It was a Bad Year for the NHS which Portends a Bad Future for Obamacare

Posted by PITHOCRATES - December 29th, 2013

Week in Review

Britain has had its problems with their National Health Service (NHS).  Where national health care is proving to be unaffordable.  Especially now that their population is aging.  People are living longer into retirement and consuming more health care resources.  While a falling birthrate is producing fewer new taxpayers to replace those retirees leaving the tax-paying workforce.  Forcing them to raise taxes on those still paying taxes.  Or cutting spending on those who aren’t paying taxes.  Those consuming the lion’s share of their limited health care resources.  Those retirees.

Those are the choices.  And they are the only choices.  Because when it comes to national health care it’s a zero-sum game.  Either you take more from some to pay for others.  Or you spend less on everyone to make those limited resources cover more people.  Which is the great flaw in national health care.  Because your health care depends on what others are willing or able to give you.  Something that’s been happening ever since health insurance became an employee benefit.  For before that you paid for your health care.  And no one denied you anything.  Because you were in control by paying your own bills.  But then came the third parties.  First the health insurance companies.  And then the government.  As always is the case when you introduce ‘middle men’ costs rise and efficiencies fall.

As health care became a benefit it required generational theft.  Taking money from the young and healthy to pay for the old and sick.  When health care became a right the generational theft grew greater.  And when government took over the generational theft grew even greater.  As government is notoriously less efficient than private health insurers.  Requiring ever more money to provide the same level of health care found in the private sector.  Which is why 2013 was not a good year for the NHS (see Was 2013 the NHS’s annus horriblis? by Nick Triggle posted 12/27/2013 on BBC News Health).

It has been a bruising year for the NHS in England…

It kicked off with the publication in February of the Francis Inquiry into events at the Stafford Hospital, which accused the service of betraying patients.

By the start of the summer, another 14 hospitals with the highest death rates were being hauled over the coals for their failings in their care…

As autumn came, another review – this time on complaints – was scathing about the attitude of the NHS to complaints.

The report, led by Labour MP Ann Clywd who had broken down on radio over the care given to her late husband, said there was a culture of “delay and denial”.

Of course, controversy has surrounded the health service before…

But that was about how the service was structured.

This year has been about the very basics – the quality of care – and so in that sense it has felt different…

According to Chris Hopson, chief executive of the Foundation Trust Network, the giant hurdle in the way of further progress is money.

“This is perhaps the trickiest position the NHS has ever been in,” he says.

“We are looking at a period of 10 years where money will be incredibly tight and what we are seeing now is a mismatch between what is being asked for and what is achievable.

The United States has an aging population just like Britain.  And has the same problem paying for their health care as they do.  Requiring ever greater amounts of generational theft.  As Obamacare all but picks up our young by the feet to shake whatever money they can out of their pockets.  Which begs the question if the NHS is such a case study in what not to do why did President Obama and the Democrats do the Affordable Care Act?

The answer is simple.  Because Obamacare is not about health care.  It’s about government power over one-sixth of the U.S. economy.  For if it was about health care they wouldn’t have done the Affordable Care Act.  Because of the lessons offered by the NHS.  Lessons President Obama and the Democrats ignored when passing Obamacare into law.  As they weren’t being honest with the American people.  Because they want what the British have.  Even if it reduces the quality of our health care.  Which is obvious by their passing the Affordable Care Act despite all of their woes in the NHS.  Which will soon be our woes.

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