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The Artful Todger
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27-06-2019, 12:28 PM
91

Re: Doctors say it is Racist to charge NHS Health Tourists!

It's time to restructure the NHS from root to branch.

It is no longer affordable.

Privatisation is the obvious solution, the best way would be to "boilerplate" the Swiss system to here in its entirety.
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Lowestoft
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27-06-2019, 12:43 PM
92

Re: Doctors say it is Racist to charge NHS Health Tourists!

Originally Posted by Muddy ->
Not that many people do that .
Most people who work abroad continue to pay their NI in the uk .
If they retire abroad they have paid in all their life to the NHS .
People who cost the NHS are expectant mothers form Nigeria people who come from Africa with aids or some expensive condition or people from third world countries who visit their relatives/friends in order to get free medical treatment .
I don't blame them it's our system that is at fault
Or get long term health care, like kidney dialysis, or heart treatment. They are the ones I would like to see stopped. And yes, the pregnant parasites.
Xandra
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27-06-2019, 12:51 PM
93

Re: Doctors say it is Racist to charge NHS Health Tourists!

It isn't racist if it applies to all people from all countries.
Couldn't it be solved by refusing entry to anyone without medical insurance?
I have never used a EHIC card but always take annual travel insurance which covers medical expenses for at least 1million.
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Boot
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27-06-2019, 01:26 PM
94

Re: Doctors say it is Racist to charge NHS Health Tourists!

Some of the posts on here seem to be assuming that the doctors are being expected to check Overseas visitors documents and assess whether patients are chargeable for medical treatment or not.
That is not their role and they are not expected to do that - that is an admin function within the hospital.
There is already an operational framework for this, as detailed here:

https://www.gov.uk/government/public...-of-clinicians

Note Chapter 6, which details the doctor’s role.

“It is the clinician’s role to provide appropriate healthcare for patients and make decisions on their treatment based on their clinical needs. The charging regulations do not change that.

The charging regulations do mean that clinicians are required to decide, for patients who have been identified as chargeable, whether treatment is immediately necessary, urgent or non-urgent.

Immediately necessary treatment is that which a patient needs promptly to:

save their life
prevent a condition from becoming immediately life-threatening
prevent permanent serious damage from occurring”

The doctors/clinicians would be doing a patient assessment anyway, to decide what treatment is necessary and how urgent it is - admin staff couldn’t possibly make those decisions, so all the doctors have to do is advise the OVM team what treatment is urgent and necessary, and the OVM staff deal with the rest.
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Solasch
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Netherlands
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27-06-2019, 03:05 PM
95

Re: Doctors say it is Racist to charge NHS Health Tourists!

Originally Posted by Muddy ->
Goodness talk about awkward Annie !
You pick the most obscure disease and and make it a no brainier !


How many cases of Ebola have there been in the UK?

It is a desease of Africa and only a part of Aafrica at that !

.
That is how AIDS started out.
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Vaniy
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Spain
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27-06-2019, 03:41 PM
96

Re: Doctors say it is Racist to charge NHS Health Tourists!

This whole problem can be solved very easily if in GB you had one number from birth to death

So when immigrants come if they don't register as resident they do not get a number no number no nothing health or otherwise

This goes for passports why every time your passport runs out do you get another number

As I have said before you could have had the same system we have in Spain for the NHS you get your card for life but if you are not a tax payer or resident then no card you pay very easy

The problem is of course you have to tell the authorities who you are and this is the stumbling block as your nice Mrs Shami Chakrabarti thinks this is agains human rights
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27-06-2019, 03:49 PM
97

Re: Doctors say it is Racist to charge NHS Health Tourists!

Originally Posted by Solasch ->
That is how AIDS started out.
As medical knowledge re Aids or how to cure it was limited at the time it started -giving free medical treatment in the UK would have made no difference at all.
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Solasch
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27-06-2019, 03:51 PM
98

Re: Doctors say it is Racist to charge NHS Health Tourists!

Originally Posted by Boot ->
Some of the posts on here seem to be assuming that the doctors are being expected to check Overseas visitors documents and assess whether patients are chargeable for medical treatment or not.
That is not their role and they are not expected to do that - that is an admin function within the hospital.
There is already an operational framework for this, as detailed here:

https://www.gov.uk/government/public...-of-clinicians

Note Chapter 6, which details the doctor’s role.

“It is the clinician’s role to provide appropriate healthcare for patients and make decisions on their treatment based on their clinical needs. The charging regulations do not change that.

The charging regulations do mean that clinicians are required to decide, for patients who have been identified as chargeable, whether treatment is immediately necessary, urgent or non-urgent.

Immediately necessary treatment is that which a patient needs promptly to:

save their life
prevent a condition from becoming immediately life-threatening
prevent permanent serious damage from occurring”

The doctors/clinicians would be doing a patient assessment anyway, to decide what treatment is necessary and how urgent it is - admin staff couldn’t possibly make those decisions, so all the doctors have to do is advise the OVM team what treatment is urgent and necessary, and the OVM staff deal with the rest.

In my days the full hippocratic oath was in use. Even though it's adapted at modern times, the first sentence of it is "make the care of your patient your first concern". A doctor has sworn to treat anyone who is in need of medical care. Even in this modern day there is no reference whatsoever to check the patient's bank account.

A doctor is contracted to give medical care. The bane of medical deparments nowadays is that they are more and more managed by people with an MBa instead of an MD.
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Muddy
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27-06-2019, 03:55 PM
99

Re: Doctors say it is Racist to charge NHS Health Tourists!

Originally Posted by Solasch ->
In my day .....blah blah blah ...

A doctor is contracted to give medical care.
Good we will redirect all none British patients to the Netherlands .
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Solasch
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Netherlands
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27-06-2019, 04:08 PM
100

Re: Doctors say it is Racist to charge NHS Health Tourists!

Originally Posted by Vaniy ->
This whole problem can be solved very easily if in GB you had one number from birth to death

So when immigrants come if they don't register as resident they do not get a number no number no nothing health or otherwise

This goes for passports why every time your passport runs out do you get another number

As I have said before you could have had the same system we have in Spain for the NHS you get your card for life but if you are not a tax payer or resident then no card you pay very easy

The problem is of course you have to tell the authorities who you are and this is the stumbling block as your nice Mrs Shami Chakrabarti thinks this is agains human rights
Since 1988 we in the netherlands have such a number. And we use it for everything, taxes, insurance, health care insurance, car registration etc. For institutions it has advantages, all IT systems are connected, so our sovereign government knows god all about us. Our health insurance is based on this number, and it is also shown in our passports.

Immigrants applying for refugee status have to give a name. They are issued with a number and get a health insurance card. The insurance fee is paid by the government (just like for prisoners in jail). So if an immigrant needs medical care, it is not the hospital that pays for it.
 
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