The NHS drops Life-Saving Drug as it would lead to more Rationing and longer Wait Times

Posted by PITHOCRATES - April 22nd, 2014

Week in Review

In 1954 almost 35% of all workers belonged to a union.  Since then that number has fallen to about 11.3%.  As the high cost of union contracts chased manufacturing out of the country.  Today the majority of workers belonging to a union work in the public sector.  Where they enter contract negotiations with the taxpayers to secure better pay and benefits than most taxpayers have.  Of course during these negotiations the taxpayers have no say.  As politicians and unions hammer out these contracts.  Unlike trade unions.  Where the people paying the workers actually have a say.

This is another reason why national health care is the Holy Grail for the left.  They want to unionize all those health care workers.  Pay them more.  And deduct union dues from their pay to fund their political activities.  Leaving less money for patient health care.  But they’re okay with that.  But they’re not okay with a pharmaceutical company charging a lot of money for life-saving drugs.  Which, also, leaves less money for patient health care (see Breast cancer drug turned down for NHS use due to high cost by Sarah Boseley posted 4/22/2014 on the guardian).

A Herceptin-style drug that can offer some women with advanced breast cancer nearly six months of extra life has been turned down for use in the NHS because of its high cost.

In draft guidance now open to consultation, the National Institute for Health and Care Excellence (Nice) blames the manufacturers, Roche, who are asking for more than £90,000 per patient, which is far more than any comparable treatment…

“We apply as much flexibility as we can in approving new treatments, but the reality is that given its price and what it offers to patients, it will displace more health benefit which the NHS could achieve in other ways, than it will offer to patients with breast cancer.”

Paying health care providers more will not improve the quality of health care.  Unless health workers are doing a half-assed job now.  Which I don’t believe they are.  But Roche is helping people with death sentences live another six months or so.  That’s a pretty remarkable thing.  If the NHS can’t afford this wonder drug perhaps they should use their own.  Of course they can’t.  Why?  Because they don’t have one.  For they didn’t pour hundreds of millions of dollars in developing this drug and the all those drugs that failed.

Developing a miracle drug is costly.  Money the pharmaceuticals pay up front.  Because their employees don’t work for free.  Which is why these drugs cost so much.  That high price pays for all of the costs that went into this drug.  For all of the drugs that failed.  And provides a return for investors.  Who give these pharmaceutical companies hundreds of millions of dollars up front just in the hope they may develop a miracle drug.  Which is the only way we should invest in these miracle drugs.  Because these investors will only take a chance on a good thing.  Unlike government.  Which has a history of backing the wrong investment time after time.  And pouring good money after bad.

It’s a tough choice to make.  Take health care benefits away from other patients to pay for a miracle drug for those dying from cancer.  Or let people die 6 months or so sooner.  One thing for sure, though, unionizing our health care workers won’t give either of these patients more health care benefits.  It will only leave less money for everything else.  Leading to rationing.  And longer wait times.  Because less money will pay for fewer things.  Making those other things scarcer.  Forcing people to wait longer and pay more for treatment.

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The Left wants a Health Care System like Britain’s NHS despite the NHS having Crippling Deficits

Posted by PITHOCRATES - April 19th, 2014

Week in Review

Obamacare is not going well.  The say it is.  But it isn’t.  The White House can all of a sudden give us a number like 8 million enrollees when they said earlier they couldn’t tell until the insurance companies tell them.  And the other big question is this.  Are these enrollees?  Including all people who enrolled whether they paid or not?  Or are these only the people who paid?  Or are most of these people enrolling in Medicaid?  Those who won’t ever pay?  If that 8 million aren’t paying customers Obamacare is doomed.

So the financial foundation of Obamacare is likely very perilous.  Where the sick and poor are probably signing up more than the healthy with money.  And the delay of the employer mandate to sometime after the midterm election takes a bad financial foundation and makes it worse.  For they can’t keep delaying the funding parts until after elections.  Because someone has to pay for all of the subsidies.  As well as the high cost of the old and sick.  Which alone may bankrupt Obamacare (see Labour considers raising national insurance to fix £30bn NHS ‘black hole’ by Toby Helm posted 4/19/2014 on the guardian).

Radical plans to increase national insurance contributions to plug a looming £30bn a year “black hole” in NHS funding and pay the spiralling costs of care for the elderly are being examined by Labour’s policy review.

The Observer has learnt that the idea is among options being considered to ensure NHS and care costs can be met under a future Labour government, without it having to impose crippling cuts on other services in successive budgets.

Senior party figures have confirmed that a scheme advanced by the former Labour minister Frank Field – under which funds from increased NI would be paid into a sealed-off fund for health and care costs – is being examined, though no decisions have been taken.

Recent figures based on data from NHS England and the Nuffield Trust and produced by the Commons library suggest that NHS costs alone will go from £95bn a year now to more than £130bn a year by 2020.

Some have suggested that they designed Obamacare to fail.  So they can get what they really want.  Single-payer.  Or national health care.  Like they have in Britain with their National Health Service (NHS).  Which is running an enormous deficit.  Based on the above numbers it currently is 31.6% (£30bn/£95bn).  Which is just unsustainable.  But this is what an aging population will do.  When you have more people leaving the workforce consuming health care benefits paid for by fewer people entering the workforce.  Which should be a huge warning for the United States.  Because they have an aging population, too.

At the current exchange rate that £30 billion comes to $50.37 billion.  Is this what the US can expect?  No.  Because they have five-times the population Britain has.  So their deficit will be approximately five-times as big.  Or $251.85 billion.  That’s a quarter of a trillion dollar shortfall PER YEAR.  At least.  And $2.52 trillion over a decade.  So unless the Americans can somehow make their people less sick so they won’t consume health care resources the deficit alone for Obamacare will be more than twice the original CBO projection for the total cost over 10 years.  Which means the Americans will have to do what the British must do.  Increase taxes.  Charge for some health care services in addition to these higher taxes.  Or impose crippling cuts to services.  Hello rationing.  And longer wait times.

This is the absolute worst time to impose a single-payer/national health care system.  Just as the baby boom generation fills our health care system in their retirement.  It might have worked if we had kept having babies the way we did before birth control and abortion slashed the birthrate.  But we didn’t.  And now we have a baby bust generation stuck footing the bill for a baby boom generation.  Fewer paying for more.  And the only way to make that work is with confiscatory tax rates.  Or death panels.  Because you have to raise revenue.  Or cut costs.  There is just no other option.  Or people can work longer, pay out of pocket for routine, expected expenses and buy real insurance to protect themselves from catastrophic, unexpected medical expenses.  Which is actually another option.  And probably the only one that will work.

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The Democrats think they can do National Health Care better than Britain despite the Obamacare Website Rollout Disaster

Posted by PITHOCRATES - March 30th, 2014

Week in Review

Those on the left settled for the Affordable Care Act.  It’s not what they wanted.  But they think it can, in time, give them what they want.  Single-payer health care.  Or a true national health care system.  Like they have in Britain.  Oh how the left would love to have a no nonsense National Health Service (NHS) in the United States.  A system totally funded by general taxation.  Because that would be better than Obamacare.  And far better than what Obamacare replaced.  Now those who think that are either lying to the American people.  Or are completely ignorant to what’s going on in the NHS.  For the highly esteemed NHS is on life support (see £10 each can save the NHS by Norman Warner and Jack O’Sullivan posted 3/30/2014 on the guardian).

A care and cash crisis is sending the NHS bust. In its present form, a shortfall of £30bn a year, or more, is expected by 2020. Paying off the nation’s deficit means five more years of further deep public expenditure cuts, whoever is in government. So, over-protecting an outdated, cosseted and unaffordable healthcare system inevitably means starving other vital public services, unless we choke off economic growth and worsen the cost of living with big tax increases. That might be worth contemplating if the NHS was offering brilliant care. But it isn’t.

Just look at the thousands of frail elderly people who get the care they need only by queuing in A&E and spending weeks in hospital – the most expensive and often the worst way to look after them. And let’s not forget that the NHS is sleepwalking through an obesity epidemic.

These are truths hidden from public view. Many politicians and clinicians are scared to tell people that our much-loved 65-year-old NHS no longer meets the country’s needs. Frankly, it is often poor value for money, and the greatest public spending challenge after the general election…

Our specialist hospital services should be concentrated in fewer, safer, better-equipped and more expert centres with 24/7 consultant cover and improved transport links…

A new integrated “National Health and Care Service” would pioneer a “co-producing” health partnership between state and citizen, with annual personal health MOTs agreeing responsibilities over the year for both services and the individual. At the heart of this relationship would be an NHS membership scheme, charging £10 a month (with some exemptions) collected through council tax for local preventative services to help people stay healthy.

This is one of several new funding streams urgently needed to renew impoverished parts of our care system but preserving a mainly tax-funded NHS that is largely free at the point of use. We have to escape the constraints of general taxation if we want a decent system…

Just 3.5% of the annual 500,000 deaths lead to payment of inheritance tax. We must expect the elderly, after their deaths, to contribute more. NHS free entitlements, such as continuing care, could be reduced or means-tested and hotel costs in hospital charged, as in France and Germany.

Britain has an aging population.  Fewer people are entering the workforce to pay the taxes that fund the NHS.  While more people are leaving the workforce and consuming NHS resources.  So less money is going into the NHS while the NHS is spending more and more money on patients.  Leading to a deficit that they can’t pay for without killing the economy.  Or taking money away from other government services.

If the NHS was providing quality health care they could probably justify taking money away from other areas.  But it’s not.  The one argument for passing Obamacare was that it would reduce the burden on emergency rooms.  But it’s not doing that in Britain.  The wait times are so long to see a doctor or get a procedure that people are going to the emergency room (A/E in Britain) and waiting for hours instead of waiting for months.  Further increasing costs and wait times.  And frustrating patients.

So what is the solution to a failing national health care system?  Close hospitals and make people travel further for treatment.  And charge them £10 ($16.64) monthly in addition to some of the highest tax rates they already pay to fund the NHS.  So, to summarize, to make national health care work in Britain they need to close hospitals, make people travel further for care, charge them more money and make them wait longer for treatment.  Which is basically the argument against the Affordable Care Act.  It would lead to rationing.  And longer wait times.  Worse, the quality of care will decline.  As it has in Britain.  As it will in the United States.  For we also have an aging population.  And we have about five-times the people they have in Britain.  Which will make our problems five-times worse than theirs.

What’s happening in the NHS is no secret.  Any proponent of national health care no doubt looks at Britain and their NHS.  So they must be familiar with how it’s failing.  Yet they press on for a similar system in the United States.  Why?  If it won’t improve our health care system why do they want national health care?  This is the question we should be asking the Democrats.  Why?  Of course they will say Britain just isn’t doing national health care right.  After all, they’ve only been doing it for 66 years.  So what do they know about national health care?  While we, the liberal Democrats will say, will get national health care right from the get-go.  Because we are just so much smarter than everyone else in the world.

Of course the British could, and should, fire back with, “Yeah?  How did that Obamacare website rollout go?  You’d think that someone who is so smart that they could do national health care right from the get-go could actually build a sodding website that works.”

But, of course, they didn’t.  And the website was the easiest part of Obamacare.  A one and done thing.  And if they couldn’t do that right do we really want these people anywhere near our health care?  No.  Especially when the British are struggling with national health care after trying it for 66 years.  For national health care is apparently more difficult to do than building a sodding website that works.

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More Budget Cuts increase Wait Times to see Doctor in the National Health Service

Posted by PITHOCRATES - February 23rd, 2014

Week in Review

The problem with national health care is that it is zero-sum when it comes to budgeting.  There is one big pie of funding that they divide throughout the system to pay for all of its parts.  But anyone who has ever paid attention to a budget debate in Washington has seen that there is never enough in the pie.  And no one is ever satisfied with their slice of the pie.  Worse, every department will spend every last cent in their appropriation lest they reduce next year’s appropriation by the amount of any unspent funds in this year’s appropriation.  No matter how wasteful that spending is.  Such as for conferences in Las Vegas.  Or extravagant office parties at home.

Britain’s National Health Service (NHS) is straining under the cost of an aging population.  More people are leaving the workforce than are entering it.  Which means fewer people are paying taxes.  Just as the number of people using the resources of the NHS is growing.  Forcing the NHS to do more with less.  Which has everyone complaining about their chunk of the NHS budget (see ‘Unprecedented’ cuts see GPs warn half of Britain will be unable to get appointments by Charlie Cooper posted 2/23/2014 on The Independent).

More than 34 million people will fail to secure an appointment with their doctor at some point this year, the GP’s professional body has claimed, blaming “unprecedented” cuts to funding for family practices.

The Royal College of General Practitioners said that the profession was “on its knees” and called for GPs to get a larger share of the NHS budget.

However, the Department of Health dismissed their findings – which would imply that more than half the UK population will miss out an appointment this year – as “complete nonsense” and accused the college of “sensationalising” the issue.

General practice has seen its share of the NHS budget – which totalled more than £109bn in England last year – significantly eroded in recent years, from 11 per cent in 2005/06 to 8.5 per cent in 2011/12…

“GPs and practice nurses want to provide high quality care for every single patient who seeks a consultation, and over the last decade we have increased the number of patients we see each year in England by 40m,” she said. “However [we] can’t keep doing more for less…”

“The GP survey showed the vast majority of patients are satisfied with their GP and rated their experience of making an appointment as good,” the spokesperson said, adding that GPs had been given an extra £50m to modernise services and stay open longer.

Whenever you want to see your doctor you need to make an appointment.  In the NHS that could take a few weeks.  Which is driving a lot of people to the A/E (accident and emergency departments).  Because they are sick now.  And don’t want to wait 2 weeks to see a doctor to get an antibiotic for their strep throat.

If you read the comments following the linked article you can get a feeling of what the British people think about the NHS.  And an idea of what Obamacare may lead to.  They love their NHS.  But are exasperated by it.  Some think the doctors are too greedy.  But there isn’t a mad rush to become a doctor to relieve the doctor shortage.  So whatever the pay is it isn’t enough to get people to join the profession.  Which ultimately increases the wait times to see a doctor.

The problem is that aging population.  People who remember a kinder and gentler NHS remember one before the baby boomers retired and overloaded the system.  Who are living longer into retirement.  Consuming more of the NHS’ limited resources than people did before the baby boomers retired.  Had Britain (and every other advanced economy) not reduced its birthrate around the Sixties they would not have this problem now.  But they did.  So they are.  As we will, too.  And every other advanced economy with an aging population will.  Making it a very bad time for national health care.  Yet President Obama and the Democrats have given us Obamacare at precisely this time.  Which is guaranteed to make health care in the United States worse.  If you don’t believe that just read the comments following the linked article.

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Obamacare already has more Ignored Complaints than they have in the NHS

Posted by PITHOCRATES - February 8th, 2014

Week in Review

People hate government bureaucracies.  They can’t stand getting their driver’s license renewed.  They hate getting the necessary approvals before making an improvement on their property.  They especially hate having to deal with the IRS.  Giving the choice we would all gladly have our dentists fix our cavities then endure those ordeals.  Without Novocain.  Because it is so frustrating dealing with a slow-moving, inefficient and inept government bureaucracy.  Which is why people don’t want national health care.

Obamacare is already showing what a slow-moving, inefficient and inept government bureaucracy it is.  From the abysmal rollout.  To those 22,000 people trying to get that slow-moving, inefficient and inept government bureaucracy to correct the mistakes that bureaucracy made.  They submitted complaints through the proper channels.  Where they promptly disappeared in the system and went ignored.  Something we can expect more of with this new slow-moving, inefficient and inept government bureaucracy.  As it is a common feature of a national health care system (see NHS watchdog accused of ‘throwing away’ complaints by Laura Donnelly posted 2/3/2014 on The Telegraph).

An NHS watchdog has been accused of failing thousands of patients and bereaved relatives after admitting it fully investigated less than 400 of 16,000 patient complaints made last year.

The figures emerged as a leaked report, seen by The Telegraph, discloses a litany of errors investigating a death at the heart of the Morecambe Bay hospital scandal, where up to 16 babies died amid poor care.

Last night bereaved parents said the Health Service Ombudsman – the body with ultimate responsibility for complaints against the NHS – was “a disaster for patients” while health experts said the organisation was “virtually ignoring” the desperate pleas of families seeking explanations for poor care.

The watchdog’s own records disclose that during the year 2012/13, less than three per cent of complaints which came to them were “fully investigated”.

Unlike Obamacare these complaints are not about data entry errors.  These complaints are about substandard care resulting in patient harm.  And death.  But what happens when the bungling bureaucracy investigates itself?  They tend to circle the wagons to protect their beloved bureaucracy.  While failing the people.  Which will happen with Obamacare.  Where they are already circling the wagons to protect their beloved bureaucracy over data entry errors.  Imagine the callousness that will enter the system when people suffer harm and death from substandard care.

Of course we can trust the government to prevent this from happening.  After all have they let us down yet in the investigation of their ineptitude and callousness over Benghazi?  And let us not forget how they got to the bottom of IRS targeting conservative groups to silence them during the 2012 election.  That thing where there wasn’t even a “smidgen of corruption.”  Yet the woman in charge of that pleaded the Fifth Amendment.  Which defendants do for only one reason.  So they don’t incriminate themselves.  But there wasn’t even a “smidgen of corruption” here.

Is it any wonder 22,000 people can’t get someone to respond to their complaints?  Or that government bureaucracies rarely do a good job when they investigate themselves?  So get ready for a similar fate the British people are suffering with their NHS.  But instead of 16,000 complaints being ignored there will be about 80,000 complaints that will be ignored.  Or more.  As we have about 5 times the population the UK has.  And we don’t have the 66 years of experience in doing national health care they have.

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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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Longer Wait Times, Rationing and Higher Mortality Rates are the Inevitable Outcome of National Health Care

Posted by PITHOCRATES - November 23rd, 2013

Week in Review

The American left wants national health care. Just like the British have.  In their National Health Service (NHS).  But when critics say national health care will lead to longer wait times and health care rationing the left says balderdash.  Despite what’s happening in the NHS (see Hospital discharges: figures highlight impact of delays by Adam Brimelow posted 11/22/2013 on BBC News Health).

Last month the number of days “lost” by patients who needed the beds was the highest for more than three years.

Senior doctors working in accident and emergency departments say it is a major cause for concern…

“The delays are a key cause of overcrowding in emergency departments, which is associated with higher mortality,” he said…

A spokesman for the Local Government Association said councils had worked hard to protect social care services from the full impact of cuts, but added: “Unless local government finance is put on a sustainable footing, social care will remain substantially underfunded and services will suffer as a result.”

A shortage of hospital beds led to longer wait times in moving patients out of emergency departments and into a hospital bed.  Leading to higher mortality rates.  Which means longer wait times and rationing have caused more people to die.  This isn’t balderdash.  This is the inevitable outcome of national health care.  And the inevitable outcome of Obamacare.

As the Affordable Care Act rollout continues to crash and burn the Obama administration will soon be saying we tried fixing our health care problems the private health insurance route and failed.  Proving that the problem is the health insurance companies.  And the only way to fix this problem is with a single-payer system.  Or a true national health care system.  Like the NHS.  It’s coming.  Because it’s been the plan all along.

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People who think Obamacare will make Health Care Better need to Understand how things are in the NHS

Posted by PITHOCRATES - November 3rd, 2013

Week in Review

The left wanted single-payer.  But they didn’t get it.  Because people in the United States do NOT want any form of national health care.  So they settled for the Affordable Care Act.  Believing it was the pathway to single-payer/national health care.

Why do they want this so much?  So they can provide high quality yet affordable health care to everyone?  No.  They just want the power national health care gives those in power.  Even if it destroys the health care system we have.  As it has done in Britain.  The National Health Service (NHS) is the very model the left would like to have in the United States.  Despite the NHS making health care for the average Briton horrible.  Don’t think so?  Well, read Pills, bills and bellyaches: a peek behind the scenes at a GP surgery by Stephen Moss posted 11/3/2013 on The Guardian and you will see just how bad national health care is.  And what we have to look forward to as Obamacare transfers more of our health care system to government control.

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Hinchingbrooke Hospital breaks free from the NHS Bureaucracy and Improves Health Care

Posted by PITHOCRATES - October 13th, 2013

Week in Review

Britain has government-run national health care.  The National Health Service (NHS) provides free health care to all Britons.  And the medical tourists who travel to the country for free health care.  Straining the NHS budget.  At a time when Britain’s aging population is stretching their limited resources thin.  Leading to longer wait times.  Longer travel times as they close local hospitals to consolidate their resources in fewer locations.  And rationing.

Even with their longer wait times, travel times and rationing of services they are still running a deficit in the NHS.  To address these chronic cost overruns they are trying to find £20 billion ($30.54 billion) in efficiency savings over three years.  But there is a beacon of hope for the NHS.  At Hinchingbrooke Hospital (see Set doctors and nurses free to use their common sense – as Hinchingbrooke Hospital does by Charles Moore posted on The Telegraph).

Last month, I visited Hinchingbrooke Hospital, near Huntingdon, the only NHS Trust in the country operated by a private partner…

I spent half a day at Hinchingbrooke, talking to doctors, nurses, administrators and patients, and seeing several wards…

One can visit a large organisation without being aware of big problems. Indeed, one of the great difficulties of the NHS is that internal communications are so bad that people can work well in one area without being aware of utter disaster a few yards away. In the case of Hinchingbrooke, under previous management, maternity was very good while the colorectal unit was shameful. So what follows is not definitive; but I feel I learnt something.

Uniquely in the NHS, Hinchingbrooke’s executive board is dominated by clinical practitioners (doctors and nurses, to you and me). The chief executive is an obstetrician. Only three of the 14 board members have non-clinical backgrounds.

In the only trust that has a private partner doctors and nurses determine how best to treat patients.  Instead of the faceless bureaucracy in the rest of the NHS.  Or what the proponents of Obamacare hope to force onto the American people.

One of the key working methods, borrowed from Toyota, is “Stop the Line”. Anyone in the hospital can stop the line if he or she believes that there might be a “serious untoward incident” or danger to a patient…

A similar, lesser action is a “swarm”. If you are urgently worried about something, you can summon all the relevant people together immediately. Unlike “whistle-blowing”, which is inevitably retrospective and often involves grievance and disloyalty, these ways of acting are instant and preventative. You are encouraged to use them. Someone stops the line in Hinchingbrooke most days.

Nurses work differently from most parts of the NHS. They all wear uniform, even if in managerial roles, and they are encouraged to take part in management without abandoning clinical work…

But what struck me about Hinchingbrooke was not that it was brilliantly original – simply that it was free to act according to common sense. Involve staff in decisions. Make sure that doctors and nurses can run things. Learn from commercial examples of how to improve services. Let the right hand know what the left is doing. Encourage innovation. Don’t “benchmark to the middle”, but to the top. And little things: get A&E nurses to wear identifiable name-badges; get rid of hospital car-park fines. Most of this is simple, but, in the leviathan of the NHS, it is not easy. And at present there are about 2,300 NHS hospitals in the United Kingdom, and only one Hinchingbrooke…

This is far behind the public. As you understand better if you spend a morning in Hinchingbrooke Hospital, the public want health care free at the point of use, but have no ideological prejudice about who delivers it, or how. They rightly judge by results – are they, their spouses, parents, children, well or ill? Are the staff medically competent, efficient and kind? They are not sentimental about the most shocking producer interest ever to have gained power in this country.

The one hospital where things are greatly improving is the one hospital that is moving away from bureaucratic national health care and towards private health care.  Like it once was in the United States.  While President Obama and the Democrats want to move the American health care systems towards the bureaucratic national health care of the NHS.  Where there are longer wait times.  And service rationing.  Well, everywhere in the NHS but Hinchingbrooke Hospital.

Do President Obama and the Democrats care that they will destroy the American health care system?  No.  Because it’s not about health care.  It’s about creating the “most shocking producer interest ever to have gained power in this country.”  Yes, it’s about the power.  Social Security and Medicare made the elderly dependent on government.  Giving the government power over the elderly.  If they can’t raise taxes they just threaten to cut Social Security and Medicare benefits.  National health care, though, makes everyone dependent on government.  Giving the government power over everyone.

Until the day they can no longer maintain that power.  And that day has come in Britain.  Their aging population is breaking the system.  Which is in essence a Ponzi scheme.  The masses in the workforce pay in via taxes.  And the few sick consume health care services at the top of the pyramid.  While a bloated bureaucracy makes sure to take very good care of itself.  But the aging population is shrinking the workforce paying the taxes.  And swelling the number of sick consuming the health care services.  Inverting the pyramid of the Ponzi scheme.  As it will in America thanks to Obamacare.  Because the United States has an aging population, too.

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Is the NHS Computer System Crash in Scotland a Harbinger of what is to come with Obamacare?

Posted by PITHOCRATES - October 5th, 2013

Week in Review

One of the keys to making health care better under Obamacare is by digitizing our medical records.  To allow the swift sharing of our personal information with medical providers.  A one-stop-shop, if you will.  Where everything you would ever want to know about someone (income, Social Security number, home address, names of family members, embarrassing medical conditions, etc.) is but a click away.  All sitting nice and tidy in one massive database.

Hmmm, wait a tic.  Isn’t that kind of dangerous?  I mean, is there anything more frustrating when you can’t get your balance at the bank because the computer is down?  But that’s only a banking system.  I’m sure that would never happen with a national computer system for Obamacare that is guarding our most private and personal information (see NHS IT staff hopeful about fix for Glasgow health board area posted 10/3/2013 on BBC News Glascow & West Scotland).

Scotland’s largest health board has said its IT system is working again after a two-day crash saw hundreds of appointments and procedures cancelled.

NHS Greater Glasgow and Clyde said it still does not know what caused the problem which affected 11 hospitals.

The health board said no patient information had been lost and data gathered during the crash would be manually added to update the system…

Mr Calderwood said the “unprecedented” systems crash related to the health board’s computer network and the way staff connected to clinical and administrative systems.

“The situation is that as users log on they go through a system called Microsoft Active Directory, a router system which recognises users and allows individual access to our clinical and administrative support systems,” he explained.

“This was corrupted over the weekend which became apparent when staff logged on to the system on Tuesday after the holiday weekend.”

Although the problem has been resolved, NHS GGC still does not know what caused it.

“You know, Mrs. Smith, I’m not happy with the grade you gave me for my paper.  That could hurt my scholarship chances for college.  So let’s make a deal.  You fix my grade and I won’t tell anyone about your HPV and your vaginal warts that you contracted when you were in high school, you filthy whore.”

In this day and age do we really want to make it easier for people to steal our identities or extort us?  They said no patient information was lost but how much was copied?  Which is a rhetorical question as they could never know.  Something happened.  But they have no idea what.  But there is nothing to worry about they insist.   Just because kids can hack into some of the most secured computer networks in the world what are the chances that someone hacked into theirs to steal most private and personal information we have in our lives?

Obamacare did not get off to an impressive start.  With the whole system going offline for repairs within the first week.  It would be sad if we remember these as the good days of Obamacare.  Before hackers began stealing our most private and personal information.

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