A damn fine article from
The Lancet:
http://download.thelancet.com/flatconte ... 602876.pdfQuote:
At a time when the NHS
has never been more popular and when there is increasing
evidence of its cost-effectiveness, we are sleep-walking into
its destruction.
Quote:
The building blocks are being put in place by the
Health and Social Care Bill for a return to an insurance-
based system, starting with personal budgets and year-
of-care funding for long-term conditions and with the
specification that Foundation Trust Hospitals will be able to
raise 49% of funding from private patients. The pathway is
clear to recreating voluntary and Poor Law hospitals, this
time under the same roof. This assault on universalism
has been eloquently described by Martin McKee and
David Stuckler, who identify a key milestone as being the
vilification of poorer people and the creation of a mindset
among those in middling positions that those beneath
them are scroungers and undeserving. The Poor Law
concept of the deserving and undeserving poor is alive
and well, and living in 10 Downing Street and Richmond
House.
Quote:
mass circulation newspapers feed hostile and
negative propaganda in defiance of the facts about public
services in general and the health services in particular,
softening both them and the public up for carpet-bagging
private organisations to move in to cream off profitable
short-term opportunities, leaving the costly areas of
obstetrics, accident and emergency, psychiatry, care of the
elderly—not to mention high-end, innovative surgery—
to residual state provision, with massive increases in
transaction costs en passant.
Quote:
As we stand on the verge of
possibly irreversible damage to one of the hallmarks of
what it is to live in a civilised country, it is time to rise up
and defend an institution that was built by our parents
and our grandparents and which we owe to our children
and our grandchildren to maintain and to pass on to them
and to their guardianship.