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Monday, 25 April 2016

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The junior doctors presumably can't remember the 70s (the dead unburied etc.) - but this strike action could ruin their reputation for years if they aren't careful. The issues they are striking over are simply too obscure to earn them much public sympathy once "loved ones" (as I suppose we must call them) start shuffling off their mortal coils.

There have been a few doctors' strikes in the US, too. The most notable t hing about them was that death rates always went DOWN. So, careful there doc, the people might catch on.

As a nurse, I would never strike, would cross the sacred picket lines, etc, and would never again visit a doctor who had participated in such an action. There are many things the doctors could do, short of striking, and they ought to do them, and leave strikes to the union thugs.

Narcissism of This kind is in fashion.

Doctors who work for the NHS are of course widely regarded as saints who are beyond any form of criticism; as if they work purely for altruistic motives. But it was of course the senior doctors who nearly scuppered the NHS before it started. Bevan had to "stuff their mouths with gold", as he put it, in order to get them on board. Events like this can show us the real motives behind people's working practices.

Of course, medicine is a noble calling and doubtless has its very tough moments. Like lots of professions, getting started can be very demanding. But I reckon that those "do-flicker thingies" will threaten the medical profession in the same way that IT has taken bank managers, accountants, and secretaries down a peg or two. I wouldn't push the public too far if I were them.

I should have posted this in "Take that, Britain" but it would get lost there at this point, and it's too good to pass over. The British really know how to strike back!

https://mobile.twitter.com/Queen_UK/status/724300447830446081

Excellent, Dom! Thanks ;)

Seconded Dom.

David, there was once a moral code and my Doctor, Dr Hamilton saved my life when I was 8 yrs old by just attending our house out of hours 1959. I am sure he earned maybe double what a tradesman did at this time and maybe he had to leave his tea and family behind to attend.
The NHS at hospital level is just a fuckin sausage factory and I do not look forward to attending although I must.
When you get an additional health problem and cannot attend for an original health problem they cannot join up the dots. Not withstanding my rant there are some nice staff with a sense of humour. But for well paid people to withdraw services to the sick is reprohensible but not unexpected in our greedy society.

The NHS is dysfunctional, wasteful, inefficient and not fit for purpose. Comparing it with other health care systems I have experienced I would say the NHS is overly bureaucratic and the provision and funding of the health care it offers is totally inappropriate. The attitude and competence of the medical staff leaves a lot to be desired as I have found out to my regret.

The junior doctors strike although they say it is about patient care it is not in the least. It is about them guarding their rights and privileges at the expense of their patients.

If the NHS adopted something similar to the French system it could be transformed into something that works. Although the perennial problem of there never being enough funding will not go away although it would be mitigated some what. The French system has a considerable private input for both provision and funding. Despite which no one is unable to afford medical care. It is that which allows it to give the standard of care that it does which I found to be excellent. Their is nothing like the rationing that you find the NHS indulges in the French system. The system is at the beck and call of the patients not the other way round as it is in the NHS.

We have the best health system in the world, I think, in Australia.
I took my partner to his GP at 1 pm today. The GP said go straight to the
hospital, which we did.
My feller was in Emergency and seen by nurses within 20 minutes, hooked up to all the devices, seen by a doctor, taken to X-ray and admitted with a collapsed lung by 4 pm.
Right now they are trying to insert a tube to reinflate the lung. If that doesn't work he will be operated on tonight.
Everybody has been absolutely wonderful, friendly, caring and efficient.
Beat that, everywhere else!!

And it's free.
And, no you can't bloody come and live here.
We're full!

Doctors complain that they are overworked and that this affects patient care.
They might have a point.
No form of contract, no amount of money will do a thing to solve this.
We either need to get rid of a lot of patients (I've no idea how) or train a lot more doctors.
If the BMA called for more doctors to be trained, rather than opposing this I would be far more inclined to accept their honesty.

Andra what do you mean you are full most of your continent is void of human habitation. I love your country and love to see it from afar but come to live there no. Not after I found out you are home to ten of the most venomous species of animals that live on our planet. Or so I am told it may have been because an Aussie took one look at me and decided he did not want me anywhere near his country so made up the story.

Thirded, Dom!

Well, Antis, the void bits are where all the nasties live and that's why they're void.
We Aussies are too bloody smart to live there. However, if you want to give it a go, we'd be interested to see how it pans out.
Bring plenty of Aerogard and your boots though.

Andra, "it's free"?

Well, Government paid/controlled care is fine by me, if it's what y'all want. HOWEVER, most of the medical progress and innovation, world wide, are funded in the American market, and God help us all if Obama succeeds in driving out market forces from American health care. I have seen a good bit of thinly veiled propaganda on BBC, and the American socialist networks, et al, to the effect that we are dropping like flies in the USA, and robbed blind if we do get into a hospital. Actually, we have Medicaid and other programs that pay for health care if the patient can't afford it. Since most of the nursing care I have provided over the years has been covered by Medicaid, I know first-hand that it is a very generous program. Veterans' Administration care is less so, or, rather, it is spotty, good in some regions, horrible in others. It is certainly not fair that our heroes have far sub par care, but at least that subparity is limited to that one sector. Anyone who has a retiree's health benefit or a working person's insurance, will be able to escape the VA system.

However, health care delivery in America and, as people tell me, in Britain, suffers from fragmentation, go here for that service, get a referral and go there for something else, and hope to Heaven that the providers communicate. That happened to the Beloved Spousal Unit a few years ago, drive here for the X-Ray, make an appointment with the surgeon, go the the hospital for a pre-admission eval, come back in a couple of days for the cholycystectomy, which was laparoscopic, home that evening, minimal pain. (Believe me, I would be made to know about anything more than minimal pain.) Before "cost cutting" measures were instituted, followed by humongous increases in pricing, one came to the hospital, was admitted through Emergency, had the testing done in the afternoon, and the surgery the day after. Granted, this was prior to laparoscopic surgery, so healing was longer, pain greater, etc, but if we used the later technique in a unified system, there'd be twenty four hours in the hospital, at most, and the cost would be less, if any (un)common sense were applied to the whole process.

Michael, I always try to remind people that just as, if nor more so, important to the human condition is eating, as well as medical care. Every time I enter my local supermarket I am quietly amazed at how they produce all those amazing foodstuffs from around the world, clean, fresh and at a reasonable price, 365 days a year! Can you imagine how the food industry would operate under government control? Yeeeeees, quite!

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