Choice is an illusion created by people to sell you something. The egalitarian utopian market in which social businesses and the mightiest US private healthcare companies compete and provide health services in a mixed economy is a fallacy. Competition creates mega, monopoly suppliers.
War is Peace? Competition means monopoly?
What? Who is this moron?
Dr John Middleton is director of Public Health Sandwell
Jesus, no wonder the NHS is fucked. He\’s cribbing his economics from the Ladybird guide to Marx. That special one for those not up to \”See, Spot the Dog\” type complex dialogue.
Stories of the incompetence and impersonality of telephone, water and energy companies are legion. All beneficiaries of choice and competition: an ideology successive governments have planned to bring to the NHS.
Well, yes, there\’s a good reason for that too. We\’ve been able to see that competition improves results without increasing costs.
We saw it with water for example: at \”privatisation\” there were four different systems put in place for the structure. In England, regulated private, for profit, monopolies. In Wales, a mutually owned monopoly. In Scotland, a State owned monopoly. In Northern Ireland, direct local council provision.
OfWat, the regulator, had a look at the results a decade or so later. Which system lowered costs, improved the quality of water and reduced environmental damage the most (in theory all should, for technology does advance)?
England first, then Wales, then Scotland, lastly NI. For profit ownership, even in the absence of true competition, worked.
And is there anyone at all who thinks that telecoms have got worse since the abandonment of British Telecoms\’ monopoly? (Heck, since the GPO?)
Trains were something of a fuck up, true.
And we\’ve even had experiments in the damn NHS that we can look at. NHS England embraced limited competition while NHS Wales and NHS Scotland did not. NHS England has improved in productivity more than NHS Wales or NHS Scotland. Shit, we\’ve even got detailed studies of the effects of non-price competition on patient outcomes and costs. Patient outcomes improved at no increase in cost.
So we\’ve a senior manager in the NHS quoting from the \”Teenage Trots\’ Guide to the Evils of Imperialism\” or whatever and entirely ignoring all of the empirical evidence. It\’s as if he was basing medical treatment on his misunderstandings of Galen\’s humours instead of all the hard scientific work that\’s been done over the centuries.
This is the spouting of idiot prejudices, not a reflection of anything in the real world.
That we\’re spending £110 billion a year through morons like this just shows exactly why we really do need to reform the NHS.