tag:blogger.com,1999:blog-4732407426313451205.post7208429724735728213..comments2024-03-08T15:43:20.236+00:00Comments on Keynesian Liberal: Reorgainsiing the NHS (again)Peter Wrigleyhttp://www.blogger.com/profile/16481117156930677255noreply@blogger.comBlogger11125tag:blogger.com,1999:blog-4732407426313451205.post-61928832888322495772021-06-21T14:42:29.671+01:002021-06-21T14:42:29.671+01:00BE SMART AND BECOME RICH IN LESS THAN 3DAYS....It ...BE SMART AND BECOME RICH IN LESS THAN 3DAYS....It all depends on how fast <br />you can be to get the new PROGRAMMED blank ATM card that is capable of<br />hacking into any ATM machine,anywhere in the world. I got to know about <br />this BLANK ATM CARD when I was searching for job online about a month <br />ago..It has really changed my life for good and now I can say I'm rich and <br />I can never be poor again. The least money I get in a day with it is about <br />$50,000.(fifty thousand USD) Every now and then I keeping pumping money <br />into my account. Though is illegal,there is no risk of being caught <br />,because it has been programmed in such a way that it is not traceable,it <br />also has a technique that makes it impossible for the CCTVs to detect <br />you..For details on how to get yours today, email the hackers on : (<br />atmmachinehackers1@gmail.com ). Tell your <br />loved once too, and start to live large. That's the simple testimony of how <br />my life changed for good...Love you all ...the email address again is ;<br />atmmachinehackers1@gmail.com micheal panhttps://www.blogger.com/profile/17125801200227490799noreply@blogger.comtag:blogger.com,1999:blog-4732407426313451205.post-44778981876945374192021-02-15T00:36:25.640+00:002021-02-15T00:36:25.640+00:00Yes, and from what I gather (but I'm not an ex...Yes, and from what I gather (but I'm not an expert so am willing to be contradicted with facts) from that point the Scottish NHS has been, or at least has become, an entirely separate organisation to the English NHS, so in no real sense beyond branding is it 'part of the NHS'. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4732407426313451205.post-34984739014935321482021-02-14T18:18:38.860+00:002021-02-14T18:18:38.860+00:00According to Dr Google: "Following Scottish d...According to Dr Google: "Following Scottish devolution in 1999, health and social care policy and funding became devolved to the Scottish Parliament. It is currently administered through the Health and Social Care Directorates of the Scottish Government" So it is one of those functions that was centrally administered and is now devolved: quite right too.Peter Wrigleyhttps://www.blogger.com/profile/16481117156930677255noreply@blogger.comtag:blogger.com,1999:blog-4732407426313451205.post-32523399103399454972021-02-13T19:15:22.112+00:002021-02-13T19:15:22.112+00:00From what I understand, the NHS in Scotland isn...From what I understand, the NHS in Scotland isn't 'part of the NHS' at all, in any real sense. It's a totally separate organisation to the NHS in England that just happens to use the same logo.<br /><br />It's no more 'part of the NHS' than the London Times and the New York Times are 'part of the Times'. They just happen to share a name, that's all.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4732407426313451205.post-20656624325493566472021-02-13T07:46:24.249+00:002021-02-13T07:46:24.249+00:00I presume they have some sort of flexibility about...I presume they have some sort of flexibility about their priorities, but accept that they could probably do with more.Peter Wrigleyhttps://www.blogger.com/profile/16481117156930677255noreply@blogger.comtag:blogger.com,1999:blog-4732407426313451205.post-1362633968880510222021-02-12T10:56:06.304+00:002021-02-12T10:56:06.304+00:00Scotland and Wales make different choices but are ...<i>Scotland and Wales make different choices but are still part of the NHS</i><br /><br />In what sense, beyond branding, is the NHS in Scotland really 'part of the NHS'? <br /><br />(Though I suppose, given the national-religion aspect of the NHS which seems to count for certain politicians much more than how it actually performs, perhaps the branding is in fact all that matters).Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4732407426313451205.post-54072620876362207922021-02-12T07:11:15.208+00:002021-02-12T07:11:15.208+00:00Scotland and Wales make different choices but are ...Scotland and Wales make different choices but are still part of the NHS. The same could be said for greater devolution to regional or local health services.Peter Wrigleyhttps://www.blogger.com/profile/16481117156930677255noreply@blogger.comtag:blogger.com,1999:blog-4732407426313451205.post-37816155906735377642021-02-11T14:49:49.073+00:002021-02-11T14:49:49.073+00:00Devolution of power is only possible in Germany be...Devolution of power is only possible in Germany because of the mixture of public and private provision. Devolution of power is not politically possible within a totally state-run edifice because by definition if different areas have autonomy then they will make different choices, which will mean that different services will be prioritised and de-prioritised in different areas, which will be characterised as a 'postcode lottery'.<br /><br />If you have a single national system like the NHS, then people will expect the exact same provision in every area and will complain if they don't get it.<br /><br />I guess the point about higher spending depends on how likely you think the NHS is to spend any extra money it receives well, versus how likely it is to be wasted.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4732407426313451205.post-38630461331027423792021-02-11T13:12:21.464+00:002021-02-11T13:12:21.464+00:00I see you have selected a mixture of public and pr...I see you have selected a mixture of public and private provision of health care supported by insurance as the reasons for Germany's superior performance.<br /><br />I attribute it to the substantial devolution of power to the 16 Lander and their central government's willingness to work in co-operation with them, along with the fact that they spend 11.4% of GDP in health care compared to our 10%. That may not look much but 1.4% of a bigger GDP is a lot of money which enables them to have 4.25 doctors per1000 (UK 2.79) and 8.6 hospital beds per 1000 (UK 2.5).Peter Wrigleyhttps://www.blogger.com/profile/16481117156930677255noreply@blogger.comtag:blogger.com,1999:blog-4732407426313451205.post-56278142076422426742021-02-11T12:13:03.109+00:002021-02-11T12:13:03.109+00:00This comment has been removed by a blog administrator.Mussenhttps://www.blogger.com/profile/02858220428123357111noreply@blogger.comtag:blogger.com,1999:blog-4732407426313451205.post-89128499181876224312021-02-08T15:34:12.976+00:002021-02-08T15:34:12.976+00:00Must admit I too am slightly surprised by this. I ...Must admit I too am slightly surprised by this. I thought that it was almost universally agreed that the German healthcare system, which is a mix of public and private provision underpinned by compulsory health insurance, had coped with the demands of the pandemic much better than the NHS, at least in part because it <i>isn't</i> a single monolithic public body like the NHS () or inded PHEand therefore was able to respond more flexibly. And yet rather than reforming our health system to be more like the one which did better, they seem to be doubling down on the reasons it is worse.<br /><br />A cynic might suggest that what has actually happened is that the politicians have discovered that although the reforms gave more control to the individual bits of the health service, they — the politicians — still get blamed when things go wrong, even though the problems are with things they have given up control over so aren't really their fault. So they have decided that if they're going to get the blame anyway, they may as well have the control back — even if that leads to worse outcomes all around.Anonymousnoreply@blogger.com