Opening up the NHS to Trump!
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Discussion

Ayahuasca

Original Poster:

27,560 posts

303 months

Tuesday 12th November 2019
quotequote all
Labour seems to be suggesting that Boris will open up the NHS, sorry, OUR NHS, to Trump!

Noooo, shock horror, how can that be??

Can someone explain how opening the NHS to a freer market is so terrible?


grumbledoak

32,415 posts

257 months

Tuesday 12th November 2019
quotequote all
Is it not just putting the frighteners on the nurses so they get out and vote Labour? It doesn't need to be rational.

TheRealNoNeedy

15,137 posts

224 months

Tuesday 12th November 2019
quotequote all
Labour has said this for years, yet they wanted to remain in the EU and be a part of TTIP which had no protection for the NHS and it only stopped due to Brexit.

Edited by TheRealNoNeedy on Tuesday 12th November 19:33

frisbee

5,511 posts

134 months

Tuesday 12th November 2019
quotequote all
Ayahuasca said:
Labour seems to be suggesting that Boris will open up the NHS, sorry, OUR NHS, to Trump!

Noooo, shock horror, how can that be??

Can someone explain how opening the NHS to a freer market is so terrible?
What makes you think the American healthcare system is a free market?

Bill

57,557 posts

279 months

Tuesday 12th November 2019
quotequote all
The US system is very expensive and has poor results (on average...). The NHS isn't perfect, but pushing it the US route is a big step backwards.

Baby Shark doo doo doo doo

15,078 posts

193 months

Tuesday 12th November 2019
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Basic wages for nurses are better in the USA, I’d have thought they’d be in favour?

Piha

7,150 posts

116 months

Tuesday 12th November 2019
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The costs of medicines is much higher in the US than the UK. If Trump gets his way then you can expect healthcare costs in the UK to spiral.

Electro1980

8,934 posts

163 months

Tuesday 12th November 2019
quotequote all
Free markets are not free when they are controlled by a few big players and the cost of entry is too high. The fear is that services will be sold off to the lowest bidder, and that may not be the cheapest in the long run, or the best for patients, the tax payer or the NHS. Just take a look at the mess of some of the PFIs and some of the major collapse of public service providers. The problem with these services is that unlike, say, a retail company, the customers don’t just get grumpy but go away when they go bust. Someone has to pick that up and fix it.

TheRealNoNeedy

15,137 posts

224 months

Tuesday 12th November 2019
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It is not going to happen

Sway

33,866 posts

218 months

Tuesday 12th November 2019
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Electro1980 said:
Free markets are not free when they are controlled by a few big players and the cost of entry is too high. The fear is that services will be sold off to the lowest bidder, and that may not be the cheapest in the long run, or the best for patients, the tax payer or the NHS. Just take a look at the mess of some of the PFIs and some of the major collapse of public service providers. The problem with these services is that unlike, say, a retail company, the customers don’t just get grumpy but go away when they go bust. Someone has to pick that up and fix it.
Services contracts for the NHS are already open to US bids, thanks to various WTO agreements.

Yet it hasn't happened.

The issues you cite are ones of ineffective procurement functions, not the companies bidding...

Sway

33,866 posts

218 months

Tuesday 12th November 2019
quotequote all
Piha said:
The costs of medicines is much higher in the US than the UK. If Trump gets his way then you can expect healthcare costs in the UK to spiral.
Why?

We already buy the same drugs, from the same manufacturers.

That's what happens when products can be patented.

As always with this topic, thousands of metric tonnes of bullst rhetoric, exceptional shortage of reality (or indeed history)...

Pinoyuk

422 posts

80 months

Tuesday 12th November 2019
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ANY PM that did sell the NHS would be a “Dead person walking” .Forget even been able to protect them (Like Tony Blair needs etc) There would be so many people upset and happy to take a bullet or time in jail for killing the PM concerned .And fking rightly so .

ChunkyloverSV

1,335 posts

216 months

Tuesday 12th November 2019
quotequote all
Sway said:
Piha said:
The costs of medicines is much higher in the US than the UK. If Trump gets his way then you can expect healthcare costs in the UK to spiral.
Why?

We already buy the same drugs, from the same manufacturers.

That's what happens when products can be patented.

As always with this topic, thousands of metric tonnes of bullst rhetoric, exceptional shortage of reality (or indeed history)...
if Paracetamol cost 29p to buy from Spain and 39p to buy from the USA, why would we ever buy it from the USA? This is the bit I can never get my head around.

Dr Jekyll

23,820 posts

285 months

Tuesday 12th November 2019
quotequote all
frisbee said:
Ayahuasca said:
Labour seems to be suggesting that Boris will open up the NHS, sorry, OUR NHS, to Trump!

Noooo, shock horror, how can that be??

Can someone explain how opening the NHS to a freer market is so terrible?
What makes you think the American healthcare system is a free market?
Nobody is suggesting the NHS should be part of the American Healthcare system (or GWR being part of Amtrak or Amtrak being part of Virgin rail or NASA being part of Easyjet) that's not how trade agreements work.

The point is that giving the NHS more choice as to where to buy goods and services constitutes a freer market.

We didn't hear this panic when the EU was trying to get a trade deal with the US.

Sway

33,866 posts

218 months

Tuesday 12th November 2019
quotequote all
ChunkyloverSV said:
Sway said:
Piha said:
The costs of medicines is much higher in the US than the UK. If Trump gets his way then you can expect healthcare costs in the UK to spiral.
Why?

We already buy the same drugs, from the same manufacturers.

That's what happens when products can be patented.

As always with this topic, thousands of metric tonnes of bullst rhetoric, exceptional shortage of reality (or indeed history)...
if Paracetamol cost 29p to buy from Spain and 39p to buy from the USA, why would we ever buy it from the USA? This is the bit I can never get my head around.
There's two types of drugs - those still under licencing protection, and those that aren't.

Things like paracetamol and many others, are on the open market with free competition. As you say, if certified to the same standards then it's purely a case of lowest price with high confidence of being able to meet demand.

For drugs/medicines that are still under patent protection - then there is no 'free market', you have one choice. But posters like some on this thread aren't quite capable of the logical reasoning that this conclusion inevitably leads to, compared to their flowed through rhetoric.

montymoo

391 posts

191 months

Tuesday 12th November 2019
quotequote all
Bill said:
The US system is very expensive and has poor results (on average...). The NHS isn't perfect, but pushing it the US route is a big step backwards.
Whilst I agree that the US healthcare cost is very often prohibitively expensive, The Poor results on average, I’m not sure about.
It’s been a while since last looked, but at things like cancer survival over 5 years, cardiovascular diseases ect. the USA was way ahead of us, along with quite a few other countries.
Happy to be corrected if you have any more up do date data.

Vanden Saab

17,458 posts

98 months

Tuesday 12th November 2019
quotequote all
Could be worse, this morning some Labour nutter was suggesting that a Vote for anybody but Labour was a vote for Trump.... I am not sure that that line of campaigning will have the expected effect...It is the same with this NHS ridiculousness. Any right thinking person will hear the words and after winding back to make sure they heard it right they will laugh.
There are always the odd few who are so far down the USA/ Trump hating rabbit hole that they believe it though... See above...

Ayahuasca

Original Poster:

27,560 posts

303 months

Tuesday 12th November 2019
quotequote all
I don’t think the issue is the difference between the UK and US healthcare systems - that is another topic - but the effect, good or bad, of allowing US suppliers to compete for NHS contracts. I think that is what Corbyn is getting at.


Sway

33,866 posts

218 months

Tuesday 12th November 2019
quotequote all
The really, really irritating thing, is that other than zealots for whom the NHS is sacred 'just as it is, but with more money' most people recognise it could be better.

Yet, for some fking ridiculous reason, the only possible alternative option, is to compare with the bloody US.

If only there were half a dozen, free at point of use, and measurably better value/effective systems within a thousand miles... Or indeed several others further afield.

We do ourselves an immense disservice, and all for bullst political gain.

s2art

18,942 posts

277 months

Tuesday 12th November 2019
quotequote all
Ayahuasca said:
I don’t think the issue is the difference between the UK and US healthcare systems - that is another topic - but the effect, good or bad, of allowing US suppliers to compete for NHS contracts. I think that is what Corbyn is getting at.
And they can compete today (and for a very long time) . So what is different?