Tag Archives: UK

What does universal health care really mean?

I think the point of universal health care (at least the government-run variety) is pretty clear. The goal is to equalize life outcomes so that people who work the hardest pay the most into the system, and people who live in risky/immoral lifestyles withdraw the most. The biggest losers in such a system are the productive people who make responsible, moral decisions about their lifestyle – they pay the most and withdraw the least. The biggest winners are people who don’t work at all but who withdraw a lot.

I think that universal health care makes people irresponsible. The driving force behind universal health care is the idea that people should be able to do anything they want to pursue happiness any way they please, and that the natural limits of reality should be circumvented by spending other people’s money to “equalize life outcomes”.

Socialized medicine proponents are funny people. They think that no one should have to deal with the costs of their own decisions as long as they are sincere in their pursuit of happiness – it’s just not possible to predict what decisions will lead to good outcomes and what decisions will lead to bad outcomes. I once had two Canadian women bragging to me in an airport about how great socialized medicine was until I explained to them that at my salary level I would be paying 50% of my salary to the government and I had not been to the doctor for anything other than a check-up in my entire life. They could not see why I might like to opt out of such a system even after I explained it to them. They apparently thought that at any moment I might develop the urge for an abortion or two and then who would pay for it? Life is so unpredictable for a Canadian woman – it’s better not to have to worry about it and just let someone else pay.

So, let’s see what passes for health care in various universal health care systems around the world.

  • Here’s my previous post on taxpayer-funded in vitro fertilization in Ontario, Canada. It’s a human right! And that means it’s FREEEEEE!
  • But there’s more. Sex-changes are also a human right in Ontario, Canada. It’s FREEEEEE! The taxpayer has loads of money for that.
  • Do you know what else is FREEEEEE! in socialist countries like the UK? Breast enlargements. Yeah, because it’s a human right!

And of course it goes without saying that abortion is a human right everywhere, and should be taxpayer-funded. It really is about playing on people’s fears, and buying votes with other people’s money. The reason that the socialists don’t want health care to be left to private companies instead of government is because private companies would insist that people pay based on their likelihood of filing a claim – as with car insurance. But that is too “judgmental” for the universal health care proponents – they think that no one should feel obligated to behave responsibly just because of petty things like money.

I wonder what my readers think about this.

Is it OK for some citizens to make decisions that are costly and risky as they pursue happiness in non-standard ways, and then assign blame and costs for the inevitable failures and expenses to their neighbors? Is there a right to pursue happiness at the expense of others? Is life predictable enough that people should be able to rationally assess the costs and risks of their own decisions? Would private insurers do a better job of holding people accountable to make good decisions about their own lifestyles? Should people choose how much health care they want based on the coverages they want and the risks they want to incur? Should a person be able to say that they don’t want to be covered for sex changes and have the amount they pay into the system reduced? Should a person be able to opt out of government health care entirely and just buy a medical insurance policy privately, based on their own needs?

How well is government-run health care working out in the UK?

Story here from the UK Telegraph. (H/T ECM)

Excerpt:

An investigation by The Sunday Telegraph has uncovered widespread cuts planned across the NHS, many of which have already been agreed by senior health service officials. They include:

  • Restrictions on some of the most basic and common operations, including hip and knee replacements, cataract surgery and orthodontic procedures.
  • Plans to cut hundreds of thousands of pounds from budgets for the terminally ill, with dying cancer patients to be told to manage their own symptoms if their condition worsens at evenings or weekends.
  • The closure of nursing homes for the elderly.
  • A reduction in acute hospital beds, including those for the mentally ill, with targets to discourage GPs from sending patients to hospitals and reduce the number of people using accident and emergency departments.
  • Tighter rationing of NHS funding for IVF treatment, and for surgery for obesity.
  • Thousands of job losses at NHS hospitals, including 500 staff to go at a trust where cancer patients recently suffered delays in diagnosis and treatment because of staff shortages.
  • Cost-cutting programmes in paediatric and maternity services, care of the elderly and services that provide respite breaks to long-term carers.

Death panels! Sarah Palin was right!

In other news, Amazon.com will be charging the credit cards of each American taxpayer for 10% of their gross income! And they’ll use that money to start handing out products to anyone they feel “needs” those products,  especially to “marginalized” special interest groups, and other whiny victims. Ha! Just kidding. Maybe Amazon.com should be in charge of health care.

Melanie Phillips asks why incompetent teachers can’t be fired

Melanie Phillips

Story here in the UK Daily Mail. (H/T Wes Widner)

Excerpt:

For years, head teachers have complained that one of their main problems was that the terms of teachers’ contracts with local education authorities meant they were unable to sack those who were not up to scratch.

Now Panorama is apparently reporting the shocking fact that, instead of being removed from the profession, dud teachers are merely being recycled by being given good references in exchange for agreeing to look for work in alternative schools.

According to Mick Brookes, leader of the National Association of Head Teachers, this is a common practice which he says causes heads serious problems.

The classroom teacher unions, however, think it is perfectly justified.

Well, there’s a surprise. In fact, it is an absolute betrayal of the children for whom school represents their one chance in life.

And a bit later:

The most successful teachers have always understood that children need to be inducted into a body of knowledge, to be taught in a structured and disciplined manner, to be corrected when they make mistakes.

But for decades, the predominant educational ideology has ordained that children effectively teach themselves, with teachers taking a back seat as mere ‘facilitators’.

What children feel about themselves has been deemed to be more important than what they know.

Achievement was bad —because it made others who didn’t achieve feel bad about themselves.

This led to the collapse of the teaching of reading and the dumbing down of virtually every subject on the curriculum. Indeed, it eroded the very basis of teaching as the transmission of knowledge.

The first thing we need to do is pass a law that allows teachers to work without having to join a union. The best teachers will be able to command much higher salaries when they don’t get dragged down by the union. That should cut into the union’s political power, and then we may finally get some decent school choice laws passed – like vouchers – so that parents can choose where their children go to school. That will create pressure on schools to perform – and that means that bad teachers will be fired.