Okay, the papers today have been full of the plan May announced yesterday that would improve the NHS over the next ten years. Apparently they’re going to increase funding by 20 billion pounds above inflation by 2023, recruiting tens of thousands of new nurses and doctors.
Mike today posted a piece ripping apart these promises. He makes the point that the Tories haven’t fulfilled their existing targets to recruit more medical staff. They have also not stated where they intend to fund the money to pump into the NHS.
More sinisterly, one key part of the programme discussed by Health and Social Care Secretary Matt Hancock in an interview with Sophy Ridge sounded like the government is planning to blame poor health on the patients themselves. Hancock said in the interview that the government intended to shift towards helping people to stay health, to stop them getting ill as much as curing them.
Mike makes the point that this sound very much like the claims that the DWP helps people by refusing them benefit. He’s right. I think there has already been discussion of schemes whereby obese people should be refused medical treatment for diseases or conditions brought on by the condition.
Mike also makes the point that the fundamental problem of the Tories’ NHS policy is continuing regardless of their new plans. This is the privatization of the health service. Mike writes
As for privatisation – with more than £8 billion spent on private companies that have been allowed to buy into the NHS by the Conservatives since 2012, concern is high that the whole service in England is being primed for sale, to be replaced with a private insurance-based system, as poor as the schemes currently failing the citizens of the United States. These fears are supported by the fact that current NHS boss Simon Stevens used to work for a US-based health profiteer.
This new 10-year plan, it seems, is setting out to do exactly what Noam Chomsky described when discussing the steps leading to privatisation: Strip the service of funds, make sure it doesn’t work properly, wait for people to complain, and then sell it to private profit-making firms with a claim that this will improve the service.
He makes the case that the NHS will be treated exactly as the other privatized utilities – energy companies, railways, water industry and airports – stripped of funds, sold off, and owned by foreign firms to provide them with profits.
This also is true. Private Eye has reported how the Tories and New Labour were lobbied by private healthcare providers determined to gain access to the NHS, including the American private healthcare insurance fraudster, Unum.
He concludes
So you can look forward to a future in which you are blamed for any health problem that arises, and forced to pay through the nose for health insurance (that probably won’t cover your needs or won’t pay out at all, to judge by the American system).
It seems the Tories’ 10-year plan for the NHS is to trick you into an early grave.
See: https://voxpoliticalonline.com/2019/01/08/new-tory-nhs-plan-is-to-tell-you-your-health-problems-are-your-fault/
The Tories have been determined to privatise the NHS since the days of Margaret Thatcher. She wanted to privatise it completely, but was stopped by a cabinet revolt. She nevertheless wanted to encourage Brits to take out private health insurance and began cutting and privatizing NHS services. This was continued under John Major by Peter Lilley, who invented the Private Finance Initiative in order to help private corporations gain access to the NHS. It carried on and was expanded even further by Blair and New Labour, and has been taken over and further increased by the Tories since the election of Cameron back in 2010.
If it continues, the NHS will be privatized, and the quality of Britain’s healthcare will be what is in the US: appalling. The leading cause of bankruptcy in America is inability to pay medical costs. Something like 20 per cent of the US population is unable to afford private medical insurance. 45,000 people a year die because they cannot afford healthcare treatment.
A year or so ago a Conservative commenter to this blog tried to argue that the Labour party had not established the Health Service and that the Tories were also in favour of it. Now it is true that the welfare state, including the NHS, was based on the Beveridge Report of 1944. Beveridge was a Liberal, and his report was based on the information and views he had been given in turn by civil servants and other professionals. But the Health Service itself was set up by Aneirin Bevan in Clement Attlee 1945 Labour government. The Health Service’s ultimate origins lay in the 1906 Minority Report into reform of the existing healthcare services by Sidney and Beatrice Webb. The Socialist Medical Society had been demanding a nationalized system of healthcare in the 1930s, as had the Fabian Society, and this had become Labour policy in that decade. And later in the 1950s, after the NHS had been established, the Tory right again demanded its privatization on the grounds that it was supposedly too expensive. Even now this is the attitude of right-wing historians and politicians, like Corelli Barnet, who has said that the reason why Britain was unable to modernize its industry after the War like the Germans or French was because the money went instead to the NHS.
The same commenter also claimed that Britain never had a private healthcare system. This is untrue. Many hospitals were run by local councils, but there were also private charity and voluntary hospitals. And these did charge for their services.
I’ve put up pieces before about how terrible healthcare was in Britain before the NHS. Here’s another passage about the state of healthcare for Britain’s working class between the First and Second World Wars, from Eric Hopkins’ The Rise and Decline of the English Working Classes 1918-1990: A Social History (London: Weidenfeld & Nicolson 1991)
The health services between the wars were still in a rudimentary state. Insurance against sickness was compulsory for all workers earning less than 160 per annum under the National Insurance Act of 1911 but the scheme did not cover the dependants of the insured, and sickness benefits when away from work were still lower than unemployment rates. Further, the range of benefits was limited, and hospital treatment was not free unless provided in poor law infirmaries. Treatment in municipal hospitals or voluntarily run hospitals still had to be paid for. The health service was run not by the Ministry of Health, but by approved societies, in practice mostly insurance societies. As a system, it suffered from administrative weaknesses and duplication of effort, and the Royal Commission on National Health Insurance 1926 recommended that the system be reformed; the Minority Report even recommended that the administration of the system be removed from the societies altogether. In 1929 the Local Government Act allowed local authorities to take over the poor law infirmaries, and to run them as municipal hospitals. Not many did so, and by 1939 about half of all public hospital services were still provided by the poor law infirmaries. By that year, it would be fair to say that there was something resembling a national health service for the working classes, but it was still very limited in scope (it might or might not include dental treatment, depending on the society concerned), and although treatment by general practitioners was free for those by the scheme, as we have seen, hospital treatment might have to be paid for. (pp. 25-6).
This what the Tories and the Blairites in New Labour wish to push us back to, although looking at that description in seems that even this amount of government provision of healthcare is too much for those wishing to privatise it completely.
The Tories’ claim to support and ‘treasure’ the NHS are lies. May is a liar, and has already lied about putting money into the NHS. I remember how She claimed that they were going to increase funding, while at the same time stating that the NHS would still be subject to cuts. And I don’t doubt that she intends to take this plan anymore seriously. It doesn’t mean anything. Look how she declared that austerity had ended, only to carry on pursuing austerity.
Defend the NHS. Get Tweezer and the Tories out, and Corbyn and Labour in.