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.
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!