Posts Tagged ‘Dentists’

Bernie Sanders Launches ‘Medicare for All’ Plan in US

April 11, 2019

Great news from across the Pond. According to today’s I for Thursday, 11th April 2019, the left-wing Democrat senator, Bernie Sanders, has launched his ‘medicare for all’ scheme to replace America’s current insurance-driven healthcare system with one in which the American state would pay people’s medical fees. The I’s report, ‘Sanders launches ‘healthcare for all’ plan, on page 25 runs

The US presidential hopeful Bernie Sanders revealed his “Medicare for All” plan yesterday, shaking up the 2020 election by reopening the debate over his call to eliminate private health insurance.

Four of the senators who are rivalling Mr Sanders for the Democratic Party nomination are set to sign on to the updated single-payer healthcare proposal. The bill’s reintroduction promises to shine a light on Democratic presidential candidates’ disparate visions for the long-term future of American healthcare.

Some Democratic contenders, including former Colorado Governor John Hickenlooper, have criticized Sanders’ measure, which they say is political infeasible.

Under Medicare for All, Americans would no longer pay premiums or face insurance deductibles as the government-run system replaced private health insurance offered through employers.

This really is what America needs. Badly. Something like 20 per cent of all Americans can’t afford medical insurance, and, according to the statistics cited by Sanders in his book, Our Revolution, every year 40,000 Americans die because they can’t afford medical treatment. In some parts of the US, people are hoarding medicine because they have difficult affording it, and even use medicines prescribed by vets for animals. They’re even heading over the border to Mexico for dental treatment because it’s much, much cheaper over there. And medical bills are the leading cause of bankruptcy in the Land of the Free. The progressive American Left have been wondering for a long time why it is that the other nations of the Developed World can afford universal healthcare, but American can’t.

Opposing him, naturally, is the American private healthcare industry, the Republicans, and the Corporate, Clintonite Democrats. I think Hillary Clinton said several times that the country couldn’t afford state medicine, parroting the ideas of the Republicans. And if she didn’t say, her daughter, Chelsea, certainly did. And over here, the Tories and Blairite Labour, as well as the ‘Centrist’ Change UK, also want to privatise the NHS. Blair’s health secretary, Alan Milburn, wanted to see the NHS reduced to a kitemark on services provided by private healthcare providers. I don’t think Bernie Sanders wants to nationalize the American healthcare system. He just wants the state to pay for its citizens’ healthcare, as Germany has done for its people since Bismarck’s ‘Socialist Law’ of 1871 or so. And one of the reasons that there has been such opposition in British politics to Jeremy Corbyn is because he has promised to renationalize the NHS. Corbyn’s policies are massively popular, which is why the Right, both within and outside the Labour Party, has been reduced to smearing him as a Communist, or a supporter of Irish Republican terrorism – as we’ve seen from the Tories, the Right considers Loyalist terrorists perfectly acceptable – and now a raging anti-Semite, despite the plentiful evidence to the contrary.

The NHS is being destroyed before us, and if this continues, we will reach a situation like America, where it’s increasingly unaffordable to all but the very affluent. We need Jeremy Corbyn in No. 10 in Britain, and Bernie Sanders over in America. A transatlantic partnership that would roll back the horrors of neoliberalism, and start giving working people in both countries the healthcare they need and deserve.

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‘I’ Newspaper: Hundreds of Doctors Want to Leave NHS Before Retiring

January 13, 2019

The I newspaper on Friday, 11th January 2019, carried this story, ‘Hundred of Doctors Plan to Quite NHS Before Retirement Age’ by Paul Gallagher on page 11. The article reports that hundreds of senior doctors and consults wish to leave the Health Service because they feel they are overworked. The article runs

Hundreds of senior doctors will quit the NHS before retirement age, according to new analysis.

Six out of 10 consultants say that the main reason for their intention to leave the health service before the age of 60 is the need for a better work-life balance, a survey by the British Medical Association (BMA) reveals.

Concerns about the impact of current pensions legislation is the second most important factor influencing consultants’ planned retirement age, they said. Less that 7 per cent say they expect to remain working in the NHS beyond the age of 65.

Almost 18 per cent of consultants are in the process of planning to reduce their working time even further, including a complete withdrawal from service. More than 40 per cent said they were less likely to take part in work initiatives to reduce waiting lists.

The implications of such a significant loss of skilled and specialist clinicians both on the junior staff they teach and the patients they care for is potentially disastrous for the already beleaguered health service.

Dr Rob Harwood, who chairs the BMA’s consultants’ committee, said: “Such a situation is clearly untenable. During the a deepening workforce crisis, the NHS needs its most experienced and expert doctors now more than ever. I struggle to understand how the Health Secretary can talk about increasing productivity… while allowing the NHS to be a system which perversely encourages its most experienced doctors to do less work, and, in some cases, to leave when they do not want to.”

I am not surprised that this is happening in the NHS at all. There have been very many reports over the past few years about the numbers of doctors planning to leave the health service because of overwork and other issues. And I have seen zero evidence that the government intends to tackle the problem or has any interest in solving it. Beyond the current Health Secretary publicly opening his mouth to proclaim that the government will recruit tens of thousands more doctors and other medical staff, like Tweezer did with her bold ten-year plan for the NHS last week.

Mike has already put up a piece on his blog pointing out that the government has consistently and spectacularly missed its targets for cutting waiting times and recruiting more medical staff for the NHS. He also reported that when the Health Secretary was question about how he plans to recruit more personnel, he put this off, stating it was a question for another review later. So all we have from the Tories in this issue is vague promises. Promises that aren’t going to be honoured.

It looks to me very much that all this is planned, that the government is deliberately creating conditions to encourage doctors, consultants and other medical professionals in the NHS to leave, while publicly doing their level best to give the impression that they genuinely care about the Health Service.

They don’t. Since Thatcher the Tories and New Labour have been absolutely set on running down and privatizing the NHS for the benefit of private healthcare companies like the American insurance fraudster Unum, BUPA, Virgin Healthcare, Circle Healthcare and others. Journalists and activists commenting on this attack on the fundamental principles of the NHS have forecasted that ultimately we may end up with a two-tier health service. The affluent middle class will have access to excellent care from the private sector, but only, of course, if they can pay for it. The rest of us will have worse care from an underfunded and understaffed rump NHS.

If the NHS exists at all, that is. The same observers also forecast that the Tories may well be aiming to introduce the American system of private healthcare, where those who can’t pay are treated at the emergency room. And where 45,000 people a year die because they can’t afford medical treatment and the highest cause of bankruptcies is medical bills.

I’ve seen the Tories use the same tactics to decimate another part of the NHS nearly thirty years ago under Thatcher or John Major. This was the dental service. A majority of dentists left the NHS after one or other of these two Tory prime ministers refused to increase their pay and spending on their surgeries. The result is that now most dentists are private and it’s often difficult, very difficult, to find one of that will take NHS patients.

Make no mistake: the Tories plan to do this to the rest of the NHS. But it’s being done subtly, away from public attention, which they are distracting and misleading with promises to increase NHS funding and personnel recruitment. Promises which they don’t intend to honour.

Tory Group Supported by Liam Fox Wants Private American Firms to Take Over NHS after Brexit

November 2, 2018

Yesterday, Mike put up a grim piece of news. The Institute of Free Trade has issued a report, edited by the Eurosceptic Tory MEP Daniel Hannan, recommending that after Brexit private American healthcare companies should compete with the NHS to run hospitals. The IFT also has the backing of the International Trade Minister Liam Fox. The IFT has also said that Britain should accept American environmental standards as equivalent to British, and end the ban on certain American imports like chlorinated chicken. These moves, the report argues, would allow Britain to rewrite the rules of global trade and embrace new trading freedoms after Britain leaves the EU.

As well as having the support of Fox, who is also in favour of feeding us all chlorinated American chicken, it’s also backed by Boris Johnson. Which shows you exactly how both Fox and Johnson hate the NHS, the British environment and food hygiene and standards.

Mike in his article concludes

So there you have it. It seems Brexit is being supported by the Conservatives as the excuse they need to fully privatise the National Health Service – or at least, the profitable parts of it.

They have tricked us into voting away our international reputation, our rights, our economy, and now – it seems – our health service.

See: https://voxpoliticalonline.com/2018/11/01/american-firms-should-run-hospitals-for-profit-after-brexit-says-group-supported-by-trade-minister/

I am not surprised that Daniel Hannan was involved in the compilation of this despicable document. The French philosophical Feline over at Guy Debord’s Cat has been critiquing him for donkey’s years. Hannan’s a right-wing Tory MEP for Dorset and is, or was, something to do with the Torygraph. And he hates the NHS and has demanded its privatization on numerous occasions. And like his party, he’s a shameless liar. So great is his mendacity that the Cat refers to him as ‘the Lyin’ King’.

As for American healthcare firms wanting to get their piece of juicy NHS action, that was always what the piecemeal privatization of the NHS was about. Peter Lilley, who pranced up and down with his cretinous little list of people he hated in front of the Tory conference in the 1990s, admitted that he created the Private Finance Initiative to open the NHS up to private enterprise. And the Tories great, molten idol, Maggie Thatcher, wanted to privatise the NHS completely. She was only stopped by a massive cabinet rebellion. But she and they still carried on with a plan to encourage people to take out private healthcare insurance and privatise whatever they could of the Health Service itself.

And Blair, Thatcher’s ideological spawn, fully endorsed this idea. The murderous work capability assessments were adopted on the recommendation and very definitely unscientific research by the American private health insurance firm, Unum. A firm prosecuted by the Federal government for massive fraud on its policy holders. Blair went ahead with the Tory’s part-privatization plans, opening up the Health Service to private healthcare companies and creating the CCGs which commission healthcare services, on a model taken from the American private healthcare company Kaiser Permanente.

And it’s also no real surprise that the Americans should want to come over here and steal our NHS. Thanks to those firms, the private healthcare system in America is damn well near collapse. A very large chunk of the American public can’t afford their insurance. Every year, tens if not hundreds of thousands die because they can’t afford treatment. The Young Turks have reported that down in Texas, people are hoarding medicines or taking drugs from vets because they can’t afford decent medical care. Other Americans are heading south into Mexico because medical treatment there is cheaper. Bernie Sanders, the very left-wing Democrat politician, has demanded Medicare For All – state payment for all Americans’ healthcare. The idea is gaining popularity, which is why the corporatist establishment, both Democrat and Republican, is trying to marginalize him and suppress the voting rights of the section of the American voting public, who support him. If you want to see what a trainwreck the American healthcare system is, and how badly Medicare For All is needed, go and read his book Our Revolution. In one chilling passage, he describes the tens of thousands of people, who sleep out in their cars once a month in Virginia, on the weekend that the dentists offer their work free. And a few years ago, the American healthcare system almost collapsed completely in certain areas.

This is what will happen over here, unless we kick the Tories out.

As for American environmental and food hygiene standards, they’re deplorable. The water in Flint, Michigan, is so polluted it should be undrinkable. And there are 25 other towns where it’s even worse. There are regular spills from the oil pipelines that cross the country, contaminating the water table. And thanks to Big Oil there are parts of the Louisiana swamps that are just one oily mess. But the Koch brothers spend big money to convince the American public that there’s no environmental threat here, and climate change isn’t happening.

This is also going to happen over here if Fox, Hannan and Johnson get their way. Don’t let them. Vote them out at the earliest opportunity.

Virgin Trains Bans the Daily Mail – Right-Wing Heads Explode!

January 15, 2018

Last week Virgin Trains announced that at least on one of the lines they operated, they would no longer carry the Daily Mail due to customer complaints. Immediately the Mail and its legions of followers started frothing at the mouth and complaining of censorship. But they don’t really have any basis for complaint, as the ban by Virgin is part of the very capitalism and privatisation that their heroine, Maggie Thatcher, promoted.

As a private firm, Virgin is under no obligation to anyone except to turn a profit for its shareholders and bloated paychecks for its board members. Thatcher deluded herself into believing that privatisation would lead to better services, due to the action of market forces and competition. But this didn’t happen. We’re paying more now in subsidies, for a worse service, than we did under British rail. But this hasn’t bother the Tories, whose ideological commitment is for private industry to run everything, even when this would produce a manifestly worse service, as it would if and when they decide to go all out and privatise the Health Service completely.

But as a private firm, ‘Beardie’ Branson can do whatever he likes with it. It’s his property. And so, by the nature of property rights, the Tories can’t argue against what he’s done. It is censorship, yes, but it hasn’t been done by the state. It’s been done by a private individual, whose right to do what he likes with his property has always been regarded by the Tories and the Republicans in America as absolutely inviolable. Branson is free to decide whatever magazines his trains will, or will not carry, in the same way that newsagents can decide which papers to stock. Way back in the 1980s I tried to order the English version of Pravda, which was then coming out, from my local newsagents in my part of Bristol. No such luck. I was told that Bristol had been divided up between the two national distributors. One operated to supply the newsagents in one half, while the other operated in my area. And the distributor that supplied the newsagents in my area wouldn’t carry it. So I had absolutely no choice whatsoever. Private enterprise had decided that where I was, I couldn’t obtain Pravda. Just as Branson has now decided that the Heil will be unavailable on his trains.

Yes, the decision makes a mockery of Thatcher’s constant mantra that privatisation and private industry would bring more ‘choice’. It hasn’t. But this has been the result of privatisation generally. People have been left with a plethora of companies, all actually providing a worse service than when the utilities were nationalised, and for many people choice is actually an illusion. It doesn’t matter who you go to, you’re still paying very large amounts for services that arguably aren’t worth it. If you want an example, think of the privatised dentists. Thanks to Thatcher’s decimation of the dental service back in the 1980s, there are now few dentists taking NHS patients. The dentists that have gone private charge fees that, for many, make going to them unaffordable. Yes, you can change dentists, looking around for a cheaper service, but unless you find an NHS dentist, you’re still going to be charge very high fees. So from that perspective, you don’t have a choice. And the same applies to the railways and other public services taken over by private contractors.

Secondly, Branson was responding to ‘market forces’. This was the other buzzword of the Thatcherites. The operation of the market was held to be good, just and a guarantee of commercial efficiency and success. Capitalism won over socialism, because socialism took no account of market forces. There’s some truth in that when it’s applied to completely socialised economies such as those of the Communist bloc. But as we’ve seen, various capitalist firms have since failed, and then had to be bailed out by the taxpayer. If you just have market forces as your guide, then these firms, which now include Carillion, should be allowed to go under because of their failure to respond to what the market wants. But instead the right demands that we bail them out, because it’s private enterprise and so can’t be allowed to fail. It’s why the corporatist capitalism ushered in by Reagan and Thatcher has been called ‘socialism for the rich’, as the state is always required to support them, while denying welfare services and healthcare to those genuinely in need.

As for Branson’s ban on the Heil, he was responding to market forces. People had complained about the Heil, and as the service provider, he responded to what his customers wanted. The Mail, which has vociferously and consistently fallen over itself praising Thatcher to the rafters, cannot complain. Thatcher stood for market forces, and market forces have dictated that Virgin’s customers don’t want the Daily Mail. So it’s just too bad for them that Virgin trains will no longer be carrying it. There’s also an element of hypocrisy here. If Virgin had said that they wouldn’t carry what remains of the left-wing press in Britain – the Mirror, the Groaniad or the I, the right-wing press, including the Heil, would be delighted. This shows that the great British public despise the left and its journalism, they would announce proudly. But now that the great British public, or at least that section of it that travels by train, have decided that they don’t want the Mail and its hate and bigotry travelling with them, the Tory press has been screaming ‘censorship’.

Yes, Virgin’s ban on the Daily Mail is censorship, but it’s been done because of the nature of capitalism, Thatcherite ‘choice’ and ‘market forces’. Except that in this case, they haven’t acted to empower the right, but attack it.

Jimmy Dore: Americans Going to Mexico for Dentistry

October 8, 2017

Yesterday I put up a story from the I, which reported that over half of British dentists were planning to leave the NHS in the next few years. If that happens, courtesy of Jeremy Hunt and the Tories’ plan to privatize the NHS, British dentistry might end up looking very much like this.

In this video from the Jimmy Dore Show, the American comedian and his co-hosts, Ron Placone and Steffi Zamorano comment on a story broadcast on NBC. The news team there visited the town of Los Almagadones in Mexico, which now styles itself the ‘dentistry capital of the world’. The town has a population of 5,000, but has more than its fair whack of dentists. It has 600 practicing dentists, working in more than 300 clinics. 114 million Americans lack dental insurance, and so can’t afford dental treatment. And so some make the journey south of the border to get their teeth fixed.

Dore states that this will explode the myth of American exceptionalism – the idea that America is innately superior to every other nation. Clearly it isn’t. Not if many of its citizens are reduced to going abroad for healthcare. Dore points out that the stories of Canadians coming to south to America for their medical treatment is largely a myth. But the story that Americans are going to Mexico are very real.

He and Placone and Zamora also use the story as an opportunity to lambast the continuing racism against Mexican and Hispanic migrants in the US. Americans are going south of the border for what is known as ‘dental tourism’, but the Mexicans aren’t organizing mass protests or trying to shame them.

The three joke about the idea of combining tourism with dentistry, including building a combined nightclub and dental surgery, before Dore rounds of the video with a well-aimed attack on Hillary and the corporate Democrats. These are the politicos, who rigged the Democratic nominations so they could steal it from Bernie Sanders and give it to Killary. And she and they care only for the immensely rich, and are entirely happy to deny ordinary, middle class working Americans with single-payer healthcare. Because free, universal healthcare is ‘utopian’, despite the fact that the Germans have had it ever since Bismarck in the 19th century.

Bernie Sanders in his book describes vividly the deplorable lack of affordable healthcare in America. Many counties lack doctors, let alone hospitals, because the area is too poor to support one according to the law of free market economics. He tells how one Sunday every month, one of the dental surgeries in Virginia provides free dental treatment. People are so desperate for it they actually sleep in their cars overnight.

This is what British healthcare is going to be like, if Theresa May and the Tories get back in.

Don’t let her. Get her and them out. Now.

Tories Set to Destroy NHS Dentistry with Majority Considering Leaving Health Service

October 7, 2017

I found this very worrying article by Rachel Burnett in Monday’s I, for the 2nd October 2017. Entitled ‘NHS dentistry facing ‘existential crisis’ with majority set to leave, it reads

More than half of dentists are planning to leave the NHS within the next five years, a survey has found.

A study by the British Dental Association (BDA) has revealed that around 58 per cent want to move on, mostly to private work. Others want to go overseas, retire or to move out of dentistry.

It also found that 53 per cent of young and newly qualified NHS dentists, aged under 35, plan to leave.

Henrik Overgaard, BDA chairman of General Dental Practice, called for government reforms to avoid a “crisis”.

He said: “These young dentists are the backbone of the dental workforce, and losing them at the start of their careers raises existential questions about the future of the service.”

The survey was carried out in June-July 2017, with 1,212 questionnaires completed.

Around 42 per cent of those young dentists who plan on leaving said they will focus on private practice, the results show.

Harman Chahal, chairman of the BDA’s Young Dentists’ Committee, said he decided to leave the NHS practice in April.

He added that young NHS dentists are “offered no reward for going above and beyond, just the constant threat of penalties for not hitting government targets.”

I don’t doubt that there are many complex factors not mentioned in the article, but this seems to me to be another step in the privatization of the health service, and particularly the decimation of an already seriously threatened dental service. I can remember way back in the late 1980s when Thatcher refused to increase NHS dentists’ pay, and thousands thus left the NHS. At the moment it can be very hard to find an NHS dentist, and many are suffering because they simply can’t afford to go.

This is just another example of how much that liar and fraud Jeremy Hunt and the rest of the Tories ‘cherish’ the NHS. Well, he said in his own book that he wanted to privatize it, and the Tories have been privatizing it by stealth since Thatcher won in 1979.

I’m heartily sick and tired of it and them. Get Jez, May, Boris and the other Tory vultures seeking to privatize the NHS now.

Stephen Hawking’s Defends NHS as Hunt Lies about its Privatisation

August 22, 2017

I know the Tories will immediately complain about the title of this article, but that’s exactly what’s going on. The Tories have been privatizing the NHS piecemeal since the 1980s, when Maggie Thatcher wanted to sell it off completely and replace it with an American-style insurance based system. Thatcher was prevented from doing so through a massive cabinet revolt, plus the fact that her private secretary, Patrick Jenkin, found out how appalling the American system was after he actually did some research and went there.

But the privatization is still going on. There was a mass exodus of dentists in the late ’80s-early ’90s, after Maggie – or was it Major?-refused to give them any more money. Then came Peter Lilley and his Private Finance Initiative, in which hospitals were to be built and run for the NHS by private contractors. Then New Labour expanded this massively, breaking up the NHS internal structure to model it after the American private healthcare system, Kaiser Permanente. Blair was approached by a whole slew of American private healthcare companies. His idea was that hospitals and clinics should be taken over by private healthcare companies, like Circle Health, Virgin Healthcare and so on. The community care groups of doctors, which were supposed to commission healthcare for their patients, where to obtain it from both private healthcare providers as well as the NHS. And they were also given the powers to raise money from private enterprise.

And before anyone objects that Blair was a Socialist, no, he wasn’t. He had Clause 4 removed from the party’s constitution. He was also profoundly hostile to the trade unions, who have formed part of the very core of the Labour party since it was founded in the very early 20th century.

Blair was a true, blue Thatcherite. The first thing he did when he got into power was invite Thatcher round. And she responded warmly, declaring New Labour her greatest success. Remember, this is the woman, who proudly shouted about how she was going to destroy socialism.

And the Tories have carried on her project of gradually destroying the NHS, bit by bit, while loudly proclaiming how much they’re in favour of it.

The present Health Secretary, Jeremy Hunt, is a prime example of this. He even wrote a book in which he declared how much better everything would be if we had a private healthcare system, like America.

Yeah, like America, where the poorer parts of the country don’t have any doctors at all, because it isn’t profitable. Where once a month, in Virginia, people sleep in cars overnight in order to join the queue for the doctor’s or dentists’ surgery offering free dental care that Saturday.

Where something like 20 million Americans can’t afford their medical coverage, and 30,000 people die every year because of this.

And where the Republicans and corporate Democrats have been lying and smearing Bernie Sanders, because he dared to run on a platform of ‘Medicare for all’. You know, giving Americans state-funded healthcare, like in the other parts of the world.

This is what the Tories are doing to Britain. And last week, as Mike reported on his blog, Stephen Hawking, the great cosmologist, called them out on it. He also accused Hunt of cherry-picking the data about the supposed deaths caused by NHS staff not working Saturdays.

Hunt got terribly upset about this, and declared that Hawking didn’t understand statistics.

This is a joke from a professional moron. Statistics are a vital part of science and medicine. Much of modern science, including astronomy and cosmology, is going through the data, trying to find something that is statistically significant. It can be time-consuming, tedious work, requiring sophisticated techniques to sort out what’s importance from apparently random results.

Hawking’s a physicist, who has been working with some extremely advanced maths as part of his investigation into the origins of the cosmos and the nature of Black Holes for his entire career. I don’t believe in his ‘No Boundaries Solution’ to the problem of the origin of the universe, but it’s abundantly clear that he understands stats. And as a man stricken with Motor Neurone Disease, a terrible illness, which has left him confined to a wheelchair, unable to speak and scarcely a muscle, Prof. Hawking clearly has first-hand experience of NHS care.

In short, don’t believe Hunt. Believe Hawking.

And yesterday one of the doctors weighed in, to request that a televised debate should be held between the two. See that story on Mike’s blog.

I’ve got no doubt that this will never happen. The schedules are full already, and the last thing the Tories will want is putting their man in a position where he’ll lose against a vastly more popular, far more respected and definitely more intelligent opponent.

Although they’re both authors. Hawking’s most famous work was A Brief History of Time, published back in the 1980s. It was a national bestseller, following very much in the footsteps of Carl Sagan’s epic Cosmos, another pop-sci blockbuster from a great science communicator, as well as a concerned scientist who attacked militarism, imperialism and man-made global warming.

As for Hunt, very few have read his book, which is why he can still repeat the lie that the Tories aren’t privatizing the NHS with a straight face, despite having advocated himself.

Such a debate would be so unequal in Hawking’s failure that I’ve no doubt that the Tories in charge of BBC News, the same people, who gave Corbyn such overtly biased coverage during the general election, are blanching at the very thought of it. Such a debate will never happen, just as the BBC will never own up, and confess that they, and particularly Laura Kuenssberg, are massively biased and everyone, who has complained about this painfully obvious fact is absolutely right.

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.

Bernie Sanders’ Presidential Medicare For All Bill

April 3, 2017

In his book, Our Revolution: A Future to Believe In, which I reviewed yesterday, Bernie Sanders devotes an entire chapter to the problem of healthcare. He states very clearly and in great detail why America a system of free healthcare, which he calls Medicare For All. He shows that 48 million Americans cannot afford health insurance, and those that can, still may not be able to afford to go to the doctor because of the complex system of deductions that are part of private health insurance policies. The costs of prescription drugs is artificially high thanks to the pharmaceutical companies, so that poor Americans may not be able to afford them. Despite the Republicans sounding off, like the Tories over here, about the importance of access to mental health care, this is all beyond the reach of many Americans. As is proper dentistry. I’m English. Orwell joked as long ago as the 1940s in his book The Lion and the Unicorn: Socialism and the English, how my people have bad teeth, and it’s a gibe that’s been made regularly by Americans ever since. But despite the shining whiteness of the toothy-pegs of Hollywood celebrities, even this is beyond many Americans. Sanders describes how dentists and dental nurses in one county in Virginia once a month treat patients free for a day. So desperate are people for this treatment, that they actually sleep over night in their cars.

America needs Medicare For All. Bernie included it as one of the planks of his presidential campaign. He gives the text of it in his book. Here it is.

Medicare For All:
Leaving No One Behind

Coverage

A federally administered single-payer health care p0rogram means comprehensive coverage for all Americans. This plan will cover the entire continuum of health care, from inpatient to outpatient care; preventive to emergency care; primary to specialty care, including long-term and palliative care; vision, hearing and oral health care; mental health and substance abuse services; as well as prescription medications, medical equipment, supplies, diagnostics, and treatments. Patients will be able to choose a health care provider without worrying about whether that provider is in-network and will be able to get the care they need without having to read any fine print or trying to figure out how they can afford the out-of-pocket costs.

What It Means for Patients

As a patient, all you need to do is go to the doctor and show your insurance card. A single-payer plan means no more co-pays, no more deductibles, and more fighting with insurance companies when they fail to pay for charges.

Getting Health Care Spending Under Control

We outspend all other countries on our health, and our medical spending continues to grow faster than the rate of the inflation. Creating a single, public insurance system will go a long way toward getting health care spending under control. The United States has thousands of different health insurance plans, all of which set different reimbursement rates across different networks for providers and procedures. This results in an enormous amount of paperwork and high administration costs. Two patients with the same condition may get very different care depending on where they live, the health insurance they have, and what their insurance covers. A patient may pay different amounts for the same prescription drug depending solely on where the prescription is filled. Health care providers and patients must navigate this complex and bewildering system, wasting precious time and resources.

By moving to an integrated system, the government will finally have the ability to stand up to drug companies and negotiate fair prices for the American people collectively. The government will also be able to track access to various providers and make smart investments to avoid provider shortages and ensure that communities have the providers they need.

Major Savings for Families and Businesses

The United States currently spends $3.2 trillion on health care each year – about $10,000 per person. Reforming our system, simplifying our payment structure, and incentivising new ways to make sure patients are actually getting better care will generate massive savings. This plan has been estimated to save the American people and businesses more than $6 trillion over the next decade.

The Typical Middle Class Family Would Save Over $5,000 Under This Plan

Last year, the average working family paid $4,955 in premiums and $1,318 in deductibles to private health insurance companies. Under this plan, a family of four earning $50,000 would pay just $466 per year to the single-payer programme, amounting to a saving of over $5,800 for that family each year.

Business Would Save Over $9,400 a Year
in Health Care Costs for the
Average Employee

The average annual cost to the employer for a worker with a family who makes $50,000 a year would go from $12,591 to just $3,100.

How Much Will It Cost?

This plan has been estimated to cost $1.38 trillion per year.

How Would It Be Paid For?

* A 6.2 per cent income-based health care premium paid by employers. Revenue raised: $630 billion per year.

* A 2.2 per cent income-based premium paid by households. Revenue raised: $210 billion per year. A family of four taking the standard deduction can have income up to $28,800 and not pay this tax.

Progressive Income Tax Rates

* Revenue raised: $110 billion a year. Under this plan the marginal income tax rate would be:

* 37 per cent on income between $250,000 and $500,000.

* $43 per cent on income between $500,000 and $2 million.

* 48 per cent on income between $2 million and $10 million. (In 2013, only 113,000 households, the top 0.08 per cent of taxpayers, had income between $2 million and $10 million).

*52 per cent on income above $10 million. (In 2013, only 13,000 households, just 0.01 per cent of taxpayers, had income exceeding $10 million).

* Taxing capital gains and dividends the same as income from work. Revenue raised: $92 billion per year. Warren Buffett, the second-wealthiest person in the country, has said that he pays a lower effective tax rate than his secretary. The reason is that he receives most of his income from capital gains and dividends, which are taxed at a much lower rate than income from work. This plan will end the special tax break for capital gains and dividends on household income above $250,000.

* Limit tax deductions for the rich. Revenue raised: $15 billion per year. Under this plan, households making over $250,000 would no longer be able to save more than 28 cents in taxes from every dollar in tax deductions. This limit would replace more complicated and less effective limits on tax breaks for the rich, including the alternative minimum tax, the personal exemption phaseout, and the limit on itemised deductions.

* The Responsible Estate Tax. Revenue raised: $21 billion per year. This provision would tax the estates of the wealthiest 0.3 per cent (three-tenths of 1 per cent) of Americans who inherit over $3.5 million at progressive rates and would close loopholes in the estate tax.

* Savings from health tax expenditures. Revenue raised: $310 billion per year. Several tax breaks that subsidise health care (health-related “tax expenditures”) would become obsolete and disappear under a single-payer health care system, saving $310 billion per year.

Most important, health care provided by employers is compensation that is not subject to payroll tax or income taxes under current law. This is a significant tax break that would effectively disappear under this plan, because all Americans would receive health care through the new single-payer, rather than employer-based program.

(pp. 334-8).

Tories Manufacture Dispute with GPs to Destroy NHS. Again.

January 14, 2017

Mike over at Vox Political today posted a truly chilling story for everyone who genuinely believes in and supports the NHS. He quotes a former deputy chair of the British Medical Association, Dr. Kailash Chand, as saying that doctors are now so sick and tired of being scapegoated by May and her lickspittle puppet, Jeremy Hunt, that they are considering disaffiliating from the NHS. Doctors are rightly annoyed at being blamed by the Tories for the crisis caused by the underfunding of the NHS. Mike’s article also reports that they are also angered by May’s demands that they run a service from 8 am in the morning to 8 pm at night, seven days a week. If they do not do so, they will losing their funding. Unless they say that there is no demand for it from their patients.

Dr. Chand has said about the attacks on GPs for the gross failure of the Tories

“I think making this particular statement at this minute is essentially scapegoating. [May] has got to find something, she can’t blame [the health secretary] Jeremy Hunt for this, or her own government.

“She’s got to find a scapegoat and GPs are probably the easiest scapegoat in this way because your rival papers, like the Daily Mail, all the time are giving the public the view that GPs don’t work and GPs are working only nine-to-five, which is nonsense.”

Mike in his article makes the point that this is exactly what Theresa May wants and will bring the prospect of a private, for-profit health system like that in America closer. He makes the excellent point that tyrants like May should not be given what they want, and recommends that doctors should set up charities as a way of blocking her plans to foist this on the economy. This isn’t a perfect solution, but it could be an effective stop-gap until a Labour government is elected that will renationalise the NHS.

His article ends

Theresa and her Tories must be defeated here. Much more depends on it than simply the NHS in England (and Wales, Scotland and Northern Ireland, whose funding is dependent on the English service receiving cash).

Let’s have a contingency plan ready, for the moment the worst prime minister in UK history does the worst thing she possibly can. Because I think she will.

See http://voxpoliticalonline.com/2017/01/14/if-gps-disaffiliate-from-the-nhs-how-about-forming-charities-to-thwart-theresa-may/

Right-wing governments, including that of Tony Blair, have wanted to privatise the NHS for a very long time now. Thatcher wanted to do so in the 1980s, but was stopped by a cabinet revolt, and by finding out just how bad the American system. Nevertheless, she still wanted 25 per cent of the British population to take out private health insurance. And she also tried again to moot its privatisation a few years later.

John Major introduced the PFI scheme specifically so privatise enterprise could take over the construction and management of hospitals. It had nothing to do with efficiency or savings, and everything to do with allowing his paymasters in private health the opportunity to profit from this part of the state economy. And after his government was replaced by New Labour, Blair introduced a series of reforms which were further intended to privatise the NHS. Apart from granting more contracts to private firms and hospitals, he also wanted to replace GPs’ surgeries with polyclinics or walk-in centres, which were also supposed to be privately run. He also set up Community Care Groups, of local GPs, to manage doctors’ surgeries in the area. These were intended to have the power to arrange treatment from private healthcare providers. They are also able to opt out of the NHS, and raise money as private healthcare firms, if they so choose.

Now May and Hunt are deliberately stirring up a dispute with doctors, so that many will leave the Service altogether. Many parts of the country, including my own in south Bristol, have trouble finding staff thanks to the contrived departure of many medical professionals due to Tory policies. This is another attempt to force even more out.

This is not something that May’s just dreamed up out of the blue either. She’s taken a leaf from that other great Tory leader, Maggie Thatcher. I can remember thirty years ago when Thatcher contrived a dispute with the dentists, which resulted in them leaving the NHS. She refused to award them a rise in funding, which the dentists claimed was needed because of their use of expensive equipment.

As a result, many left the NHS, so that today those unable to pay privately may have great difficulty finding a dentist willing to treat NHS patients.

May is doing the same now with doctors.

She has to be stopped, before we go back to the conditions of horrifically poor health provision for everyone except the very rich before the establishment of the NHS under Nye Bevan.