Posts Tagged ‘Jacky Davis’

Cartoon of the Tories as Pagan Cannibal Cult

June 27, 2017

This is another of the cartoons I drew a few years ago of the Tory-Lib Dem coalition under David Cameron and Nick Clegg and its cheerleaders and propagandists in the media.

As I’ve written in my posts about the other cartoons I’ve drawn of them, the Tories are responsible for misery and deaths in Britain on a massive scale. This has been a direct result of their austerity policy of freezing wages, cutting benefits and their use of the sanctions system within the DWP to throw tens of thousands off benefits every year, often for the most trivial of reasons. Terminally ill patients on their death beds have been told that their benefit has been removed, because they’re ‘fit for work’. Amputees have been asked when they expect their limbs to grow back. People have had their jobseekers allowance removed, because they missed an interview at the jobcentre due to being in hospital at the time. Disabled people with mobility problems have been required to attend fitness for work interviews at offices situated several floors up, with little or nothing in the way of disabled access.

Whistleblowers have also come forward to say that the DWP and the outsourcing companies it employs, such as Atos, have a quota system in which they are supposed to get a certain proportion of claimants off benefits regardless of their actual physical condition. Staff in jobcentres have also been awarded prizes, such as gold stars, sheriff’s badges, Easter eggs and so on for being the clerk, who has got the most people off benefit that week.

The result has been carnage. Mike and other disability bloggers managed, after a very lengthy campaign, to get figures from the DWP showing that for a given period, 13-14,000 people died after being found fit for work by Atos and the DWP. Researchers at Oxford University have found that in 2015, austerity killed 30,000 people. This means that from 2015 to date, in mid-2017, and including Mike’s figures for an earlier period, the Tories and their Lib Dem enablers, have killed 87-88,000 people with their policies.

Over a hundred thousand people are now forced to use food banks as they have no income due to their benefits being removed. Seven million people live in ‘food insecure’ households, where it’s a struggle simply finding the money for this week’s food. Women are going hungry, because if they feed themselves, they’ll starve their children.

Meanwhile, the assault on the state sector continues. The Tories are pushing ahead with the privatisation of the NHS, transferring state healthcare which is free at the point of use into a private, for-profit system like the American system.

And so I decided to draw them as members of a pagan, cannibalistic cult like the Aztecs, or like those of the ancient Canaanites and the demons in ancient Mesopotamian religion.

Thus I drew David Cameron eating a human arm, and George Osborne wearing a human skull as a headdress. I decided to depict Alan Duncan with empty eye sockets and eyes in the palms of his hands, like the sinister Pale Man in Guillermo del Toro’s fantasy film, Pan’s Labyrinth. Behind Cameron and Duncan loom a sculpture of a demon from ancient Iraq, and a human skeleton. Below Duncan and to his right is the figure of an ancient Mesopotamian priest or king. Left of Cameron is a drawing of Eric Pickles, who was one of the ministers in Cameron’s cabinet. I’m afraid the drawing’s a bit smudged, so you may not be able to make him out. And behind and to the left of him is Evan Davies, the BBC presenter. I put him in after he made some comment supporting the Tories or austerity.

And below Davies and Pickles is Andrew Lansley, the Tory-Lib Dem coalition’s wretched health minister. Lansley was responsible for a piece of convoluted legislation way back in 2012, which effectively removes the health minister from his statutory obligation, dating from the establishment of the NHS in 1948, to provide state healthcare. This is one of the major legal foundations for the Tories’ planned eventual privatisation of the NHS. See the discussion of this in Jacky Davis’ and Raymond Tallis’ book, NHS-SOS. And so I gave Lansley a sign saying ‘NHS – For Sale. Apply A Lansley’.

Since I drew the cartoon, Lansley’s been replaced by the equally appalling Jeremy Hunt. Hunt has been responsible for plunging tens of British hospitals into massive debt as part of the Tories’ piecemeal privatisation of the NHS.

Adding insult to injury is the lies the Tories are spinning about this crisis. People, according to them, aren’t going to food banks because they’re hungry. No! It’s because it’s free food. In fact, you can only use a food bank if you have a chit from the Jobcentre to say that you don’t have any money. And when Theresa May was asked by a TV presenter whether it was right that nurses should have to use food banks, she could only reply the weak excuse ‘There are complex reasons.’

There aren’t any complex reasons. There’s a very simple one: the Tories are paying starvation wages. Whey they are actually paying anyone, that is.

Davis and Tallis also point out that the NHS was in budget under the Labour administration the Tories replaced. And state expenditure was actually lower under Labour. But despite massive cuts to the NHS, the Tories are lying that the financial crisis, which they are using as their pretext to cut services and benefits, was all due to ‘high spending Labour’, rather than the 2008 financial crash created by corrupt bankers. And while NHS budgets are being cut to the bone and beyond, they’re also trying to tell the public that real expenditure on the NHS is higher than ever before in real terms.

All lies.

Bloggers such as Stilloaks, Johnny Void, Mike and DPAC have blogged about some of the victims, who have been killed by this murderous policy, and there are lists, art works and videos commemorating them. At present, the people on these lists number 500-600 plus, but this is just a tiny fraction of those, who have died.

Jeremy Corbyn has promised to undo the Neoliberalism and austerity that is killing tens of thousands of people every year. He intends to scrap the fitness for work tests, pay people proper benefits and renationalise the NHS.

So please, vote for him and end the Tories’ reign of death and misery against the poor, the unemployed, the disabled and the lower middle and working classes.

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Don’t Let Theresa May Privatise the NHS

June 8, 2017

This is the text of one of the self-published, table-top produced pamphlets I created a few years ago, and which are advertised on one of the other pages of this blog.

As you can see, it was written a year or so ago when David Cameron was in power. Nevertheless, it is still as valid now as it was then. Theresa May has not changed the Tory policy of privatising the NHS one whit.

So, please, read this article, and then vote for Jeremy Corbyn to preserve this most precious of British institutions.

Don’t Let Cameron Privatise the NHS
David Sivier

Visiting our local health centre the other day, my parents, along with the other local people enrolled there, were handed a letter, explaining that due to funding cuts the health centre was having to cut back on services. It also advised its patients that if they wanted to raise their concerns about the restriction in their service they could contact:-

1. NHS England at FAO Linda Prosser, Director of Assurance and Delivery, NHS England South West (BNSSG), 4th floor Plaza, Marlborough Street, Bristol BS1 3NX
2. your local MP at the House of Commons, Westminster, London SW1A 0AA

Unfortunately, this is happening to the NHS and GPs’ services all over the country. It is no accident, and it is certainly not the fault of the many dedicated doctors, nurses and other health professionals working in the NHS.
It is the result of over 30 years of privatisation begun with Margaret Thatcher. Thatcher and her former Chancellor, Nigel Lawson, denied that they wanted to privatise the NHS. They merely stated that they wanted to include more private provision in the NHS. This is a lie. Released cabinet minutes showed that Thatcher and Geoffrey Howe wanted to privatise the NHS along with abolishing the rest of the welfare state. They were only prevented from doing so because the rest of the cabinet realised that this would be the death knell for the Tory party. And a fact-finding mission to the US to see how their private healthcare system worked by Patrick Jenkin showed that it was massively inefficient.

Nevertheless, the amount of private healthcare in the NHS was expanded, and state provision duly cut by successive governments. It was Maggie’s government in 1989 that ended the state support for care for the elderly in nursing homes. As a result, the families of those, who need this kind of care, are forced to fund it themselves, often through selling or remortgaging their homes because of the immense expense. It was also Maggie’s government that ended free eye tests, and picked a feud with the doctors that saw the majority of them leave the NHS.

This privatisation has continued under Tony Blair, Gordon Brown and now David Cameron and Jeremy Hunt. Blair and Brown were deeply impressed with American private healthcare firms such as Kaiser Permanente, and wished to reform the NHS on their model. The ultimate intention was to replace the publicly owned and operated NHS with private healthcare funded by the state, but administered by private health insurance companies. As a result, NHS work has been given to private hospitals and clinics, and private healthcare companies have been given NHS hospitals to manage. Alan Milburn, Blair’s health secretary, wanted the NHS to become merely a kitemark – an advertising logo – on a system of private healthcare companies funded by the government.

This has been carried on the current Conservative government. And they have used the same tactics Margaret Thatcher did to force private healthcare on this nation. The dispute with the doctors over contracts a few years ago was part of this. It has left the majority of NHS GPs wishing to leave. Yet elements within the Conservative networks responsible for foisting these demands have seen this as an opportunity for forcing through further privatisation. Penny Dash, of the National Leadership Network, and one of those responsible for the NHS privatisation, has looked forward to the remaining GPs forming private healthcare companies. Furthermore, an report on the Care Commissioning Groups now in charge of arranging healthcare in the NHS by one of the private healthcare companies also suggested that they could form private healthcare companies, and float shares on the stockmarket.

Further privatisation has come with Andrew Lansley’s Health and Social Care bill of 2012. This exempts the state and the Secretary of State for Health from their statutory duty, as the ultimate leaders of the NHS, to provide state health care. It is carefully worded to disguise its true meaning, but that is what has been intended by the bill. Dr David Owen, one of the founders of the SDP, now part of the Lib Dems, has tabled amendments trying to reverse this despicable bill. He and many others have also written books on the privatisation of the NHS. One of the best of these is NHS SOS, by Jacky Davis and Raymond Tallis, published by Oneworld.
This process cannot be allowed to continue, and I strongly urge everyone to resist the creeping privatisation of the NHS, Britain’s greatest public institution.

In the last government, there were 92 Conservative and Lib Dem ministers, who advocated the privatisation of the Health Service, and who stood personally to gain from it. They included Iain Duncan Smith, the minister for culling the poor, the sick and the old. Andrew Lansley, the health minister, openly stated he is in favour of privatising it. So has Nigel Farage, and the Unterkippergruppenfuhrer, Paul Nuttall.

Farage in particular follows the Tory policy going all the way back to Thatcher of promising to defend it while secretly plotting how to sell it off. Thatcher ‘s review into the NHS and its funding in the 1980s. so alarmed Labour’s Robin Cook, that he wrote a Fabian pamphlet, Life Begins at 40: In Defence of the NHS, attacking possible proposals to privatise the Health Service.

Previous reviews had given the NHS a clean bill of health. The extremely high quality of the NHS and its doctors was recognised by the heads of American healthcare firms: Dr Marvin Goldberg, chief executive of the AMI health group, told a parliamentary select committee that the Health Service Provides ‘outstanding health care and British NHS hospitals are at least as good as those in America while British doctors are better.’

The then Conservative MP for Newbury, Michael McNair-Wilson, also testified to the effectiveness of the NHS. He had suffered kidney failure. He had private health insurance, but it did not cover operations such as the one he needed because of the expense. He said ‘I have cost the NHS tens of thousands of pounds – much more than I could have afforded privately … Had my treatment depended on my ability to pay, I would not be alive today.’

Pre-NHS Britain: Some Areas Completely Without Hospitals

Cook’s pamphlet also graphically described the patchwork state of healthcare in Britain before the NHS. In London, where there were plenty of paying customers, there could be hospitals in neighbouring streets. Out in the poorer British provinces, there were hardly any, and many operations were carried out not by surgeons but by GPs. He cites Julian Tudor Hart’s book, A New Kind of Doctor, to show how bad this could be. Hart described how he joined one of those practices in Kettering. One patient was left under anaesthetic as the London specialist operating on him was called away to continue a stomach operation on a London patient, which the operating GP had been unable to complete.
Cook was deeply concerned that the Tories’ review would not be at all interested in improving quality, only in opening up the NHS to the market and privatisation.

Cook on Private Health Insurance

One of the issues he tackled in the pamphlet was the possibility of the introduction of private health insurance. This covers two pages and a column and a bit in the original pamphlet. This is what he wrote, though emphases and paragraph titles are mine.

The mechanism proposed to square the incompatibility of health care with the market is insurance. All market approaches to the NHS submitted to the Review stress the case for much wider private insurance and almost as frequently propose subsidies to boost it.

Insurance-Based Systems Encourage Expensive Treatment

The first thing to be said is that private insurance does not offer
to health care the alleged benefits of the discipline of the market place. At the point when the individual requires treatment he or she has already paid the premiums and has no incentive not to consume as expensive a treatment as can be reconciled with the policy. The position of the doctor is even more prejudiced in that he or she has every incentive to obtain as much as possible from the insurance company by recommending the most expensive treatment. Both patient and the doctor are in a conspiracy to make the consultation as costly as possible, which is a perverse outcome for a proposal frequently floated by those who claim to be concerned about cost control.

Insurance-Based Systems Encourage Unnecessary Surgery

The compulsion in an insurance-based system to maximise the rate of return is the simple explanation why intervention surgery is so much more often recommended in the United States. For example, the incidence of hysterectomy there is four times the British rate. This is unlikely to reflect higher morbidity rates but much more likely to reflect the greater willingness of doctors on a piece-work basis to recommend it, despite the operative risks and in the case of this particular operation the documented psychological trauma. I can guarantee that an expansion of private insurance will certainly meet the objective on increasing expenditure on health care, but it is not equally clear that the money will be spent effectively.

Insurance-Based Systems Require Expensive bureaucracy to Check Costs

One direct diversion of resources imposed by any insurance-based scheme is the necessity for accountants and clerks and lawyers to assess costs and process claims. The NHS is routinely accused of excessive bureaucracy, frequently I regret to say by the very people who work within it and are in a position to know it is not true. Expenditure in the NHS is lower as a proportion of budget than the health system of any other nation, lower as a proportion of turnover
than the private health sector within Britain, and come to that, lower than the management costs of just about any other major enterprise inside or outside the public sector. I am not myself sure that this is a feature of which we should be proud. ON the contrary it is evidence of a persistent undermanaging of the NHS, which is largely responsible for its failure to exploit new developments in communication, cost control and personnel relations. Nevertheless, there is no more pointless expansion of administrative costs than the dead-weight of those required to police and process and insurance-based system. These costs would be considerable.

Forty per cent of personal bankruptcies in the US are attributable to debts for medical care

Part of this additional cost burden is incurred in the task of hunting down bad debts, which does not contribute in any way to the provision of health care. Forty per cent of personal bankruptcies in the US are attributable to debts for medical care, a salutary reminder of the limitations set to insurance cover. These limitations have three dimensions.

Insurance Cover Excludes Chronic and Long-Term Sick, and the Elderly

First, insurance cover generally excludes those conditions which are chronic and therefore expensive or complicated and therefore expensive. Standard exclusions in British insurance policies are arthritis, renal dialysis, multiple sclerosis or muscular dystrophy. Most people do not require substantial medical care until after retirement. Most insurance cover excludes the very conditions for which they are then most likely to require treatment. Short of retirement, the most expensive health care required by the majority of the population is maternity care, which is also excluded by the majority of insurance policies.

Private Healthcare Limits Amount of Care due to Cost, not Need

Secondly, insurance cover is generally restricted by upper limits which are arbitrary in every sense other than financial. I recently met a psychiatric consultant to a private clinic, who was prepared to discuss candidly the ethical dilemmas of treating patients whose financial cover is fixed at five weeks of residential care, but whose response to treatment may indicate that a longer period of hospitalisation is desirable.

Private Health Care Geared to Selling to Healthy not Sick

Thirdly, insurance cover is further limited by exclusion of those most likely to claim on it. I am often struck at the sheer healthiness of the patients who illustrate the promotional literature of BUPA and PPP who appear in such pink of good cheer and fitness that it is difficult to figure out why they are in a hospital bed. These models are though in a sense most suitable for the purpose as the objective of insurance companies is to attract the healthy. They therefore claim the right to screen for the unhealthy and reject them from cover. This discriminatory approach was defended earlier this month by the managing director of WPA, Britain’s third biggest health insurer, on the principled grounds that it meant ‘essentially healthy people are not penalised by unhealthy people.’ This statement has the advantage of originality in that it perceives healthy people as the vulnerable group and proposes a market remedy that protects them from the inconvenient costs of the unhealthy.
Given this limited character of health insurance in Britain, the private sector is patently not in a position to substitute for the NHS and to be fair most directors of BUPA or PPP would be horrified at the notion of accepting the comprehensive, open-ended liabilities of the NHS. It is therefore perplexing that so much effort in and around the Review appears to be addressed to the issue of how the private sector may be expanded rather than how the public sector may be improved. Two major devices are being canvassed to boost private cover-tax relief on private cover or opt-out from public cover, or for all I know both of them together. Both would be a major mistake.

Tax Relief on Private Healthcare

Tax relief is open to the obvious objection that it targets help most on those who need it least – the healthy who are most likely to be accepted for private cover and the wealthy whose higher tax rates make relief most vulnerable. These are curious priorities for additional health expenditure.

Tax Relief Does Not Create Higher Spending on Health Care

Moreover, even in its own terms of stimulating higher spending on health, tax relief is likely to prove an ineffective mechanism. If for example the average premium is £200 pa the cost of tax relief for 6 million insured persons will be £300 million. The numbers under insurance need to increase by a third before the increased spending on premiums matches the cost of the subsidy and provides any net increase in health spending. Up to that point it will always produce a larger rise in health spending to increase the budget of the NHS by a sum equivalent to the cost of tax relief.

It is apparently being mooted that these objections could be circumvented by limiting the tax relief to the elderly. At this point the proposal moves from the perverse to the eccentric. This restriction targets help for private insurance on the very group for whom private cover is most inappropriate as their most likely health needs are the ones most likely to be excluded from cover. Only a moment’s reflection is required on the multiple ways in which we need to expand our health provision for the elderly to expose the hopeless irrelevance of tax relief as the solution for them.

Opt-Out Penalises those who Remain in the System

Opt-out is even more objectionable. The basic problem with opt-out is that it requires the payment towards the NHS of every individual to be expressed in a manner that gives him or her something to opt-out from. The principal attraction to Leon Brittan of his proposal for an NHS insurance contribution appeared to be precisely that it paved the way for opting out (A New Deal for Health Care, Conservative Political Centre,, 1988). Nor is this inconvenience confined to the need for a whole new element in the tax system. If one in ten of the population chose to opt out, it would be remaining nine out of ten who would have to prove they were not opted-out when they went along to seek treatment. With the new contributions comes a requirement to maintain a record of payment of them, and presumably a mechanism for credits to those not in work but who do not wish to be counted has having opted out of the NHS.

Private Healthcare Undermine NHS as Universal System

The more fundamental objection both these proposals is they explicitly threaten the NHS as universal health service catering for everyone. Moreover, they threaten its universality in the worst possible way, by encouraging those with higher incomes and lower health needs to get out, leaving behind the less affluent and the less fit. In this respect such an approach to the NHS would be a piece with the Government’s strategy of erosion towards the rest of the social services-housing, pensions, and now education, where the Government has encouraged those who could afford it to opt-out of public provision, leaving behind the poor who could be expected to put6 up with a poor service.

This is the reality of the private healthcare system which Cameron, Clegg, Farage and the rest of the Right wish to introduce. It is expensive, bureaucratic, does not stimulating further spending, and excludes those with the most acute and expensive medical need, especially the elderly.
And the Tories and their counterparts in UKIP and the Lib Dems know it. Why else would the Tories spend their time trying to deny what they’re doing? Why does Farage appear to be advocating retaining the NHS, while arguing for an insurance based system, like America? It’s because they know that private medicine does not provide the solutions they claim. It is only source of further enrichment to them and their corporate donors.

And since Cook wrote that pamphlet, more than 20 per cent of all Americans can no longer afford their healthcare. It’s why the firms are trying to get their feet under the table over here. Don’t let them. Ed Miliband and now Jeremy Corbyn have promised to reverse the privatisation of the NHS. Please support them.

Labour’s Warning of the Destruction of the NHS under the Tories

June 6, 2017

I caught Labour’s election broadcast last night, and found it deeply moving and very informative. The short film featured interviews with doctors and other healthcare professionals talking about the current crisis in the NHS. One of the speakers was a senior doctor, who explained that the NHS is being underfunded by 3 per cent per year. This debt has accumulated to a shortfall of 10 per cent, and is expected to grow to 30 per cent. He and the other medical professionals made the point that this was part of the Tories’ campaign to privatise the NHS.

They made the point that the NHS is on the verge of collapse and privatisation. Over half of NHS services are now commissioned from private healthcare providers. There are record levels of people waiting for operations and increases in diseases such as cancer.

The senior doctor was visibly moved to the verge of tears when he described one boy, who had a serious illness, but the nearest hospital that could take him was in Scotland, despite the fact that he and his family lived in England. They thus had to make a four hundred mile round trip to visit him.

This section was followed by a teacher, a young Asian woman, talking about the way education too, and teachers, was being deliberately starved of funds. She and the doctor made the point that the Tories were only interested in running services for profit.

And this will include the NHS.

The doctor warned that if the Tories win another Term, they’ll destroy it.

This is exactly what Jacky Davis and Raymond Tallis have been warning about in their book, NHS-SOS. As has Dr. David Owen in his book, and very many others.

Thatcher wanted to privatise the NHS, but stopped due to a cabinet revolt and warnings about how appalling the American private healthcare system was. Nevertheless, she carried on with a campaign to encourage 25 per cent of British people to take out private health insurance.

And it was Peter Lilley, the prancing pratt with the ‘little list’ of people he hated at a 1990s Tory conference, who set in motion the handing over of NHS hospitals and services for private companies like Circle Health, Virgin Healthcare, et al to run, because he wanted to open up the state sector occupied by the NHS to private industry.

This programme of privatisation has been carried on by Blair, Brown, Cameron, Clegg and now May.

Don’t believe May’s lies about increasing NHS funding. She and her party have lied so often before you can’t trust anything she says.

Believe Labour.
And vote for them, to reverse the privatisation of the NHS on June 8th.

This may be our last chance to save the NHS.

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.

Inside Out West on the Break-Up of the NHS Into Regions

January 19, 2017

Monday’s regional current affairs programme for the Bristol and Somerset area on BBC 1, Inside Out West, was on the dire condition of the NHS. It asked whether we now had a national health service, when healthcare provision could vary greatly between different regions. One of the people interviewed was a West Country man, who’d contracted hepatitis B. Unfortunately, the drugs he needed to treat his disease weren’t available locally under the NHS, and he’d been forced to spend £1,300 of his own money. However, treatment for the disease was free in the north east.

The show next interviewed a woman from that area, who’d had trouble obtaining treatment there for the disorder she had. I’ve forgotten now quite what she suffered from, but taken together, the two provided very strong evidence, backed with statistics, that the NHS was being broken up, and healthcare could be very much a ‘postcode lottery’, with patients in areas with poor healthcare provision having to pay for their treatment themselves.

At the end of the programme, the presenter gave the Department of Health’s view of the matter. Unsurprisingly, they claimed that more people than ever before were being treated, and came out with a statistic that claimed to show there were more cancer operations than ever. But they didn’t send anyone to be interviewed on the point.

This is the kind of spin the Tories have been coming out with ever since Thatcher got into power. We’re back to Theresa May claiming that there is no NHS crisis, and trying to shut up any healthcare professional that dared to say otherwise. The programme also interviewed several medical professionals, including doctors, who said that the NHS was very definitely being broken up and healthcare rationed. Most of them were anonymous, but one very famous medical man did appear on camera. This was the avuncular Dr. Robert Winston, the fertility specialist and science presenter, who stated very clearly that we now very much didn’t have an NHS providing universal coverage with the same standard throughout the country. He recognised that there had always been variations in the quality of healthcare in Britain, but now it had got much, much worse.

The fact that the Department of Health didn’t send any of their apparatchiks to argue the point shows that they’re very much aware their own position is open to serious questioning.

This situation is very much what the Tories and Blairites wanted. They wanted to break up the local health authorities and replace them with other administrative structures, in order to encourage competition between regions. Because competition is supposed to improve quality according to capitalist economic doctrine. Blair tried to roll back some of this, but simply replaced the Tory administrative structure with his own in order to encourage the regionalisation of the NHS and the privatisation of the health service, based on the pattern of American private healthcare providers like Kaiser Permanente. This is all described by Jacky Davis and Raymond Tallis in their book, NHS-SOS. Cameron and May have taken this process further, passing laws that exempt local health authorities from having to provide a range of services free of charge, including ambulances. The legislation is convoluted, but it also means that the Minister for Health is no longer responsible for making sure people have access to state healthcare.

This is all very deliberate. And the effect is that increasingly more people are having to spend their money on healthcare that should be free to all, according to the founding intention of the NHS that it should be universal and free at the point of use.

Don’t believe the Tory rubbish that they are not privatising the NHS. They are.

Support the NHS. Kick out May and Jeremy Hunt.

OBR Starts Scaremongering over Projected Cost of NHS over Next Half Century

January 18, 2017

Mike put up a story today about a report from the OBR claiming that the NHS’ budget will have to be increased by £88 bn over the next 50 years. They claim that in order to meet those costs, other parts of the government’s budget would have to be cut. Indeed, the amount of money that would need to be spent on the NHS to meet demand would make the budget generally ‘unsustainable’, according to the report Mike quotes from the Graoniad.

Mike calls this scaremongering, and points out that there are plenty of ways costs could be reduced to acceptable and sustainable levels.

* Like making sure people have access to cheap drugs. Again, this is not something the Tories want. A few years ago, their Health Minister, Alistair Burt, actually filibustered a bill that would have allowed the government to seek new licences on unpatented drugs that would have allowed the NHS to purchase cheaper medicines. As Mike points out, Burt’s obstructive speechifying in parliament added millions to the NHS bill then. All to benefit big pharma against the NHS and the people of this country. Even those with private medical coverage.

* The pressure on beds through bed-blocking by healthy people with nowhere else to go could be solved through more funding for care homes, and raising the social care budget so that family members could care for elderly relatives at home.

* Some healthcare costs will be reduced through ordinary progress, as people become better aware of the risks to their health, and take care to avoid them.

* The costs of healthcare could also be cut by actually reversing the Tories’ attacks on health and safety legislation. Mike also points out that workers’ health can be improved by paying them better, as low pay causes more stress, and damages their mental and physical health. But as he also points out, Conservative supporting bosses get very upset if you point that out to them.

* And you can also cut £22 billion from the NHS’ budget by getting rid of the all the contracts given to private healthcare companies.

Mike states that all that’s needed is the will to try doing things in a better way. Starting by kicking out May and the Tories.

http://voxpoliticalonline.com/2017/01/18/new-scaremongering-over-cost-of-nhs-ignores-vast-possibilities-for-change/

There’s a lot more that could be said here, not least about the OBR itself. I’ve got a feeling it was established by the Tories. Whoever set it up, I am sure that the Office of Budgetary Responsibility was set up to ‘lock-in’ the cuts to government spending by providing a spurious statistical legitimacy to the neoliberal doctrine of limiting government expenditure to the bare minimum. You can see it in the departments’ very name: Budgetary Responsibility. Not ‘Fiscal Effectiveness’ or ‘Efficiency’, but ‘Budgetary Responsibility’. It’s to reinforce the message that spending as little as possible of taxpayers’ money is ‘responsible’. It’s part of the Tory refrain that they represent ‘responsible’ government expenditure as opposed to ‘high-spending’ Labour. Which is a colossal myth. Under the Labour party, as Jacky Davis and Raymond Tallis make clear in their NHS-SOS, the NHS was in budget.

This piece by the OBR also comes after the Tories have been rightly under attack for the crisis in the English NHS.

It therefore looks to me very like a Tory department issuing a very dubious budgetary speculation in order to justify the Tory round of cuts and privatisation. My calls it scaremongering, and also says at the beginning of his article that it’s trying to scare people into accepting the health service’s privatisation. He also makes clear that if that’s what they’re trying to do, they’ll have to try a lot harder.

Mike also wonders how much private healthcare will also cost by 2067.

That’s a very good question.

There is now a considerable movement for single-payer health care now in America, despite the intention of the Orange Nazi who’s going to be their next president to repeal Obamacare, and privatise social security, Medicare and Medicaid. The reason’s simple. Private healthcare in America is now massively expensive. It’s now so expensive that about a fifth of Americans can’t afford it. It also costs the American government far more than the NHS. In fact, if you look at the stats, America is one of the most expensive healthcare systems in the developed world.

And one of the most cost-efficient is the NHS. Or was, before Cameron and May took over and started to wreck it.

And in fact, if you look at the comparative stats, you find that Britain spent far less on its health service than other European countries. That was deliberate. It was under the Tories, once again, that Britain stopped funding our state healthcare at the same rate the Europeans funded theirs. Because the Tories have always hated spending money on the NHS.

You saw it a couple of years after the Health Service was introduced by Nye Bevan. A group of right-wing Tory MPs then got up on their hind legs to start shouting that the NHS was too expensive for the country. They lost the argument, but obviously never went away. They came back under Thatcher, and have been running the NHS down ever since.

And it’s because American healthcare is so expensive, that the private healthcare companies have crossed the Atlantic are trying to have our state healthcare privatised. Put simply, they’re having difficulty squeezing any more out of the Americans. So they came over here, and started whispering their blandishments to Tony Blair, who never met a rich, dodgy businessman he didn’t like. They didn’t need to do much persuading for the Tories, as the party of the rich, mendacious and exploitative was already well stocked with people, who stood to make a killing if the NHS was privatised.

And as private healthcare means that unless you can pay, you die, killing is precisely the right word.

This load of stats is sheer propaganda and scaremongering by a Tory-staffed government department for the Tories. Ignore it.

Work to rebuild the NHS.

Kick out the Tories.

May and Hunt must resign. Now!

Vox Political: It’s Not GPs Who Should Resign, It’s May and the Tories

January 15, 2017

Mike yesterday put up a piece reporting a statement by a deputy head of the British Medical Association, Dr. Kailash Chand, that many senior doctors were considering leaving the NHS thanks to being made scapegoats by the Tories for the current NHS crisis in England.

Mike makes the point that it is indeed the Conservative government that is responsible for the crisis. They aren’t responsible for the NHS in Ulster, Scotland or Wales, and so those nations haven’t suffered a similar crisis in their health services. May and Hunt have further tried to blame everyone but themselves for the crisis, including pensioners, who they were claiming were filling up needed seats and beds.

Mike states that this time it has gone far enough, and we should be demanding their resignation. His article concludes

Theresa May seems keen to blame anybody but herself – she tried to pin the crisis on the elderly before claiming that A&E departments are buckling because she thinks GPs are lazy.

Enough is enough.

Whenever Mrs May, Mr Hunt or any other Tory (with the exception of Dr Sarah Wollaston, who has spoken up for the NHS, thereby proving she is in the wrong political party altogether) tries to run down the NHS, its doctors, nurses, specialists, workers or users, let’s just tell them:

“No. You are to blame. Resign.”

It’s a simple message, and easy to repeat.

Put it out there a few times and even our Tory-loving mass media might get the hang of it.

http://voxpoliticalonline.com/2017/01/14/why-should-doctors-resign-because-of-the-nhscrisis-caused-by-theresa-may-and-jeremy-hunt/

Mike also asks why high profile medical leaders and politicians are not demanding May’s and Hunt’s heads. Jacky Davis and Raymond Tallis have a whole chapter on the failure of the medical profession to challenge the government over their piecemeal dismantlement of the NHS in their book, NHS-SOS. This topic may well deserve a blog post to itself to examine and explain it.

But for now, I completely agree with Mike. May, Hunt, Andrew Lansley and every other Tory, who has worked to undermine and destroy the Health Service from within, should resign. Now.

And why not also politicos from New Labour and the Lib Dems, who were also so keen to destroy the NHS in the interests of their corporate paymasters? They should go too.

And the same pressure should be kept on their replacements until the political class gets the message:

Restore the NHS.

Fund it properly.

Support NHS staff properly.

Or go.

These points are not negotiable.

Vox Political: Hospitals Overstretched, but Chief Nursing Officer Wants Beds Cut

January 7, 2017

Yesterday Mike also put up a story commenting on a tweet by Clive Peedell, of the NHS Action Party. Peedell was justifiably outraged by the attitude of the Chief Nursing Officer, Janet M. Cummings. At a time when the NHS is seriously overstretched because of a shortage of beds, Cummings decided that the number of Acute beds should be cut. Peedell stated that she should resign. Mike concurs, but asks if anyone knows the procedure for how to make the public’s feelings known about this.

http://voxpoliticalonline.com/2017/01/06/hospitals-warn-over-patient-numbers-while-nursing-officer-wants-bed-numbers-cut-contradiction/

Unfortunately, Cummings isn’t the only senior official within the NHS, who seems determined to destroy public healthcare. Back when Blair was P.M., the head of NHS strategy was Dr Penny Dash, who was as keen as Blair was to privatise the health service. In 2002 she wrote an article in the Graun about how the government should encourage consultants, surgeons

and indeed other groups of doctors, to form their own companies (or join existing private health providers) to sell their services back to the NHS.

She continued

Freed from the stifling grip of the NHS, these would be able to perform procedures in either the NHS or private hospitals, and would be able to form businesses of their own, raise capital, invest in new technology, or join up with the suppliers of such, and then would be able to offer a ‘full service solution’ to failing NHS hospitals. This, she claimed, could be the development that Blair and Milburn really wanted. (See Stewart Player, ‘Ready for Market’, in Jacky Davis and Raymond Tallis, NHS-SOS, pp. 46-7). You won’t be surprised to learn that after leaving the Department of Health, Dash went off to work for McKinsey, the American private insurance giant. She played a leading role in producing the two ‘Darzi’ reports recommending limiting NHS provision in London, and the system of privately run polyclinics. (p. 60).

And then in 2006, there was the establishment of the National Leadership Network of 150 health policy makers, management consultants, NHS Trust and private healthcare executives, as well as medical professionals, leaders and regulators, to ‘provide collective leadership for the next phase of transformation, advise ministers on developing policies and promote shared values and behaviours.’ And one of the first documents they produced, recommending the introduction of privatised services shared between the NHS and private sector, was Strengthening Local Services: The Future of the Acute Hospital. It seems to me that Cummings is a product, one way or another, of that network.

Mike wrote an article earlier this week stating very clearly that there was a toxic culture at the top of the NHS. It started with Blair, and its grown and expanded with Cameron, May and the Conservatives, aided by the Lib Dems. The only person, who has shown they genuinely want to roll back the privatisation of the NHS to Jeremy Corbyn.

He needs our support.

And the others need to be kicked out.

The Private Firms Paid Millions to Check Hospital Admissions

January 7, 2017

Last Thursday, the I newspaper carried a story about private companies being paid millions of taxpayers’ money to check doctor’s referrals of patients to hospitals. Yet these centres, run by private healthcare firms, aren’t at all new. They’re mentioned in Alyson M. Pollock’s and David Price’s chapter, ‘From Cradle to Grave’ in NHS – SOS, edited by Jacky Davis & Raymond Tallis, published in 2013. Pollock and Price write

Increasingly, general practice and commissioning functions will be operated and managed by for-profit companies, twenty three of which – including well-established outfits Virgin Care, Care UK and ChilversMcCrae Healthcare – already run 227 general practices. Professional autonomy will be eroded if, for example, referral management centres run by corporate providers are used to ensure referral and prescribing practices conform to corporate budgets and the needs of shareholders. These centres were already rejecting one in eight general practitioner referrals before the full force of the new health law has been felt, and they seem to be operating along the lines of American-style ‘prior authorisation’ arrangements, whereby doctors are required to obtain approval from a higher authority (usually a private health insurance provider) before making a referral for treatment or investigation. Some of the centres, such as UnitedHealth Group UK’s recently established ‘referral facilitation service’ based in Hounslow, are run by subsidiaries of US healthcare multinationals. (pp. 191-2).

Of course, this also shows how fake the Tory claim of giving patients more ‘choice’ in their healthcare actually is. And contrary to another grotty Tory claim, it’s another layer of bureaucracy actually put into the NHS to make it attractive to private contractors.

The whole process of privatisation needs to be reverse. Now. The only political leader determined to do it is Jeremy Corbyn, but you won’t know this from the hysterical denunciations of him for being ‘Trotskyite’ from Blairites and the mainstream press, including the I.

Lobster on a Report into BICOM, and Bias at the Beeb

September 27, 2016

BICOM

Lobster 66 also carried news of the publication of a report into one of the most important parts of the Israel lobby, BICOM in Robin Ramsay’s ‘View from the Bridge Column’. He wrote

The Britain Israel Communications and Research Centre: Giving peace a chance? by Tom Mills, David Miller, Tom Griffin and Hilary Aked is a study of BICOM, its creation and influence in British politics. Among its chapters are ‘The second intifada and the establishment of BICOM’, ‘BICOM and British Zionism’, ‘BICOM strategy, elite networks and the media’ and ‘The Fox-Werritty scandal and the decline of democracy’. If you are only going to read one chapter, make it chapter five, ‘BICOM strategy, elite networks and the media’, which describes in great detail BICOM’s (largely successful) campaigns to get the British media to follow a pro-Israel line. This 96 page report can be downloaded as a PDF file.

Ramsay notes that the report is available online at: http://www.dropbox.com/s/rgb5yn4vjt2q74r/Giving%20Peace%20a%20Chance%3F-Spinwatch-2013.pdf

Aunty’s In a Bind

Further on in the column, Ramsay discusses two reports into political bias at the Beeb. One of them, The Today Programme and the Banking Crisis, concluded that the coverage given to economic issues by Radio 4’s current affairs programme, Today, was dominated by spokesmen from the City, and they were the only commenters, whose views were taken seriously. Ramsay notes that a copy of the study itself cost $25 (sic – perhaps he means pounds). However, Nick Shaxson had put a detailed summary of it, ‘Is the BBC Afraid of the City of London’, on his blog at

Ramsay also reports that a study of the BBC’s bias in reporting the privatisation of the NHS had also been published. This stated

In the two years building up to the government’s NHS reform bill, the BBC appears to have categorically failed to uphold its remit of impartiality, parroting government spin as uncontested fact, whilst reporting only a narrow,
shallow view of opposition to the bill. In addition, key news appears to have been censored.

This study was at http://www.opendemocracy.net/ourbeeb/oliver-huitson/how-bbcbetrayed-
nhs-exclusive-report-on-two-years-of-censorship-anddistorti.

The BBC’s refusal to cover or criticise the government’s privatisation of the NHS is one of the issues Jacky Davis and Raymond Tallis criticise in their back, NHS-SOS, which discusses how a whole series of British institutions, which claim to provide a check on government, like the press, and the medical profession itself, failed to protect it and instead were cowed by government pressure.