a bird’s eye view of the largest government-run health care delivery system in the world.

Excerpt:

A mother has described how her baby was left to die ‘like an abandoned animal’ after hospital doctors repeatedly ignored her desperate pleas for help.

Paula Stevenson begged doctors to act as her one-year-old daughter Hayley struggled to breathe in the days after a major heart operation.

She was so desperate she even tried ‘bribing’ a nurse with a £100 shopping voucher to give Hayley the attention she needed. Instead, hospital staff ‘humiliated and belittled’ her – treating her like a ‘nuisance’ for speaking up, she said.

Tragically, Mrs Stevenson’s maternal instinct was proven right when Hayley died of heart failure after both her lungs collapsed under the hospital’s watch.

Yesterday, as an inquest into her death concluded, a coroner said there had been ‘serious failings’ in Hayley’s care. Birmingham Children’s Hospital admitted full liability for her ‘avoidable’ death.

[…]Doctors failed to update her medical charts, were slow to look at X-rays and failed to refer Hayley to intensive care when her condition worsened.

People only care about giving you good service if they have to compete for your business in a free market, where suppliers have to offer higher quality at a lower price. Maybe that’s why the American for-profit system delivers so much better care than anywhere else in the world, and why the socialized medicine system in the UK is a miserable failure at everything except killing patients dead. The customer is never right in a government-run system. You are forced to pay into it first, and then they decide later what treatment you can have – after they’ve already been paid.

Well, maybe that’s just a problem in the UK. Canada has a single-payer government run health care system. Maybe it works better than the UK government-run system? The Montreal Gazette reports on health care in Quebec – la belle province – Canada’s most secularized and socialist province.

Excerpt:

Surgery wait times for deadly ovarian, cervical and breast cancers in Quebec are three times longer than government benchmarks, leading some desperate patients to shop around for an operating room.

But that’s a waste of time, doctors say, since the problem is spread across Quebec hospitals. And doctors are refusing to accept new patients quickly because they can’t treat them, health advocates say.

[…]The latest figures from the provincial government show that over a span of nearly 11 months, 7,780 patients in the Montreal area waited six months or longer for day surgeries, while another 2,957 waited for six months or longer for operations that required hospitalization.

The worst cases are gynecological cancers, experts say, because usually such a cancer has already spread by the time it is detected. Instead of four weeks from diagnosis to surgery, patients are waiting as long as three months to have cancerous growths removed.

But maybe the government-run health care systems cost less than the private systems? After all, governments can be more efficient than the private sector, because they have a monopoly and that’s more efficient, right? The Vancouver Sun reports on what single-payer health care costs in Canada.

Excerpt:

The true cost of Canada’s health care system is more than $11,000 in taxes each year for an average family, according to Vancouver-based think tank The Fraser Institute.

[…]Institute senior fellow Nadeem Esmail said in a news release sent out this morning: “There’s a widespread belief that health care is free in Canada. It’s not; our tax dollars cover the cost of it. But the way we pay for health care disguises exactly how much public health care insurance costs Canadian families and how that cost is increasing over time.”

The release noted that since 2002, the cost of health care insurance for the average Canadian family increased by 59.8 per cent before inflation.

“By way of comparison, the cost of public health care increased more than twice as fast as the cost of shelter, roughly four times as fast as the cost of food, and more than five times as fast as the cost of clothing,” the release said.

This is the system that Obamacare is trying to force onto us by eliminating private sector health care. We voted for a system that takes the consumer out of the health care business. Now government will call the shots, just like in the UK and in Canada.

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