The NHS is gearing up to make the NHS more like the American Health Care System prior to Obamacare

Posted by PITHOCRATES - September 30th, 2012

Week in Review

Big change is coming to the NHS.  Their great centralized National Health Service is about to become decentralized.  In an effort to cut out of control costs.  And improve the quality of care (see NHS ‘could get worse from 2013’ by Branwen Jeffreys and Nick Triggle posted 9/27/2012 on BBC News Health).

The health service is currently busy getting ready for the government’s reforms to go live in April…

Under the reforms, GP-led bodies, called clinical commissioning groups (CCGs), will take charge of much of the NHS budget, replacing primary care trusts (PCTs) which will be scrapped…

The NHS is at the start of a savings drive – it has been told to save £20bn by 2015 through becoming more productive.

Britain’s aging population has increased the demands on the NHS.  The number of patients are rising as retirees leave the workforce and suffer the ailments of age.  While the number of new workers entering the workforce to replace them is falling.  As is the tax revenue from those working.  Hence the savings drive.  Because of that aging population.  And the reforms are a decentralization of the NHS.  Putting local doctors in charge of treatment decisions for their patients.  And in charge of the money.  Taking health care back a little to how it used to be.  When a person’s family doctor was in charge of their treatment.  Not a distant bureaucrat.  Like it currently is in the U.S. prior to the full implementation of Obamacare.  But soon will be no more.  Something for the Americans to look forward to once they fully implement Obamacare.  Perhaps sooner than the British.  As the Americans are jumping into a national health care system with all the problems the British now have.

Meanwhile, a BBC survey of 1,005 people suggested 60% believed services would have to be cut…

Some 61% agreed that they expected the NHS would have to stop providing some treatments and services in the future due to rising costs and increasing demands.

Nearly three-quarters also said they did not trust the government with the health service…

“The end of the public sector pay freeze next April may add to financial pressure and increase the strain on services.

“The difficulty will be finding ways to absorb these costs without compromising the quality of care for patients.”

But health minister Lord Howe maintained the NHS was “on track” to achieve its savings target…

Waiting times have been kept low, infections have been reduced, there are more doctors, more diagnostic tests and more planned operations,” he added.

This is, of course, what that aging population will do to a national health care system.  As more patients enter the health service than the population grows to pay for it (with an expanding tax base) you get longer wait times, more infections, fewer doctors relative to patients, fewer diagnostic tests and fewer planned operations.  Which forces the health service to find ways to make their limited resources cover more of that expanding patient base.  And key to their reforms is making health care more efficient.  By putting the people closest to their patients in charge of their patients’ treatments.  So they can get more from their NHS funds.

The U.S. has the same problem Britain has.  An aging population.  And yet the U.S. and Britain are moving in two different directions with their health care systems.  Who is right?  The one making changes based on the accepted reality of the impact of an aging population?  Britain.  Or the one making changes based on their confidence that they can do national health care better than everyone who has ever tried?  The U.S.  Despite that aging population.

Britain is moving in the right direction.  Because they have no choice but to move in that direction.  Whereas the U.S. has a choice.  Because their health care has been in the private sector up until Obamacare.  In fact that has worked so well that the British are moving in that direction.  Which makes us scratch our heads at those moving away from it.  Are they so full of themselves, are they suffering from such delusions of grandeur, that they think they can do the same thing (national health care) and expect to get different results?  Albert Einstein had a word for thinking like that.  Insanity.


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