Let me make a few random comments based on my experience of health care in the third world.
- Firstly, I am quite used to paying at the point of service.
- I am also quite used to fucking off and seeing another doctor if I don't like the way I'm being treated (or not.)
- Finally, I am also quite used to paying for health insurance.
This has several consequences:
- I don't go to see my doctor frivolously, because I know it's going to cost me.
- My doctor is glad to see me and interested in my problem, because he knows that if he fixes it, I'll come back next time I'm sick.
- My doctor is also quite keen to own the treatment as far as possible, because he knows that just sending me off to a specialist will earn him nothing.
- My doctor knows that if he doesn't make excellent and visible progress in treating my problem, I will get annoyed and go elsewhere.
- My doctor knows that if he keeps me waiting for my appointment every time I go in there, I will fuck off to another doctor who can manage his fucking diary.
- I have a safety net that will cover me if it really does all go badly wrong.
My experience of the first-world health care offered by the envy of the world is very different:
- People go see the doctor for things that should entail a visit to the pharmacist. Especially if they can then get their cough mixture or Panadol on the taxpayer.
- My doctor quite literally doesn't care if I live or die, as long as I've been in for my 10-minute slot. If I die, he has a whole bunch of other involuntary supplicants who can take my place.
- My doctor has no real interest in fixing me, especially if he can string out a whole series of 10-minute slot-fillings.
- If I actually want to be cured, I have to ask to be sent to a specialist.
- I always wait more than 30 minutes after the scheduled time before I actually get in to see the cunt.
I was amused by a defender of the NHS, who said that her local PCT often offered public consultations and seemed very keen on finding out what the public wanted from them. I countered that with observations of the third-world health care from the same country, which we had both experienced. The doctors there wouldn't dream of consulting the public about what they wanted because they were already too busy delivering exactly what the public wanted: doctors that fucking do their job in a cost-effective manner.
The British deification of this shambolic, expensive clusterfuck is nothing more or less than a malevolent manifestation of "Not Invented Here" Syndrome - any alternative cannot be as good because it's not British. Well, I've tried other health care systems and they have all been better than the NHS.
The NHS sucks donkey cock. End of.