12-09-2020, 06:04 PM
21
Re: Whose Job is it To Make Plans Happen?
Originally Posted by AnnieS
->
That's not a sensible suggestion. There is too much risk associated with delivering healthcare and too much risk in private enterprise. What would you do if a business goes bust and leaves patient without care? I'm not a fan of Bupa. Having a shiny building doesn't mean you have any better care than is delivered in the NHS. Usually it's the same doctors who work in both. Only in one private patients pay through the nose either via direct payments or insurance. The insurance industry is a scam when it comes to healthcare in the US. Inflating costs artificially - total scandal. You really should take your rosy glasses off when it comes to private companies. You only have to look at all the big names that went bust in the high street because of their "head in the sand" strategies. It's fine to leave retail adrift in this see of mire but healthcare is far too important for the state to leave it to amateurs and charlatans looking to cream off the misery of the sick.
As for healthcare, the UK NHS is actually quite appalling and ceased to be the envy of the world donkeys years ago. Admittedly most front line workers often bust a gut but the service provided by the NHS is mostly below many third world countries.
Private insurance? Private insurance as anything but a scam. Licencing of private insurance health insurance in Europe has safety measures in place along the same lines as ABTA but very much more inclusive and arranged such that no-one is left on a limb.
As I wrote I'm absolutely sold on the Swiss way of providing health cover, beats the hell out of our now unfit for purpose hopelessly expensive NHS.
Absolutely nothing wrong with the private sector delivering a nations health service. Of all and based on my experience it would be impossible to better the Swiss model.
12-09-2020, 06:17 PM
22
Re: Whose Job is it To Make Plans Happen?
Originally Posted by The Artful Todger
->
The big name high street failures need to be well understood. As I have mentioned previously a well planned and we'll executed bankruptcy can be very profitable. Moreover just because a retail outlet has a household name above it doesn't mean it's part of a chain, franchising plays a huge part.As for healthcare, the UK NHS is actually quite appalling and ceased to be the envy of the world donkeys years ago. Admittedly most front line workers often bust a gut but the service provided by the NHS is mostly below many third world countries.
Private insurance? Private insurance as anything but a scam. Licencing of private insurance health insurance in Europe has safety measures in place along the same lines as ABTA but very much more inclusive and arranged such that no-one is left on a limb.
As I wrote I'm absolutely sold on the Swiss way of providing health cover, beats the hell out of our now unfit for purpose hopelessly expensive NHS.
Absolutely nothing wrong with the private sector delivering a nations health service. Of all and based on my experience it would be impossible to better the Swiss model.
https://www.swissinfo.ch/eng/governm...costs/45977922
All healthcare systems are struggling with increased ageing populations. The NHS was brilliant before the Tory meddling.
P.s. plain rubbish re planned bankruptcies of high street chains. I've followed their inadequate planning and market positioning for years. Not sure I catch your point on franchising.
In terms of health insurance, in switzerland it's strictly controlled by the state. We don't have that kind of interference in private enterprise without taking some of their risk. I'm not sure whether the Swiss government have a risk share arrangement, but they are kicking up a fuss about rising costs. They are trying to stop people accessing healthcare in the way they would like to and trying to create gatekeepers. So perhaps you're thinking back to a different era.
12-09-2020, 07:22 PM
23
Re: Whose Job is it To Make Plans Happen?
Originally Posted by AnnieS
->
Just with reference to your comments on the swiss model. It's very expensive and they are now seeking ways to reduce access to specialists in order to reduce overall costs - so what's so great? Switzerland has a tiny population compared with the UK, easy to keep track of their citizens versus the UK :https://www.swissinfo.ch/eng/governm...costs/45977922
All healthcare systems are struggling with increased ageing populations. The NHS was brilliant before the Tory meddling.
P.s. plain rubbish re planned bankruptcies of high street chains. I've followed their inadequate planning and market positioning for years. Not sure I catch your point on franchising.
In terms of health insurance, in switzerland it's strictly controlled by the state. We don't have that kind of interference in private enterprise without taking some of their risk. I'm not sure whether the Swiss government have a risk share arrangement, but they are kicking up a fuss about rising costs. They are trying to stop people accessing healthcare in the way they would like to and trying to create gatekeepers. So perhaps you're thinking back to a different era.
As for The Swiss Model of health care provision, it is the efficiency introduced by privatisation that keeps constant pressure on on costs and cost control. Just what the NHS does not do, instead tax money gets ploughed into areas that do not concentrate on delivering value for money.
Actually I can't think of a single thing that is delivered by our government that could not be delivered at a lower cost and better value by the private sector.
ETA - When it comes to gatekeepers it's the same with private medical insurance here. To ensure you don't get hit with a sizeable penalty you must be referred to a private consultant by your GP. That can be your private GP if like us you have one, or by your NHS GP if you don't. It's been like that for years. The big advantage is the speed of treatment and quality of care not to mention cleanliness.
12-09-2020, 08:37 PM
24
Re: Whose Job is it To Make Plans Happen?
Originally Posted by The Artful Todger
->
Your innocence regarding managed bankruptcy is to be admired. Seriously. As for The Swiss Model of health care provision, it is the efficiency introduced by privatisation that keeps constant pressure on on costs and cost control. Just what the NHS does not do, instead tax money gets ploughed into areas that do not concentrate on delivering value for money.
Actually I can't think of a single thing that is delivered by our government that could not be delivered at a lower cost and better value by the private sector.
ETA - When it comes to gatekeepers it's the same with private medical insurance here. To ensure you don't get hit with a sizeable penalty you must be referred to a private consultant by your GP. That can be your private GP if like us you have one, or by your NHS GP if you don't. It's been like that for years. The big advantage is the speed of treatment and quality of care not to mention cleanliness.
The cost control of insurance in the Swiss model is down to very heavy handed government interference in the sector. They have a massive choice of insurers and keep it that way. However, it's becoming unaffordable as I said and access to the services they have been used to is being curtailed. This is a major change for them. Premiums have been rising. This is a cost for both the patients and the State.
Maybe it works for them. They have a top tier GDP per capita and 8 million people. We are slightly different! Our businesses are not run like clockwork and my experience of using private healthcare has not been impressive. Long waits and a lack of a safety net if things go wrong. These places are not run very well at all. Even the very high end of the scale. It's all about money making these days. The really great service and gold standard treatment ended in the 90s. I think you'd be surprised just how much they cut corners.
12-09-2020, 10:03 PM
25
Re: Whose Job is it To Make Plans Happen?
Originally Posted by Tedc
->
We keep hearing of ideas to make changes in UK.Be it Brexit, NHS, Corvid, you name it.
I, for one, often see the value of these plans and would like to see a reasoned introduction.
But I, like others, rarely see that happen.
Why?
Because once the ideas are put out to the Civil Service, who are paid, handsomely, to fulfil implementations for the government, things stop happening!
Or, at the very least, they slow down and costs increase massively.
Every private business would go broke if it employed people like this!
Some sackings have started - but why not sack the whole lot?
12-09-2020, 11:23 PM
27
Re: Whose Job is it To Make Plans Happen?
Originally Posted by spitfire
->
it's coz things have to Tick Over, no matter what is happening, you just have to ignore what is happening and get used to Ticking Over, that is the key to happiness in these troubled times.
13-09-2020, 10:19 AM
28
Re: Whose Job is it To Make Plans Happen?
Originally Posted by Longdogs
->
Pretti Patel is a good example. She keeps saying what needs to happen but never does it.
13-09-2020, 04:44 PM
29
Re: Whose Job is it To Make Plans Happen?
Originally Posted by AnnieS
->
Something is ticking? Maybe it's a bomb?
|
|
