Comments on: Govt. must go beyond cosmetic changes to health bill warn Lib Dem activists https://leftfootforward.org/2011/04/lib-dems-demand-changes-to-health-and-social-care-bill/ Left Foot Forward is the home for UK progressives. We provide evidence-based analysis on British politics, news and policy. Thu, 05 May 2011 17:21:58 +0000 hourly 1 https://wordpress.org/?v=6.9.5 By: Daniel Pitt https://leftfootforward.org/2011/04/lib-dems-demand-changes-to-health-and-social-care-bill/comment-page-7/#comment-103716 Thu, 07 Apr 2011 13:34:20 +0000 https://www.leftfootforward.org/?p=31267#comment-103716 Govt. must go beyond cosmetic changes to health bill warn Lib Dem activists: http://bit.ly/eDq19I #ConDemNation

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By: Cameron "humiliates" Lansley while coalition health reforms stall | Left Foot Forward https://leftfootforward.org/2011/04/lib-dems-demand-changes-to-health-and-social-care-bill/comment-page-7/#comment-103660 Thu, 07 Apr 2011 13:24:06 +0000 https://www.leftfootforward.org/?p=31267#comment-103660 […] the Liberal Democrats still demanding substantial changes, and medical professional bodies looking unlikely to be convinced any time […]

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By: scandalousbill https://leftfootforward.org/2011/04/lib-dems-demand-changes-to-health-and-social-care-bill/comment-page-6/#comment-103481 Wed, 06 Apr 2011 13:17:15 +0000 https://www.leftfootforward.org/?p=31267#comment-103481 bob,

Many other countries provide better healthcare without the state being the provider (they just provide the funding).”

If you check out the OECD data with regard to the proportion of private/public healthcare spend as a proportion of GDP, you will find that the UK spend mix is roughly in line with the OECD average, and that nations with a higher percentage of private healthcare are not at all entirely top performers.

The spend figures can be found in the OECD Factbook,

http://oberon.sourceoecd.org/vl=8219516/cl=17/nw=1/rpsv/factbook2009/10/02/01/10-02-01-g1.htm

Compare with the rankings found in the article from Health Consumer Powerhouse.

http://www.healthpowerhouse.com/files/UK.pdf

The Netherlands healthcare system, ranked first, is a public healthcare system, not a private one, it is also heavily regulated by the government and payments towards insurance are collected by the government. You will note the public/private mix as per the OECD Factbook is roughly the same as the UK. So your correlation in favour of the private sector fails.

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By: Is Lansley really listening? | Left Foot Forward https://leftfootforward.org/2011/04/lib-dems-demand-changes-to-health-and-social-care-bill/comment-page-6/#comment-103446 Wed, 06 Apr 2011 12:12:11 +0000 https://www.leftfootforward.org/?p=31267#comment-103446 […] list of those opposing these reforms continues to grow, and includes an ever increasing number of Lib Dems and Tories like Lord Tebbitt. They join a growing list of leading health […]

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By: bob https://leftfootforward.org/2011/04/lib-dems-demand-changes-to-health-and-social-care-bill/comment-page-6/#comment-103442 Wed, 06 Apr 2011 11:51:56 +0000 https://www.leftfootforward.org/?p=31267#comment-103442 *Is it simply a question of private versus public funding, or do the results reflect the results of a larger spend on healthcare? For example France and Germany spend a higher percentage of GDP on healthcare as opposed to the comparable spend of the UK.*

You miss the point.

Those countries spend more, but they do not provide the healthcare, they provide the funding.

Many other countries provide better healthcare without the state being the provider (they just provide the funding).

I see no reason why the NHS has to be owned or run as a goverment entity as it is, and THAT is what this whole thing has been turned into (You only have to look at the top of this page “Keep our NHS PUBLIC).

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By: scandalousbill https://leftfootforward.org/2011/04/lib-dems-demand-changes-to-health-and-social-care-bill/comment-page-6/#comment-103428 Wed, 06 Apr 2011 10:46:41 +0000 https://www.leftfootforward.org/?p=31267#comment-103428 bob,

You say:

“Why are these people not looking at the fact that WHO ranks the UK NHS in the 20s wheras countries that have privatatly provided BUT state funded healthcare (which is basically what this bill is about) sitting in 1-5th place?”

Is it simply a question of private versus public funding, or do the results reflect the results of a larger spend on healthcare? For example France and Germany spend a higher percentage of GDP on healthcare as opposed to the comparable spend of the UK.

A second point to note is that country by country comparisons may not accurately reflect the differences that may occur between nations, as the article by David Beemer alludes

“The WHO ranking was ambitious in its scope, grading each nation’s health care on five factors. Two of these were relatively uncontroversial: health level, which is roughly the average healthy lifespan of a nation’s residents; and responsiveness, which is a sort of customer-service rating encompassing factors such as the system’s speed, choice and quality of amenities. The other three measure inequality in health-care outcomes; responsiveness; and individual spending.”
“These last three measures struck some analysts as problematic, because a country with unhealthy people could rank above a healthier one where there was a bigger gap between healthy and unhealthy people. It is certainly possible that spreading health care as evenly as possible makes a society healthier, but the rankings struck some health-care researchers as assuming that, rather than demonstrating it….”

http://online.wsj.com/article/SB125608054324397621.html

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By: mike cobley https://leftfootforward.org/2011/04/lib-dems-demand-changes-to-health-and-social-care-bill/comment-page-6/#comment-103417 Wed, 06 Apr 2011 10:14:42 +0000 https://www.leftfootforward.org/?p=31267#comment-103417 Well, BOB, the reason we are opposed to market mechanisms and the involvement of private sector in frontline services is pretty straightforward. You see, its all about core functions. The core function of the NHS is to take care of the health of the nation; the core function of a private sector health trader is to maximise profit & minimise loss, as it is for any commercial venture operating in the market. Straight away, the conflict of interest is starkly obvious. Both the historical and contemporary record is replete with examples where private sector health traders have degraded the services under their purview, or triaged their patients and clients according to ability to pay, or siphoned off financial resources in the form of bonuses, exorbitant executive pay, and shareholder dividend.

See, where the money goes is also of vital importance to us; for you and others to turn round and sneer that all we should be bothered with is that its ‘free at the point of use’ is profoundly insulting. Here endeth the lesson.

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By: Paul Gleeson https://leftfootforward.org/2011/04/lib-dems-demand-changes-to-health-and-social-care-bill/comment-page-5/#comment-103433 Wed, 06 Apr 2011 10:00:00 +0000 https://www.leftfootforward.org/?p=31267#comment-103433 Govt. must go beyond cosmetic changes to health bill warn Lib Dem activist | Left Foot Forward: http://bit.ly/evUwVL via @addthis

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By: bob https://leftfootforward.org/2011/04/lib-dems-demand-changes-to-health-and-social-care-bill/comment-page-5/#comment-103411 Wed, 06 Apr 2011 09:19:35 +0000 https://www.leftfootforward.org/?p=31267#comment-103411 I don’t understand the natural resistance people have to this bill.

Why is privatising the NHS instinctivly a bad thing, NO ONE is talking about changing the “free at point of use” part of our healthcare.

Why does it matter that it is public or private run?

Why are these people not looking at the fact that WHO ranks the UK NHS in the 20s wheras countries that have privatatly provided BUT state funded healthcare (which is basically what this bill is about) sitting in 1-5th place?

I don’t understand the resistance to this bill other than some idillic moral crusade about protecting public sector intrests.

What about the paitents who are recieving declining healthcare at ever increasing costs?

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By: Prateek Buch https://leftfootforward.org/2011/04/lib-dems-demand-changes-to-health-and-social-care-bill/comment-page-5/#comment-103398 Wed, 06 Apr 2011 07:55:42 +0000 https://www.leftfootforward.org/?p=31267#comment-103398 @Richard Blogger – your scepticism/naivety is understandable, but as Evan pointed out rebellion isn’t usually encountered at earlier stages – even less so in a Coalition I’d suspect.

What matters is that through internal, democratic dialogue, the Lib Dem membership made its position on the Bill clear at Conference – and now expects its representatives in Parliament to deliver the amendments we set out.

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