Erasmus wrote:To Paul Waine. Paul, I think your comments on health care and socialism are a little disingenuous. The socialist model of healthcare is one by which money raised through taxation, primarily from those who are richer, is used to provide a high standard of care to all persons regardless of their ability to pay.
The exact means by which that care is delivered is not the central issue. It is the use of tax revenues to provide expensive treatments to all people regardless of their economic status. A more relevant comparison would be between the NHS and US healthcare. The fact is that both the countries you refer to, Germany and the Netherlands, spend more per head of tax revenue on healthcare than we do in Britain. So in that fundamental sense, their systems are more socialist than ours.
Hi Erasmus, please, let's not make comparisons between the NHS and US health care system(s) - and, let's be truthful about the NHS, it doesn't provide "a high standard of care to all persons regardless...." The NHS rations care, you can be lucky and treated quickly, or you can be unlucky and you are in a long queue, hoping that they will get round to treating you before it's too late. Or, the NHS has got old and out-of-date equipment, methods, procedures - and you aren't getting the health care that you need and would get under another country's system. And, then the NHS investigates and treats one situation at a time. If your situation is complex, or just not clear cut, you get sent to look at one possible cause, but, if it's not that - maybe after 5-6 months (and more) investigations - you are back to your GP to start a second series of appointments. My understanding is that other health care systems will look at all possibilities immediately.
You say Germany and Netherlands spend more per head of
tax revenue on healthcare. You've got this mixed up - both are compulsory insurance based systems. Both countries spend more per head on health care; in both countries this is the individuals paying for their own health insurance - and, yes, there is an important element of "social care" in their systems, the better off pay extra for their own insurance and that extra pays for the insurance of those who aren't earning enough to pay for their own. I lived in Netherlands for a time. The first question you are asked when you first A&E or your GP is "How are you going to pay?" Yes, the very first question. And, if you have insurance, you are firstly required to pay the excess - when I was there, 20+ years ago, I had to pay roughly £250 per year excess (it covered all our young family). And, the other difference with the NHS, the state doesn't own all the hospitals and the doctors are paid by the patient and their insurance, not by the state.
So, it depends where you put your definition of "socialist" - the sharing of costs, the better off looking after the less well off, yes, Netherlands (and I assume Germany) are "socialist." But, if it's ownership of the hospitals and employment of all the nurses and the doctors, I don't think that's how it works in those countries - and that's where we all could be better off if the UK also followed their systems.