We’re lucky there’s no such thing as the National Food Service [NFS], modelled on the National Health Service, to ensure equal access to affordable food supplies.
[…] It’s not hard to imagine the disaster befalling our kitchens and restaurants if the industry was organised into an NFS in pursuit of an equality agenda. GPs (Grocery Practitioners) would be the gatekeepers to food supplies, assessing everyone’s basic dietary requirements and issuing coupons according to guidelines from Whitehall under budgets set by the Treasury. PCTs (Primary Comestible Trusts) would oversee the distribution of food parcels, adopting best practices as judged by NICE (National Institute for Cuisine Excellence). There’d be nationally set waiting-list targets to see consultants on wine and cheese.
Fortunately, nobody is seriously proposing a National Food Service – yet. But, equally, nobody is seeking lessons from the supermarkets on delivering efficient health care in rapid response to changing consumer demands. Which is too bad.
I think this article makes its central point very clearly: that there is absolutely no credible reason why the NHS needs to be organised the way it is, i.e. through central government dictat and controlled by all-powerful vested interests. The equally important grocery industry is as near to free-market capitalism as you can get in this country, and yet somehow the less well off have plenty of options on where to shop and have not starved en masse.
The time for a free-market health service that truly reflects the needs of the customer – not the producers – is now. Will anyone do anything to bring this about before the current system collapses under its ever-increasing burden…?
I’m not holding my breath…
It seems that I have a new addition to my ‘Do Not Read!!’ list of London Evening Standard commentators: Andrew Neather. The article from Neather that caught my eye on the train home yesterday evening was “I’ve seen the real cost of tinkering with the NHS”
Neather begins his piece by trotting out the age-old red herring used by those who defend the current NHS setup – conflating the system with some of the people who work in it:
Down in the West Country for an aunt’s funeral, I was struck afresh by the oddness of people’s attitude to the health service. By the time my mother’s kid sister went to the doctor, it was far too late to treat her cancer. But for the remaining couple of months of her life, she received excellent care. “The nurses were so good,” said my mother.
And while, for sure, we read some healthcare horror stories in a nation of 60million, most of us say the same thing. In opinion polls, people consistently tend to rate their own care highly – especially their GP. But ask them what state they think the NHS is in, and half or more tell pollsters that it’s a basket case.
So your mother had a great nurse. How is that of any relevance at all to how the NHS is run? Presumably said nurse would continue to be a great nurse whether she worked in a state-run or a private hospital? It’s the same story with our GPs – in terms of the overall NHS system, we as customers at least retain some degree of control over whom we go and see in primary care. If we do not like our allocated GP, then we can usually ask to see a different one in future. Unfortunately, once we need specialist consultation and care, those of us needing NHS care pretty much have to take what we are given.
[Cameron] feels the need to do so because while the planned changes are complex, most people instinctively realise that NHS privatisation – companies profiting directly from their illness – is a scary thing. And they haven’t even lived in the US, as I have, and seen how rubbish such healthcare is in practice for all but those with gold-plated insurance policies.
Neather demonstrates his complete lack of understanding of economics here (although to be fair, none of our politicians apparently has a clue either). In a completely free market, i.e. with unfettered competition with no state interference in the form of barriers to new entrants, and with no regulations and tariffs favouring vested interests, profit is the deserved reward for entrepreneurs risking their own capital to provide goods and services to society. There is NOTHING wrong with profit – in healthcare as in any other industry – if it comes from voluntary transactions that benefit both parties.
Neather also throws in the obligatory red herring of the comparison to the US healthcare industry, as the bogey man to scare away people from even thinking about NHS reform. Of course the US is not the gold standard that we should be trying to emulate! As I wrote about previously, there are numerous other national healthcare systems with much better outcomes that we should be looking at for inspiration.
As a friend who is a head of service in mental health asks: “What if a private sector provider goes out of business -what happens to their patients? A decommissioned NHS service will not be there waiting.”
In a truly free healthcare market, there would be a multitude of private sector providers all competing for your business. If one provider went out of business (presumably due to incompetence or losing customers due to poor service), then there would be many others who could step in and would gladly take you on. If Ford went bust, would we suddenly not be able to buy a car? Would your lights go out at home if your electricity provider went into administration? Is Apple an international pariah because it makes stupendous profits from the sale of its highly desirable products? Of course not!
It would be perfectly possible to construct a fully privatised healthcare service in the UK, that would remain free at the point of use, and which would still provide cover for those who genuinely could not support themselves (e.g. the elderly & infirm, the mentally ill, etc). The problem is – and this is why I doubt that I will ever see it happen – that to create such a system would necessarily entail the dismantling of a system which serves the needs of the providers, rather than us the customers.
Perhaps the saddest thing about all this is that useful idiots like Neather don’t realise just how effectively they are being used by the same vested interests that perpetuate the NHS ‘basket case’ we all know is there…