Posts Tagged ‘Clinics’

My YouTube Video Urging People to Vote Labour to Defend the NHS

April 30, 2017

I’ve had my own YouTube channel for a few years now. I haven’t posted anything on there for quite a while, and most of the stuff I have posted up there is about archaeology, early musical instruments and few home-made space videos. However, today I put up a video urging people to vote for Jeremy Corbyn’s Labour to prevent the Tories privatising the NHS.

I state that it began when Margaret Thatcher came to power as part of her campaign to dismantle the welfare state, but that Thatcher was stopped from doing so by her a cabinet revolt and her Personal Secretary, Patrick Jenkin. The cabinet realised that if she did privatise the NHS, it would immediately result in the Tories losing an election. Also, Jenkin went to America and realised just how bad the American system of private healthcare was. So Maggie settled for trying to expand private healthcare in Britain, aiming to have 25 per cent of the British people take out private health insurance.

A few years later in the 1980s there came a dispute between her and the dentists, which resulted in very many of them leaving the NHS. The result of that is that, while there still are NHS dentists, you need to look for them. And private dental care is not cheap. So people are going without proper dentistry.

After that, Peter Lilley in John Major’s administration introduced the Private Finance Initiative, under which private corporations build and manage hospitals for the NHS. It’s essentially a scheme to keep the costs of construction and management off the books. In practice it’s massively more expensive than simply having them build by the state. Those hospitals, clinics and other medical services built through it also tend to be smaller than through ordinary hospitals built by the state. See the chapter in George Monbiot’s Captive State. This was all done to open up the NHS to private investment.

This programme was expanded by Tony Blair, as he, like the Tories, was approached by private healthcare firms such as Unum, Virgin Health, Circle Health and BUPA to privatise more NHS services. His health secretary, Alan Milburn, wished to reduce the NHS to a kitemark for services provided for the state by private healthcare companies. He split the NHS up and handed its management to CCGs – Community Care Groups. This was supposed to be giving doctors greater freedom and more choice. However, it doesn’t do this as most doctors simply don’t have enough time to spend on administration. The CCGs were given the power to raise money privately, and commission services from private healthcare providers. Again, hospitals and the health centres or polyclinics Blair also built were also to be managed by private companies.

This programme did not stop when David Cameron’s new Conservative government was voted into power in 2010. Cameron had claimed that he going to stop further cuts in the NHS. He didn’t. He expanded the privatisation programme even further. The 2012 healthcare act formulated by his health minister, Andrew Lansley, is a convoluted document, but it removes the Health Secretary from having to provide medical services. Furthermore, the Tories have also passed legislation allowing the NHS to charge for services, even ambulance care. And this is still going ahead under Theresa May.

There is a real danger that the NHS will be abolished, and the country will return to the way it was before the Labour government introduced it. Private healthcare is not more economical and efficient than state healthcare. Private insurance companies and hospitals spend much more on management, including advertising, legal teams and simply trying to raise money from investors, to make sure their shareholders see a profit. There are about 50 million Americans without health insurance. 33,000 Americans die every year from lack of medical care. And it was like that before the NHS, when the charity hospitals, where people were sent if they didn’t have private health insurance, or weren’t covered by the state health insurance scheme, spent much of their time trying to raise money. And millions of people were denied healthcare, because they couldn’t afford it.

Jeremy Corbyn has said that he will renationalise the NHS. Dr. David Owen has also sponsored a bill to renationalise the NHS. They need our support. And so, if you want to keep the NHS, you should vote for Jeremy Corbyn.

For further information, see the following books:
NHS-SOS, edited by Jacky Davis and Raymond Tallis (London: OneWorld 2015)
Dr. Youseff El-Gingihy, How to Privatise the NHS in 10 Easy Steps (Zed Books)
and my own, Privatisation: Killing the NHS, published by Lulu.

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NHS Doctors Now Required to Ask Patients to Use Private Health Insurance

September 7, 2016

I’ve been putting off looking at some of the NHS stories Mike’s posted up over at Vox Political, on the grounds that the Tory and New Labour privatisation of the Health Service makes me both extremely depressed and absolutely boiling mad. But the issue’s far too important to leave alone.

Today Mike posted up a little snippet from The Canary, which reported that NHS chiefs are now asking doctors to politely ask their patients if they have private health insurance. If they answer ‘yes’, the doctor is supposed to gently remind them to use it. The Canary states that this signals the end of the NHS, and universal free healthcare.

See: http://voxpoliticalonline.com/2016/09/06/theres-a-question-doctors-are-now-being-urged-to-ask-patients-and-it-signals-the-end-of-the-nhs-the-canary/

Absolutely, and it’s what over three decades of right-wing administrations have wanted going all the way back to Maggie Thatcher. Despite her protestations in her autobiography, she really was considering privatising the NHS. She discussed it with the cabinet and Douglas Hurd, nearly provoking a rebellion. This wasn’t because her cabinet believed in the NHS. They just saw the writing on the wall and knew that if she went ahead, that would be the end of the Tory party at the next election. She also decided against it after she sent her private secretary, Patrick Jenkin, to the States. He came back and told her precisely how dreadful the American system was.

Nevertheless, she still stated that she wanted a greater role for private medicine, and enacted policies designed to encourage people to take out private health insurance. She wanted 25 per cent of the population to have it, and was disappointed when very few in actual fact did so. Amongst the newspapers pushing this policy was the Express, which published a long piece raving about how those with such insurance should have tax cuts in its Sunday edition.

The privatisation of the NHS continued with the Tories’ introduction of the PFI and the expansion of the scheme and break up the NHS by Tony Blair’s New Labour. Hospitals have been taken out of the bureaucratic structure of the NHS and encouraged to become self-financing. They’ve also been handed over to private management, and the clinics and walk-in centres set up by New Labour were also intended to be privately managed. Well over half of all operations are now carried out by private healthcare firms. The Care Commissioning Groups, which were introduced with loud noises about giving doctors the power to run their own practices are able to commission private healthcare firms to contract for services, and can themselves raise money through private finance. This was taken over by the Tories, and has been expanded even further. At the last parliament, I reposted a meme that showed just how many Tory and Lib Dem MPs had connections to private healthcare firms hoping to profit from the demise of the NHS. It was a lot – about or over 100, if I recall correctly. The Angry Yorkshireman and Mike have also reported comments by Jeremy Hunt, the current health minister, and other Tories attacking the NHS. Hunt, or one of them, has described it as ‘an abomination’. My guess is that this anger probably comes from the Tory hatred of having to pay for public services, which they almost personally resent as the state forcing them to pay for someone’s else’s benefit. I also believe they despise it because it’s a state-run service, and so excludes them for profiting. It’s why Peter Lilley introduced the Private Finance Initiative all those decades ago when John Major was in power: he wanted to find a way to open up the NHS to private investment.

And now New Labour and the Tories are moving another step closer to the final privatisation of the health service. This is being done through a manufactured financial crisis. Blair and Brown did much damage to the NHS, but when they left office it was in budget and did not need further reform. That has changed, due not least to Jeremy Hunt. Even now, Jacky Davis and Raymond Tallis in their book, NHS-SOS state that the problem isn’t that the NHS is underfunded – it’s that NHS funds are being squandered and misdirected due to the introduction of private enterprise into the service. The bureaucracy in these firms and their shareholders profit, while soaking up money that would otherwise go to providing services.

The privatisation of the NHS is a national scandal. There are activist groups pledged to defending it, like the NHS Action Party and doctors’ groups and organisations. These and their on-line addresses can be found in Davis’ and Tallis’ book.

At one time the assaults on the NHS would have resulted in a wave of strikes, public protests and demonstrations. But the Tories have all but destroyed the unions, and cowed the public with a mixture of massive debt and job insecurity. And it’s going to get worse when Brexit takes effect.

Don’t let the mass media deceive you with the pro-Tory, pro-New Labour bias. When you read the papers attacking Jeremy Corbyn and praising Theresa May, just like the Beeb does on TV with Laura Kuenssberg, remember that these are the policies Smith in the Labour party, and his backers Benn et al, and the Tories stand for. Corbyn has said that he wants to renationalise the NHS, and that’s too much for the Tories and Blairite corporatists. These people should be thrown out of power as quickly as possible, before more people die or are harmed by their greed and mendacity.

Vox Political: Jeremy Corbyn Pledges to Re-Nationalise the NHS and Buy Out PFI Schemes

August 25, 2016

On Tuesday, Mike put up a piece reporting that yesterday Jeremy Corbyn and his close ally, Diane Abbott, were due to announce their policies towards the NHS if Corbyn got elected. He would not only reverse the Tory cuts, but would renationalise the NHS to make it fully publicly funded, and fully publicly provided. They would also not only not sign any more PFI deals, but would establish a public fund to buy struggling hospitals out of their PFI deals. And he was going to support fully a private members bill by the MP, Margaret Greenwood, strengthening the responsibilities of the Health Secretary, ending the NHS internal market and restoring nurses bursaries.

Mike quotes him as saying:

“Health, health financing and health inequality is a matter of paramount national importance. The Labour government I lead will ensure that money goes to patients not contractors, and that our NHS is given the resources to provide a top quality service as part of a program to rebuild and transform Britain so that no-one and no community is left behind.”

If you only need one reason to vote for Corbyn, this is it. Over three decades of Thatcherite administrations have gradually privatised the NHS, beginning with Thatcher’s own administration in 1979. John Major introduced the PFI deals, under which hospitals have been built in partnership with private industry, which then runs them on the behalf of the NHS, on the recommendation of Peter ‘I’ve got a little list’ Lilley, who wanted to open up the Health Service to private investment. The Tories also introduced the internal market, which actually vastly increased the Health Service’s bureaucracy and inefficiency. New Labour then pushed the process forwards by introducing privately funded and operated clinics, and splitting the NHS into ‘Care Commissioning Groups’, which could raise money privately if they so wished. Under New Labour and the Tories, private contractors were introduced to perform NHS medical services. Finally, Andrew Lansley’s Health and Social Care Act of 2012 removed the statutory responsibility of the Health Secretary to provide state medical care.

This is what the supporters of the NHS, such as Jacky Davis and Raymond Tallis, the authors of NHS: SOS, have been demanding. These reforms have left the NHS struggling under a mountain of debt. This means that any new hospitals that are built under the PFI scheme are smaller and more expensive than those constructed under conventional public funding. And the debt means that the Tories have an excuse for closing further NHS hospitals, before finally rolling out their pretext for the complete privatisation of the NHS.

Whatever else Corbyn does, if he restores the NHS to the principles under which it was founded, as a publicly funded, publicly operated service offering universal treatment free at the point of use, this alone will justify his election to office.

Of course, it’s going to be a threat to big business, which wants a slice of the lucrative business opportunities now monopolised by the state, albeit in an increasingly diminishing field. So expect to hear more demonization of him and his supporters by the media and the Blairites in the coming weeks.

Vox Political: Jeremy Corbyn to Recommend Councils Run Local Services

February 7, 2016

Mike over at Vox Political reported a story on BBC News, that Jeremy Corbyn was about to tell a conference in Nottingham that privatisation did not work, and that local authorities should take over the management of local services. Corbyn said

After a generation of forced privatisation and outsourcing of public services, the evidence has built up that handing services over to private companies routinely delivers poorer quality, higher cost, worse terms and conditions for the workforce, less transparency and less say for the public.

Mike’s article is at http://voxpoliticalonline.com/2016/02/06/jeremy-corbyn-councils-should-run-local-services/. Go and read it for further information.

This is really going to put the cat among the pigeons. Privatisation was supposed to solve all this, by taking local services out of the hands of bureaucrats and giving them to entrepreneurs, who automatically knew far better than anyone else how they should be run. Local services would be better managed, more efficient, and there would be more ‘choice’. This was one of Thatcher’s favourite terms, it was her automatic buzzword for the supposed benefits of capitalism.

Except that, in many cases, the ‘choice’ was illusory. There were no other companies lining up to take over services. Or if there were, they were targeting the most profitable areas, for obvious reasons. In Bristol First Bus and its fellow subsidiaries have the monopoly of the bus service. There are other providers, but they only operate sporadic services. I think there is more competition over in Bath, but this has produced different problems. I once bought a return from one bus company over there, thinking that it would apply to buses generally, only to be told I couldn’t use it when I got on the bus run by that company’s rival.

What Corbyn is recommending is ‘municipalisation’. There was a lot of talk about it in the mid-1990s, when Bliar scrapped Clause 4. Of course, the talk was a sop to Old Labour about the traditional basis of Socialism – the common ownership of the means of production, distribution and exchange. Of course, Bliar and the other New Labourites were convinced Neo-Liberals, and so nothing was done about municipalisation. It was quietly discarded.

In fact, municipalisation was a very old idea and much local industry was already owned and operated by local councils in the late 19th century. Both Liberal and Tory councils, for example, took over the ownership of the local gas and water companies. George Bernard Shaw, in his paper, ‘he Transition to Socialism’ made it the basis for the transformation of the country into a Socialist state, reconstituted as a federation of municipalities.

He wrote:

We now foresee our municipality equipped with land and capital for industrial purposes. At first they will naturally extend the industries they already carry on, road making, gas works, tramways, building and the like …

… Eventually the land and industry of the whole town would pass by the spontaneous action of economic forces into the hands of the municipality; and, so far, the problem of socializing industry would be solved…

This then, is the humdrum programme of the practical Social Democrat to-day. There is not one new item in it. All are applications of principles already admitted, and extensions of practices already in full activity. All have on them that stamp of the vestry which is so congenial to the British mind. None of them compels the use of the words Socialism or Revolution: at no point do they involve guillotining, declaring the Rights of Man, or swearing on the altar of the country, or anything else that is supposed to be essentially un-English. And they are sure to come-landmarks on our course already visible to farsighted politicians even of the party which dreads them.

Elsewhere he said that when he heard people shouting that Socialism would not work, he thought of them getting their gas from the municipal gas works, walking along the municipal movements on their way to the municipal pharmacy or clinic. Of course, Thatcher saw all this coming and it made her ‘frit’ in her own words. So she was determined to privatise everything she could, to ‘roll back the frontiers of the state’. Well, the ability of private industry on its own to solve municipal problems has long been disproved. What happened to all the Urban Development Corporations she set up after the 1981 riots? They were supposed to be able to regenerate struggling areas using all the power of private industry, without interference from the politicos. In fact, they were all quietly wound up, one after another. And now its time to look again at municipalisation to turn back the disastrous wave of privatisation under which our nation is sinking.