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Rapid Responses: Rapid Responses published:
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The primary care will collapse for other reasons
- Ramakrishnarao Rebbapragada (18 February 2006)
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laissez faire
- benjamin dean (21 February 2006)
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Re: laissez faire
- Roberta Smith (22 February 2006)
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Re: laissez faire
- L Sam Lewis (23 February 2006)
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Ramakrishnarao Rebbapragada, Consultant Anaesthetist CB2 2QT
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Primary Care in US can collapse under the burden of huge health costs that each and every US citizen has to put up with in order to survive. A common man in UK doesn't realize how lucky he is to be in UK so far as regards his health needs. NHS is a great organisation which offers a huge safety net to one and all in UK, and I pity american citizens who have to bear a huge burden to take care of their health needs. The US health system has to be thoroughly reorganized keeping the interests of the consumer at heart. It is a shame that inspite of being the richest country in the world with a great infrastructure and large numbers of health professionals living and working hard day and night US citizens are under great stress as regards their health care. Doctors and other medical professionals in USA earn enough to lead a decent life. It is time to take up health as a social service and not a profit making enterprise. The pharmaceutical industry, the legal profession, insurance companies and others should develop a humanitarian attitude. The americans can learn from the NHS and other european countries. Competing interests: None declared |
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benjamin dean, sho australia
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The reason behind the collapse may stem from problems with the unfettered free market in the US. The enforced free market with a weak state, thanks to deregulation, privatisation and lower taxation- can result in the collapse of social cohesion in society. While excessive state control in damaging, the other extreme involving a limp government that is in the pocket of private business is just as bad. Just why do we choose to copy all american policies when social unity is an all time low there, frankly beggars belief. The NHS could soon go this way if the privatisation by the back door is allowed to continue. Competing interests: None declared |
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Roberta Smith, Writer Home
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The NHS as it stands, with what is left of it, has a choice. The powers that be can either decide to sell the health care of the British nation to a private company - Or they can decide to learn from the mistakes of our American allies. It's all very well leading the way in shaping policies, but one has to expect that one will make unknown mistakes when stepping into the unknown. At the end of the day, in Britain, the working class (Not the underclass) is still alive and well, and in reasonably good spirits. Privatisation over the last 20 years nearly finished us all off. We have long memories. We will not let the private sector literally finish us off. You have been warned. Competing interests: None declared |
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L Sam Lewis, GP Surgery, Newport, Pembrokeshire, SA42 0TJ
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I feel I must live in a different world to these correspondents.. I am a GP working for the NHS under both the old and new GMS contract. Therefore, as I see it, I have always been a PRIVATE provider working for a contract to the British NHS. The contract may change, if either party wishes it.. It was negotiated by the GPC of the BMA, though not all GPs are BMA members. Tesco can be approached by the NHS to provide a primary care service, and breach the 'monopoly' somehow ( Out-of-hours providers are well along this road ). None of this alarms or surprises me. What is plain is that in a market ( and everybody IS in a market) nobody is likely to take on the onus of NHS Primary Care Services, without the prospect of making a reasonable income at it. There are many private providers of Primary Care in the UK, who cock a snook at the NHS... How can the UK's NHS 'sell-off' Primary Care, if it does not own it ? The NHS nGMS contract looks to me now as a very reasonable, family- friendly and lucrative prospect ( unlike the day-and-night slavery before ). Laissez-faire ? Any Less would not be Fair Competing interests: I am an NHS GP |
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