A friend posted a link on Facebook to a story about a woman who went to A&E for a broken nail. What seems to have happened is that NHS West Kent have put out a press release imploring people not to use its services unless they really need them.
Which strikes me as a pretty odd state of affairs. Imagine a business complaining of too many customers.
Anyway, I pointed out that this is a problem with “free” at the point of use health care. The flip-side is people not going to the doctors’ because they worry they’ll be wasting his time. I’ve certainly had this experience myself, where I’ve visited the doctor in the hope of getting stronger allergy medicine and left feeling like I have burdened him unnecessarily. The treatment you generally get from the receptionists boils down to the same thing. It’s more, “what are you doing here taking up space in my surgery?” than “how can I help you?”
At least with a vendor/customer relationship everyone knows where they stand. People will visit the doctor when they think the urgency of the situation outweighs the cost. The doctor will be pleased to see you whatever you are there for. 7% more customers would mean 7% more profit, not 7% more problems.
Someone replied wondering what would happen if there wasn’t an NHS, and you became seriously ill, unable to work, and therefore unable to afford treatment.
My answer is that that’s what families and communities are for. Previously such problems have been solved by friendly societies, or church congregations. Or you would have to rely on your family.
There was some discussion about whether this is a realistic notion in this day and age. There is no such thing as community, and who wants to look after ailing family members?
I think there is still community, it’s just that people are more dispersed because of modern transportation and telecoms. Your circle of close friends is your community.
But to the extent that community has been devalued, it’s probably a consequence of spending 60 years telling people they can rely on the state to provide for them: why go to the effort of being nice to your neighbours when the government will send round a nurse to look after you? I think when conservatives talk about family and community, this is what they mean, not any “Big Society” nonsense.
Similarly, no-one wants to pay for their friends’ operations. But why don’t they? It’s because the government does it for them. The expectation is there so they don’t save for the eventuality. And the high taxes don’t help with this, either.
But even if you don’t agree and think that the NHS is necessary, you have to accept that if you offer a service at no cost, there will inevitably be more demand than you can cope with.