The NHS shows Obamacare will lead to a Fall in Efficiency and Quality in our Health Care

Posted by PITHOCRATES - September 8th, 2013

Week in Review

The holy grail for the left is national health care.  They were hoping that Obamacare would be their holy grail.  But there were Democrats who worried about their reelection chances if they voted against the will of their constituents.  So they took out the public option.  The thing that made Obamacare national health care.  Instead having to settle for Plan B.  Destroy the private health insurance industry.  Leaving only the government as the lone provider of health insurance.  And then, voilà, national health care.  And then the left will get their holy grail.  And our health care will become like that in the NHS (see John Neill: Why does this man think he can cure the NHS? by Margareta Pagano  posted 9/7/2013 on The Independent).

John Neill has a challenge for Health Secretary Jeremy Hunt: “Give me the NHS and I will prove that we can change the culture – improve the quality of care for patients, inspire the employees, innovate, reduce waiting times, improve nursing and increase the output of the doctors, and reduce costs.”

So this is national health care?  It doesn’t sound that good.  In fact, it sounds pretty bad.  Something we can look forward to under Obamacare.  And whatever it evolves into after it destroys the private health insurance industry.  “If you like your insurance plan you can keep it.  If you like your doctor you can keep your doctor.”  None of that turned out to be true.  Worse, Obamacare is raising the cost of health insurance.  So hello national health care.  And poor quality, uninspired employees, a lack of innovation, longer waiting times, poorer nursing, doctors doing less and higher costs.

What’s more, he will do it for free. Mr Neill is chairman and chief executive of Unipart, one of the UK’s biggest private companies with clients including Jaguar, Asos, Vodafone, BMW and Sky…

So where’s the catch, Mr Neill? “There isn’t one. But what I know is that there is a moral and economic imperative for the health service to become massively more efficient. And I really mean this – we could change the culture – and for free. Sadly, it’s the mythology that holds the NHS back from changing. It’s too political, and politicised…

Nor does he see any problems between comparing the health service with making cars: “I’m going to be frank with you, and this will upset a lot of people in healthcare, but if we ran our factories with the same level of defects as those in an average hospital then we’d be out of business in 24 hours. And, we would go bust if we ran the factories only five days a week, as many hospitals are doing…”

His greater worry is that the government is not doing enough to improve productivity: “Growth comes from competitiveness, and that comes from productivity. That’s going to be tough for the UK as nearly half the economy is in the public sector. What are government ministers doing about it?”

So, in national health care, everyone gets free health care.  As long it is during business hours.  Which means if you suffer a heart attack or are seriously hurt in a car accident on the weekend you better hope your accident/emergency room is not one of the many closed on the weekend.  Or else you may be forced to postpone your heart attack or car accident.  Of course if you could do that you could probably avoid them in the first place.  But you can’t.  Which means you’ll be in for a long drive.  Or a long wait until your hospital opens on Monday for business.

This is why you don’t want government taking over more of the private sector.  Because when they do the things they take over become political and politicized.  And suffer in efficiency and quality.  As things are wont to do when government takes them over.  As demonstrated by the NHS.  Providing a clarion call to anyone who will listen.  It’s as if the British are warning us.  Don’t do what we did, they tell us.  Learn from our mistake, they say.  But will the Americans heed their warning?  Not as long as the Democrats are in control.  For they don’t care how horrible health care becomes.  As long as they get national health care.  Their holy grail.  So they can politicize it.  Create a mythology.  And use it to increase their political power.

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Obamacare will Lead to Rationing and Longer Wait Times just like in the NHS

Posted by PITHOCRATES - August 17th, 2013

Week in Review

Britain has a problem with their national health care.  They have an aging population where people are living longer.  And because they are people are having more hospital stays than people were a generation earlier.  As that last decade or so of life requires a lot of medical care.  And this increase in demand for health care is happening at the same time fewer people are entering the workforce to replace the people leaving it.

So you have falling tax revenue at a time of soaring health care expenditures.  So what do you do when you have a demand that is greater than the available resources?  You ration those precious resources.  And cut costs.  By having fewer people handling a greater workload.  Which, of course, increases the waiting times to see a doctor (see GPs predict longer waiting times – survey by Nick Triggle posted 8/16/2013 on BBC News Health).

A Royal College of General Practitioners poll of 206 UK GPs found that more than 70% were forecasting longer waiting times within two years.

Eight in 10 also said they did not have enough resources to provide high-quality care, the survey showed.

A Patients Association report this year suggested that people were already having to wait longer.

Six in 10 of those polled by the royal college said patients in England were waiting longer than the recommended 48 hours…

Chairman Dr Clare Gerada said: “GPs are grappling with a double whammy of spiralling workloads and dwindling resources, and big cracks are starting to appear in the care and services that we can deliver for our patients.

In the NHS 60% of the people have to wait longer than 48 hours to see a doctor.  Unless they go to an accident and emergency department (A/E).  Where they may only have to wait 4 hours or so.  This is national health care.  And this is where Obamacare is trying to take us.  Even Harry Raid admitted this on the PBS program “Nevada Week in Review.”

So this is the future of Obamacare.  As the US has the same problems the UK has.  An aging population with people living longer into retirement.  With fewer people entering the workforce to pay for them.  So the inevitable future of Obamacare is rationing.  And longer waiting times.  Just as it is the reality in the NHS.

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Britain’s National Health Service may be Rationing Care but one thing they have an Abundance of are Problems to Fix

Posted by PITHOCRATES - August 10th, 2013

Week in Review

Obamacare is but a waypoint on the way to true national health care.  Just like they have in Britain.  Where they’ve been doing national health care since 1948.  Which means if anyone is doing national health care right it has to be the British.  For they’ve been doing it for some 65 years.  So just how well are they doing it?  Well, suffice it to say they can make some improvements (see How many reviews does the NHS need? by Nick Triggle posted 8/6/2013 on BBC News Health).

NHS reviews are getting a bit like buses. Miss one and you don’t need to wait long for another to come round the corner.

A month ago there was the Cavendish Review into healthcare assistants, and then two weeks later the Keogh Review into mortality rates, which led to 11 trusts being put into special measures, was published.

Now it is Prof Don Berwick’s review on patient safety.

All three were commissioned off the back of the Francis Inquiry into the Stafford Hospital scandal…

The Francis Inquiry made 290 recommendations. The three follow-up reports have brought that number to almost 500 and there is still a fourth, on complaints handling, to come.

And yet there is still confusion over what the government is doing on issues such as minimum staffing, criminalising neglect, improving nurse training and introducing a robust system of oversight for healthcare assistants.

And that’s doing national health care well.  Imagine the number of recommendations if they were only starting out with national health care?  Things would probably be a lot worse without those 65 years of experience.  Something Obamacare doesn’t have.  Which probably explains why they are having so much trouble getting it up and running.

So if the left gets their way they will use Obamacare as a pathway to national health care.  Like they have in Britain.  And we, too, can expect a flurry of reports on substandard care.  And hundreds of recommendations to improve that substandard care.  Of course we could just go back to the way things used to be.  And keep health care in the private sector.  Where there may have been problems.  But there was not a flurry of reports on substandard care.  Only about people who couldn’t afford the outstanding level of quality in our health care system.  It seems such a shame to destroy the one just so you can afford to give substandard care to everyone.

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More Doctors are Leaving Britain’s National Health Service for Better Jobs Elsewhere

Posted by PITHOCRATES - August 10th, 2013

Week in Review

According to BBC Radio 4 doctors in the National Health Service (NHS) are fed up with being blamed for all the woes in the NHS (see UK doctors ‘flee NHS for overseas’ says RCGP posted 8/7/2013 on BBC News health).

A constant barrage of negative headlines about the NHS is leading to a growing number of doctors fleeing Britain to practice abroad, according to the Royal College of General Practitioners.

Britain’s aging population is placing great strains on the NHS.  Health care spending is rising as people live longer into retirement while a smaller population enters the workforce to pay for them.  Leading to a doctor shortage.  Rationing of care.  And a lowering of the level of quality as fewer resources must cover more people.

According to this report everyone is blaming greedy doctors who don’t want to do their fair share of work.  This while the doctor shortage is so bad that about a third of the doctors in the NHS are immigrants.  And the British government is investing in more doctors to cope with the increasing pressures of these doctor shortages in the face of that aging population.  But there is no sympathy for doctors.  People say that they paid to educate and train them so it’s their duty to stay in the UK and look out after them.

So this is life under national health care.  Overworked doctors.  About a third of which will be immigrants.  As the treatment of doctors discourages others from entering the profession.  Creating a doctor shortage filled by immigrants.  And a general attitude among the people that because they pay for these doctors with their taxes that makes these doctors their bitch.

They also say these doctors are paid well.  Who earn around $150,000 (in U.S. dollars).  Which is a lot of money.  Yet there is a doctor shortage because more people aren’t leaping at the opportunity to earn those big bucks, too.  Why?  Because it’s too damn hard.  That’s why we pay doctors a lot of money.  It’s about the only way to encourage them to enter the profession.  To learn a very difficult field.  Put in more hours than most.  All while being blamed for all the woes in the NHS.

And they wonder why UK doctors want to leave the NHS?

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Elderly Patients suffer Poor Care and Neglect in the NHS as Hospital Staff finds them too Burdensome

Posted by PITHOCRATES - July 27th, 2013

Week in Review

One of the big problems with national health care is old people.  They cost a lot.  And consume a lot of the limited resources available.  Especially with their repeat hospital stays.  Becoming too great a burden for some hospital personnel.  Leading to poor care.  And neglect.  As this family in Wales experienced (see NHS neglect: Calls for inquiry after woman’s death by India Pollock posted 7/25/2013 on BBC News Wales).

“It was absolutely appalling,” a relative said. “Quite often I’d go in to visit her and I would find that she had been left nil by mouth for several days until she was weak and wasn’t able to lift a glass of water to her mouth, she was dehydrated.”

Another family member said: “We sat by her bedside until her tongue swelled up and cracked and her lips split open for want of hydration.

“She became delirious at first, then barely conscious, almost coma-like…”

The health board said it would conduct a Protection of Vulnerable Adults (Pova) investigation.

However, the board did not contact the family for six months. It apologised and said that lessons had been learnt but no Pova proceedings took place.

When the woman was readmitted in 2012, relatives said they discovered the same problems.

They reported their concerns to social services which is when they learnt that a Pova investigation had not actually taken place.

Pova proceedings were then used and a number of allegations were proved.

The health board admitted giving unnecessary sedation and failing to administer prescribed medication.

The board also failed to care for the woman’s amputated leg.

A family member added: “We explained how her prosthesis could be taken off and showed them the bag of clean amputation socks that we’d taken in for her.

“We also gave them oils to treat her leg to ensure it didn’t become inflamed. We explained it all to the staff.

“When I complained that she was having unnecessary sedation, they said it was because she was screaming at night. When I asked her why she was screaming at night, she told me that they hadn’t taken her leg off in the two weeks that she’d been there.

“A member of staff pulled back the bedclothes and sat by the side of her bed and took her leg off with me, and took off the urine sodden socks that had been left on her amputation for two weeks and he turned away in disgust, holding the urine sodden socks at arms’ length.”

Recommendations were put in place, but the family said there were similar issues when the woman was admitted to Neath Port Talbot hospital in August 2012.

Then she was transferred to the Princess of Wales Hospital, where she died in November.

The family said they were told by staff that they were stopping her medication as she was dying of pneumonia.

However, a post mortem examination was carried out and the coroner’s report said her lungs were free of chronic disease, and that she died of a heart attack…

Peter Tyndall, the Public Service Ombudsman for Wales, said: “It’s absolutely tragic for the individual and for the family, and I think although there are lots of people who have very good experiences of the NHS in Wales, there are still too many cases of this kind occurring.”

He said there had been a 30% increase in complaints about the NHS in Wales in a year.

This is our future.  What we can expect under Obamacare.  As the government moves us closer and closer to national health care.  Poor care.  Neglect.  And an unfeeling bureaucracy.  Who will look at our loved ones with contempt.  Annoyed by their excessive health care needs.  Looking for any opportunity to withhold their medications so they just hurry up and die.  So they can go and treat less burdensome patients.

You won’t find the phrase ‘death panel’ in Obamacare.  Just as you won’t find them in the NHS.  But they have one.  It’s called the Liverpool Care Pathway for the Dying Patient.  A death panel by another name.  Which lets patients supposedly die with dignity.  After consulting with the patient’s family.  But that didn’t happen with this patient in Wales.  And, sadly, it’s not an isolated incident.

For those of you who wanted Obamacare, for those of you who want national health care, this is what you have to look forward too.  It’s not utopia.  It’s trying to do more with less.  Which is just a recipe for poor care and neglect.  For the only way to cut costs so you can provide health care to more people is by giving everybody a less costly and a lower quality level of care.  It’s simply math.  The more people you treat the less each person gets.  And things like this become a little too common in the NHS.  As they will under Obamacare.

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One Fifth of the NHS Budget set aside to pay for Poor Health Care Lawsuits

Posted by PITHOCRATES - July 20th, 2013

Week in Review

Britain’s aging population is playing havoc with the National Health Service (NHS).  More taxpayers are leaving the workforce than are entering it.  Leaving less money to pay for a growing number of retirees who are living longer.  Costs have grown so out of control that they are trying to find £20 billion ($30.54 billion) in efficiency savings over three years.  Perhaps the best way for them to do that would be to just improve the quality of their care (see ‘Jaw-dropping’ rise in NHS claims after scandals by Laura Donnelly posted 7/19/2013 on The Telegraph).

A total of £22.7 billion – nearly one fifth of the health service’s annual budget – has had to be set aside to pay compensation to thousands of people harmed by poor care…

In total, more than 16,000 patients lodged claims during 2012/13, compared with around 13,500 the previous year…

In December, 38 families were offered settlements from Worcestershire Acute Hospitals trust over a series of failings, including the case of a man who starved to death…

The highest individual pay outs are connected to NHS errors which have led to babies becoming brain damaged, with around 100 such cases occurring each year.

A man starved to death?  In a hospital?  How does that happen?  The man must be in a bed.  Nurses and doctors must look at the people occupying these beds.  Is there no chart showing what this patient ate?  And if nothing was written in under what the patient ate shouldn’t that have been a red flag that this patient didn’t eat?

I can understand trying to diagnose some diseases can be difficult.  For some diseases can be devious bastards.  Hiding deep with a patient’s myriad symptoms.  But hunger?

“Hello, random patient.  Bowels okay?”

“I haven’t had a BM in days because no one is feeding me.”

“Not feeding you, eh?  Well, we’d better do something about that?  Let me find your nurse.  She can give me the form to address that.  Then you’ll be right as rain, my good man.  Take care.  And do work on those bowel movements.”

The soothing warmth of red tape in a government bureaucracy.  Just makes you wish Obamacare would hurry up and get here already.

Forms.  Yes, forms.  Beautiful forms.  Filling in blanks.  Filing in triplicate.  The way health care was meant to be.  And the way it will be under Obamacare.

“Hungry?  Not to worry.  I have just the form here.  See?  Here we fill in what you ate.  And here we fill in what you passed.  Beautiful, yes?  And by studying the connection between the two we can fill another 1,000 positions in the health care authority.  Isn’t that wonderful?”

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The NHS is all about keeping Labour in Power just as Obamacare is about keeping Democrats in Power

Posted by PITHOCRATES - July 20th, 2013

Week in Review

Why did FDR give us Social Security?  To connect retiring Americans with the Democrat Party.  Why did LBJ give us Medicare and Medicaid?  To connect retiring and poor Americans with the Democrat Party.  And why has national health care been the Holy Grail of the Democrat Party?  Because that will connect ALL Americans to the Democrat Party.

During each election it’s the same thing.  Social Security and Medicare are going broke.  Republicans put forth plans to save these programs.  While the Democrats shout out, “See!!!  The Republicans want to take away your Social Security benefits and your Medicare benefits, seniors.  They want you to die.  They want to roll Grandma off the cliff.  Because they are nothing but a bunch of greedy, vicious, heartless bastards.  So remember to vote Democrat.  Unless you want to become homeless and die an excruciatingly painful death.  If so, then vote Republican.”  They scare seniors to vote for them and win elections.  And Social Security and Medicare become even more broke.

The Labour Party in Britain scored big with the creation of the National Health Service (NHS).  For the NHS was their baby.  And people would forever remember that fact.  And that was electoral gold.  But to maintain appearances they had to make sure everything looked hunky dory in the NHS.  Even when appalling care was killing thousands a year (see Labour must bear the blame for the shameful decline of the NHS by Sean Worth posted 7/15/2013 on The Telegraph).

One of the most depressing experiences in politics is to listen to a focus group discuss Labour and the NHS. Time after time, the voters’ attitude is simple: unconditional praise. No matter how bad the health service’s performance, there is a feeling that it is safest in the hands of the party that created it… The NHS is such an electoral asset that Ed Miliband is expected to make it a central part of his campaign to be Prime Minister – not least because he lags so badly on so many other issues, such as economic competence and personal credibility.

But does Labour really have cause to be proud of its record on the NHS? Today, the results of an investigation into suspicious death rates at 14 hospitals – carried out in the wake of the scandals at Mid Staffordshire – are revealed. The facts are appalling: their performance was so poor that up to 13,000 people may have died needlessly. So severe are the problems that Prof Sir Bruce Keogh, the medical director of NHS England, is expected to place many in special measures, or replace management teams entirely.

This comes on the back of a number of revelations about abuse and neglect in the NHS, stretching back over many years. Yet while the agencies set up by Labour to monitor patient safety have been shown to be either negligent – with many of the 14 trusts on the “death list” receiving clean bills of health from the Care Quality Commission – or actively complicit in covering up hospitals’ errors, no politician has had to carry the can. In fact, the polls show that in the wake of revelations about Labour-era scandals such as at Mid Staffs, it is actually the Tories who are blamed.

That, however, could be about to change. A parliamentary question tabled by the Tory MP Priti Patel shows that Labour ministers – including Andy Burnham, the party’s current health spokesman and former health secretary – received more than 1,500 warnings over the safety of care at the 14 hospitals on this “death list”, many from concerned staff, patients or members of the public…

In addition, people around the last government are starting to speak out. Prof Sir Brian Jarman – the expert who uncovered the original problems at Mid Staffs, Morecambe Bay and Basildon hospitals – has claimed that his work was “suppressed” by Labour ministers, describing the Department of Health as “a denial machine”, focused on producing good news stories rather than getting to the bottom of the death-rate data. Two former NHS regulators who worked under Labour, Dr Bill Moyes and Baroness Young, have also described the “pressure” exerted on the system by ministers to keep quiet about unsafe care…

One central reason why Labour has been allowed to get away with the idea that it is the “party of the NHS”, while presiding over such a shameful record, is that it benefits from the axis within the public services that tirelessly attacks those who dare to suggest that the health service might need to change. Most notorious is the treatment of Julie Bailey, the ex-nurse whose mother was killed by neglect at Mid Staffs, who has been the targeted of venomous abuse for speaking out about it. In 2011, union activists posted an internet video which stated they hoped she would die; she has since been subjected to a campaign of nuisance calls, threats and online vitriol; has been hounded from her business and her home and even seen her mother’s grave desecrated.

Fast and Furious.  Benghazi.  The IRS abuse of conservatives.  All scandals that the Obama administration was going to look into and get to the bottom of.  And here we are.  With the Obama administration getting to the bottom of nothing.  Everything is an ongoing investigation that they can’t comment on.  And time advances on.  Hopefully to the point that people get tired asking about these scandals.  So is there any question that what’s happened in the NHS could very well happen in Obamacare?

One of the reasons why Democrats want to nationalize health care so badly is to unionize those health care workers.  Because if they’re unionized they will pay union dues.  Which will be a windfall into Democrat coffers.  The administration will fight to give these health care heroes a decent living wage.  The higher the better.  For the more of the taxpayers’ dollars they get the more of the taxpayers’ dollars flow into Democrat coffers.  And once that big money revenue stream is set up you will see the public sector unions pulling out all stops to protect it.  Just like they are in Britain.  To protect the windfall of the NHS to Labour coffers.

The NHS isn’t in the health care business.  They’re in the election business.  And so far that business has been very successful.  Even if the health care side of it has not.  This is what Obamacare is all about.  To set up the same cash windfall to Democrat coffers.  And they have been salivating for that day to arrive.  And will do anything to attack their enemies that try to deny them their Holy Grail.

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New British Report to show how Horrible National Health Care Is

Posted by PITHOCRATES - July 20th, 2013

Week in Review

A lot of those on the left like to point out how the United States is the only advanced economy that doesn’t have national health care.  Of course those on the right will note that the U.S. health care system is the best in the world.  And probably is because it is the only advanced economy not to have national health care.  But proponents of national health care will be quick to poo poo that.  Noting how wonderful Britain’s National Health Service (NHS) is.  Doing everything a national health care system should.  Well, apart from the appalling care they provide at times (see Evening Briefing: Losing our faith in the NHS religion by Will Heaven posted 7/15/2013 on The Telegraph).

Tomorrow is D-Day for the NHS. A damning 1500-page report on failings at 14 NHS hospital trusts will be published. Written by Sir Bruce Keogh, the NHS’s Medical Director, it will spell out failings that have led to up to 13,000 needless deaths since 2005, we report. Crucially, it will also note that the scandal of Mid Staffordshire Hospital was not a “one-off”. It follows closely today’s review of the Liverpool Care Pathway by Baroness Neuberger. She said of the LCP: “Among the worst stories were of people on the Liverpool Care Pathway for days going into weeks without communication or review or discussion. And also desperate stories of desperate people who are longing for a drink of water who were, through misunderstanding of the LCP and poor care, denied a drink.”

Make no mistake: if the NHS is Britain’s national religion, then we are currently going through a brutal reformation. Polling last month showed that 58 per cent don’t trust the NHS to be open about its standards.

Barely half those polled about the vaunted NHS trust it.  Which isn’t much of a ringing endorsement for national health care.  And yet here we are.  With Obamacare taking us down that road.  For the Democrats said they could give quality health care to everyone while cutting costs at the same time.  Something the British found to be not quite possible.  But on this side of the pond American politicians think they are so much wiser that they’ll be able to do what the British could not.

Some would call the Liverpool Care Pathway a death panel.  For it is basically a program to let people die with dignity.  People who are so ill that nothing further can be for them.  The hospital is supposed to discuss this with the family.  To help them accept that the end is nigh for their loved one.  That’s part of the official LCP.  But as it turned out hospitals were putting a lot of patients onto the LCP without consulting the family.  To, as some have claimed, cut costs.  For keeping sick people alive is costly.  And a distraction to health care providers desperately needed elsewhere in their state-run hospitals.

Anyway, this is what Obamacare will look like.  Eventually.  As they cut costs to reduce the high cost of health care.  Of course, the United States has about 5 times the population of the UK.  So the number of needless deaths the US can expect could be as many 65,000 (13,000 X 5).  And if the Americans throw in an LCP of their own that number will likely be higher.  Even if the words ‘death panels’ aren’t included in the bill.  For the LCP is a quasi death panel but they don’t call it a death panel.  Well, some do.  Those who had the pleasure of experiencing what the LCP did to their loved one.

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Obamacare may cause up to 65,000 Needless Deaths based on what’s happening in the NHS

Posted by PITHOCRATES - July 14th, 2013

Week in Review

The problem with national health care is simple economics.  Supply and demand.  Things that cost more are in lower demand.  Things that cost less are in higher demand.  And free things are over consumed.

In Britain they have the NHS.  The National Health Service.  It’s not health insurance.  Like Obamacare is.  It is health care funded by the taxpayers.  What they designed Obamacare to become.  After causing businesses to drop costly mandated health insurance for their employers.  And making it near impossible for private health insurers to remain in the insurance business.  Once they meet these objectives then the government can transform Obamacare more into something like the NHS.  Where people get ‘free’ health care.  Paid for not by private insurance policies.  But from the tax revenue of the federal government.  Where they can over consume all the free health care they can get their hands on.  Such as demanding antibiotics every time they get the sniffles.

Sounds good to some.  Primarily to those who don’t have health insurance.  Because they choose not to pay for it.  Why?  Because it is so expensive.  And it’s so expensive because health insurance is no longer insurance.  Because it covers almost everything.  Instead of just the large, unexpected, catastrophic expenses.  The things insurance used to pay for.  While we paid for checkups and routine doctor visits out of pocket.  So we paid for the little things that we could expect and budget for.  While buying insurance for the things we could not expect or budget for.  And the system worked.  It kept costs under control because we were paying for most of what we were receiving.  Creating a direct relationship between the services we received and the money we spent.  Which introduced market forces into the equation.  But ever since health insurance became an employee benefit there have been fewer and fewer market forces in the equation.  Which has lead to the explosion in health care costs.

Nationalizing health care only removes market force from the equation further.  Which will, of course, raise costs.  As there will be nothing to keep health providers efficient while maintaining high standards of quality.  For if their customers aren’t paying them they don’t have to please their customers with efficiency or high quality care.  They just have to meet the minimum state requirements.  And keep asking the government for more money.  Until the government has no money to give.

And as a large health bureaucracy develops things become more impersonal.  More machine like.  Where patients are units of input.  That have to be processed according to strict bureaucratic guidelines.  Not necessarily what’s best for the patient.  The amount of paperwork rises.  And health care providers spend more time pushing paper than interacting with units of input.  Patients.  People at the hospital must bow to the distant health care authority.  Often following rules and regulations that don’t make sense all of the time.  Frustrating them.  And making them apathetic in their jobs.

Then efficiencies fall.  And costs rise.  Health care providers are forced to do more with less.  Spreading their limited resources over more and more patients.  Unable to provide high quality to everyone they do just the minimum for everyone.  While their apathy turns to indifference to their patients’ wellbeing.  You create an environment like this eventually over time you get this (see ‘Up To 13,000 Needless Deaths’ In NHS Hospitals posted 7/14/2013 on Sky News).

Up to 13,000 people may have died needlessly in NHS hospitals since 2005, according to a report to be published in the coming days…

The report, to be released on Tuesday, will criticise care standards and management failures, fuelling concerns about a problem with the NHS’s culture where whistleblowers are afraid to speak out and regulators often fail to do their job…

Sir Bruce examined not just mortality rates, but measurements including infection levels, the number of patients suffering from preventable and potentially fatal signs of neglect, and the numbers harmed by so-called “never events” such as operations on the wrong part of the body, or surgical instruments left inside a patient.

National health care will eventually poison the greatest assets of the health care system.  Its people.  Taking a good system and making it bad over time.  And you know it’s bad when ‘surgical instruments left inside a patient’ is a metric they track.  Apparently because it happens so often that it is something that they can count.

So take a good look.  This is national health care.  The ultimate destination of Obamacare.  Which will kill some 65,000 people over 8 years (the U.S. has about five times the population of Britain so they will have five times the number of needless deaths).  That comes to about 8,125 a year.  Which isn’t that far below the national homicide rate.  Imagine that.  Raising deaths in our health care system to near the national homicide rate.  That’s what we can expect with Obamacare.  As our health care system struggles to do more with less.  Overwhelming our heath care providers.  And making them grow ever more apathetic.  Just like they have in Britain.

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National Health Care kills up to 2,000 Children a Year in Britain

Posted by PITHOCRATES - July 13th, 2013

Week in Review

Opponents of nationalizing health care say it will only lead to doctor shortages, a lowering of quality and rationing.  Proponents of Obamacare say that’s absurd.  For with government in charge of a large health care bureaucracy things can only get better.  Not worse.  Just look at the NHS in Britain (see British child death rates are ‘a major crisis’, says paediatricians’ leader by Yvonne Roberts and Denis Campbell posted 7/13/2013 on the guardian).

Five children die unnecessarily every day of conditions such as asthma, meningitis and pneumonia because NHS care for young people is badly organised and dangerously inadequate, the leader of Britain’s 11,000 specialists in children’s health warns.

About 2,000 children a year lose their lives because of an array of problems, which means the UK has some of the worst death rates among children up to the age of 14 in Europe, the president of the Royal College of Paediatrics and Child Health told the Observer. Branding the situation “a major crisis”, Hilary Cass said in an interview that sick children were at greater risk of dying because some GPs lacked paediatric skills, expertise was absent in too many small paediatric units, and there was a serious shortage of consultants. The college believes a lack of senior paediatric doctors is so acute that the safety of treatment cannot be guaranteed at every unit. Cass urges the NHS to instigate radical changes in how it treats children, including a centralisation of hospital services to reduce preventable deaths…

Her concerns are supported by the royal college’s new medical workforce census, a major biannual study among the UK’s 11,000 paediatricians to investigate the pressures on them. It identifies problems such as:

■ Sharply rising demand as more children contract non-communicable diseases such as asthma and obesity.

■ A chronic shortage of consultants, especially when hospital units are busiest.

■ Worryingly wide variations in the number of consultants in different parts of England, with 48 per 100,000 children aged 0-15 in London, but just 27 per 100,000 in the east of England.

Imagine that.  In the NHS where the government is in charge of a large health care bureaucracy there are doctor shortages, a lowering of quality and rationing.  Guess the proponents of Obamacare are wrong.  As moving American health care in the direction of British health care is wrong.  Unless loosing 10, 0000 children a year is okay with you.  (The U.S. has about 5 times the population of Britain.  So one would multiply their 2,000 deaths by 5 to approximate the U.S deaths we can expect with a government run health care system.)

If the left really cares about the children then they should repeal Obamacare.  For it could save up to 10,000 children a year.  Unless the left hates children.  Which they must if they don’t repeal Obamacare.  Because we can see where Obamacare can lead to by simply looking at what’s happening in Britain now.

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