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"Is it fair that people who look after thereselves, eat healthy, exercise regularly, don’t smoke, don’t drink (or in moderation), subsidise people who do the opposite in excess ? If it’s not what’s the alternative ?" I look after myself, eat healthy, don’t smoke, don’t drink and I’ve been scraped up and bolted back together by our wonderful NHS, had surgery, was born in a safe, modern, clean hospital and have watched loved ones cared for The NHS is worth every penny, I just don’t trust the bastards who are running it to spend my money wisely. Doesn’t mean I begrudge the money | |||
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"Is it fair that people who look after thereselves, eat healthy, exercise regularly, don’t smoke, don’t drink (or in moderation), subsidise people who do the opposite in excess ? If it’s not what’s the alternative ?" But the NHS is not there for just the people who do the things you mentioned to excess! Even very healthy people get ill, have accidents. | |||
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"Treating alcohol and drug misuse related injuries and illnesses should not be provided by the nhs. " Exactly. | |||
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"I think the system is fair but very annoying when they discharge people before they are fit to go home " Yes, there is a culture of getting people home quickly when they might not be fully fit. | |||
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"Treating alcohol and drug misuse related injuries and illnesses should not be provided by the nhs. " Drug and alcohol addiction, and addictive personalities are recognised by the DSM and NHS as illnesses, so from that point of view it's debatable how accountable a person is for addiction related illnesses. If you injured yourself jogging or while exercising at the gym, would you argue that as a self-inflicted injury that should be exempt from NHS treatment? | |||
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"Treating alcohol and drug misuse related injuries and illnesses should not be provided by the nhs. " Who should pay for that then? | |||
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"Treating alcohol and drug misuse related injuries and illnesses should not be provided by the nhs. Who should pay for that then? " Not me. | |||
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"Okay, illnesses associated with lifestyle choice cost the NHS £11 billion a year. This is Health problems related to poor diet, drinking and smoking. Obviously I’m not saying people who have a healthy lifestyle don’t get ill. But why should people who look after thereselves fund this cost ?" Are you arguing in favour of private health insurance for everyone? | |||
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"Yes. I think its a fair system" The NHS was founded on the principles of fairness,and equality howvever over the the last 70 years care is increasingly being rationed, not according to need but rather according to available resourses.... and that im afraid is unfair and unjust!! | |||
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"Okay, illnesses associated with lifestyle choice cost the NHS £11 billion a year. This is Health problems related to poor diet, drinking and smoking. Obviously I’m not saying people who have a healthy lifestyle don’t get ill. But why should people who look after thereselves fund this cost ?" The government get a fair bit of revenue from alcohol and tobacco taxes. I don’t know how much it goes toward offsetting the cost of health care | |||
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"Is it fair that people who look after thereselves, eat healthy, exercise regularly, don’t smoke, don’t drink (or in moderation), subsidise people who do the opposite in excess ? If it’s not what’s the alternative ?" I think you’ll find we’re “subsidising” those who don’t pay tax and NI. no matter how healthy or not we are. But it’s a fair system. Unless you’ve experienced healthcare abroad, you don’t realise what a wonderful being the NHS is. | |||
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"Treating alcohol and drug misuse related injuries and illnesses should not be provided by the nhs. " Why not? | |||
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"Okay, illnesses associated with lifestyle choice cost the NHS £11 billion a year. This is Health problems related to poor diet, drinking and smoking. Obviously I’m not saying people who have a healthy lifestyle don’t get ill. But why should people who look after thereselves fund this cost ?" Whilst direct taxes on the tobacco industry brings in a minimum of £12b per year. Therefore by your reckoning smokers should get a rebate when they access NHS services.... | |||
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"Okay, illnesses associated with lifestyle choice cost the NHS £11 billion a year. This is Health problems related to poor diet, drinking and smoking. Obviously I’m not saying people who have a healthy lifestyle don’t get ill. But why should people who look after thereselves fund this cost ? Whilst direct taxes on the tobacco industry brings in a minimum of £12b per year. Therefore by your reckoning smokers should get a rebate when they access NHS services.... " yeah. Where is my bloody rebate. 30 a day for 40 years i should have a fair amount owed me by now | |||
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"Okay, illnesses associated with lifestyle choice cost the NHS £11 billion a year. This is Health problems related to poor diet, drinking and smoking. Obviously I’m not saying people who have a healthy lifestyle don’t get ill. But why should people who look after thereselves fund this cost ? Whilst direct taxes on the tobacco industry brings in a minimum of £12b per year. Therefore by your reckoning smokers should get a rebate when they access NHS services.... " The total NHS budget is in excess of 130 billion a year ...just for clarity and general practice gets only 7.7 % of the total budget ...just saying .... | |||
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"Seeing the smoking patients outside the hospital grounds, adorned in pyjamas /dressing gown, complete with drip stand and/or iv attached just makes my blood boil to the point of wanting to save the NHS money (my taxes) and finish off the stupid fuckers without further delay " Pregnant women smoking outside the maternity ward gets me so sad | |||
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"I'll put my 2ps worth in. I work within the NHS. I see more people that sustain injuries from so called "healthy lifestyles" than I see people who have chronic illnesses. Ok, they are treated elsewhere in the system but in terms of acute care, I see more people from gyms than I do from pubs. And no, we don't often see the "I slipped in the shower and it went up my bum" type of stuff!" Is this in casualty ? | |||
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"Okay, illnesses associated with lifestyle choice cost the NHS £11 billion a year. This is Health problems related to poor diet, drinking and smoking. Obviously I’m not saying people who have a healthy lifestyle don’t get ill. But why should people who look after thereselves fund this cost ? Whilst direct taxes on the tobacco industry brings in a minimum of £12b per year. Therefore by your reckoning smokers should get a rebate when they access NHS services.... " Junk food costs the NHS more than cigarettes and alcohol combined, £6 billion a year. | |||
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"Is it fair that people who look after thereselves, eat healthy, exercise regularly, don’t smoke, don’t drink (or in moderation), subsidise people who do the opposite in excess ? If it’s not what’s the alternative ?" I say this as another cyclist, if you stack your bike tomorrow descending at speed end up crippled, or with a significant brain injury, the demand on the NHS of you "exercising regularly" would dwarf what most people will ever take from the NHS. The NHS exists as insurance so we can get the care we need. That's idealistic and yes certain lifestyle choices are a huge drain. But the answer is social change and education NOT limiting healthcare based on a tick list of what society thinks is the right or wrong way to lead your life | |||
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"Is it fair that people who look after thereselves, eat healthy, exercise regularly, don’t smoke, don’t drink (or in moderation), subsidise people who do the opposite in excess ? " that same person could have a car crash tomorrow..... or a stroke... or something they have no control over..... i was a few hrs from being being "brave and stubborn" from being in an ICU...... sometimes "things" just happen.... i am never going to begrudge anyone else treatment.... | |||
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"Is it fair that people who look after thereselves, eat healthy, exercise regularly, don’t smoke, don’t drink (or in moderation), subsidise people who do the opposite in excess ? If it’s not what’s the alternative ? I say this as another cyclist, if you stack your bike tomorrow descending at speed end up crippled, or with a significant brain injury, the demand on the NHS of you "exercising regularly" would dwarf what most people will ever take from the NHS. The NHS exists as insurance so we can get the care we need. That's idealistic and yes certain lifestyle choices are a huge drain. But the answer is social change and education NOT limiting healthcare based on a tick list of what society thinks is the right or wrong way to lead your life" Yeah, I agree with that. But the obesity crisis seems like it’s out of control and type 2 diabetes is through the roof, how do you reverse that, something radical needs to happen, not sure what though. | |||
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"Is it fair that people who look after thereselves, eat healthy, exercise regularly, don’t smoke, don’t drink (or in moderation), subsidise people who do the opposite in excess ? If it’s not what’s the alternative ? I say this as another cyclist, if you stack your bike tomorrow descending at speed end up crippled, or with a significant brain injury, the demand on the NHS of you "exercising regularly" would dwarf what most people will ever take from the NHS. The NHS exists as insurance so we can get the care we need. That's idealistic and yes certain lifestyle choices are a huge drain. But the answer is social change and education NOT limiting healthcare based on a tick list of what society thinks is the right or wrong way to lead your life Yeah, I agree with that. But the obesity crisis seems like it’s out of control and type 2 diabetes is through the roof, how do you reverse that, something radical needs to happen, not sure what though." I agree that both need addressing, but I'm not sure telling people that they wont get health care is the way. After all facts like "you are more likely to die because you are obese" or "if you develop type 2 diabetes you could die" doesn't work as a deterrent, I;m not sure "if you get ill, we won;t treat you" would be overly effective either | |||
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"Is it fair that people who look after thereselves, eat healthy, exercise regularly, don’t smoke, don’t drink (or in moderation), subsidise people who do the opposite in excess ? If it’s not what’s the alternative ?" . You've fallen into this sjw bollocks of "fairness". Life isn't fair, were not all born equal and we won't all die equally either, so you've looked after yourself, I recommend that, unfortunately you'll pay the same as somebody who's not given a fuck, that's socialism because there looking for equality of outcome, there'll say you've lived a privileged life where you're choices weren't available to all!. | |||
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"just why is unhealthy food being manufactured in the first place? why is the stuff being placed on the shelves in shops? if it's causing such problems why is this kind of food allowed to exist?" . I dunno, why do people make cocaine? Oh yeah, it's coz some fuckwits are willing to take it!. | |||
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"just why is unhealthy food being manufactured in the first place? why is the stuff being placed on the shelves in shops? if it's causing such problems why is this kind of food allowed to exist?. I dunno, why do people make cocaine? Oh yeah, it's coz some fuckwits are willing to take it!. " what exactly has illegal drugs got to do with the manufacture and sale of junk food? unless cocaine is stocked in the shops in the parallel universe in which you live | |||
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"Treating alcohol and drug misuse related injuries and illnesses should not be provided by the nhs. Exactly." As well as smoking and obesity related problems. Yes some obesity issues aren’t always down to just feeding your face and not giving a shit, but many are. This particular issue is analogous to grossly overweight people paying the same for plane tickets (assuming they don’t have to buy two seats). | |||
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"just why is unhealthy food being manufactured in the first place? why is the stuff being placed on the shelves in shops? if it's causing such problems why is this kind of food allowed to exist?" profit & greed simple | |||
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"Is it fair that people who look after thereselves, eat healthy, exercise regularly, don’t smoke, don’t drink (or in moderation), subsidise people who do the opposite in excess ? If it’s not what’s the alternative ?. You've fallen into this sjw bollocks of "fairness". Life isn't fair, were not all born equal and we won't all die equally either, so you've looked after yourself, I recommend that, unfortunately you'll pay the same as somebody who's not given a fuck, that's socialism because there looking for equality of outcome, there'll say you've lived a privileged life where you're choices weren't available to all!." You clearly don’t know what SJW stand for then, they would probably be saying the opposite, I’m guessing you just heard the term on the forum somewhere and jumped on the bandwagon. ‘Equality of outcome’ another phrase that you’ve probably seen used on a feminism thread I’m guessing. Back to the drawing board mate. | |||
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"Is it fair that people who look after thereselves, eat healthy, exercise regularly, don’t smoke, don’t drink (or in moderation), subsidise people who do the opposite in excess ? If it’s not what’s the alternative ?" Depends on what they need the NHS for. | |||
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"Okay, illnesses associated with lifestyle choice cost the NHS £11 billion a year. This is Health problems related to poor diet, drinking and smoking. Obviously I’m not saying people who have a healthy lifestyle don’t get ill. But why should people who look after thereselves fund this cost ?" What if you were to suffer a trauma that led to mental illness? Sonething over which you had no control...you've chosen to opt out because you look after yourself so shouldn't have to pay... Equally then you could say that as I've never had children, why should my contribution pay for others childbirth? Fertility treatment and IVF are a lifestyle choice, so why should it be paid for...for that matter, as I've never had kids, why should I pay for education through my council tax? You start to risk a 2 or more tier system where only those who can afford it can have the choice to have children...we'd all have something we feel we shouldn't pay towards...it would lead to chaos. Yeah, it can feel unfair but lots of things do...a colleague of mine was hospitalised in the US, the chart that hangs at the end of the bed isn't anything to do with your health...its an invoice and they list everything, every bed sheet and pillow case, every pill, every cup of water... | |||
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"Is it fair that people who look after thereselves, eat healthy, exercise regularly, don’t smoke, don’t drink (or in moderation), subsidise people who do the opposite in excess ? If it’s not what’s the alternative ?" I personally am never ill. With the exception of a couple of minor injuries and having the snip, my medical history is none existent. If I was to look at it from a selfish and mercenary point of view, I've had many friends and family members who have needed extensive treatments for all manner of things from major trauma to cancers. So I have benefited through them. To me, the thing that makes the system fair is that the facilities and services are "available" to everyone if and when they do need them... and we all need some help at some time. Cal | |||
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"Is it fair that people who look after thereselves, eat healthy, exercise regularly, don’t smoke, don’t drink (or in moderation), subsidise people who do the opposite in excess ? If it’s not what’s the alternative ? I say this as another cyclist, if you stack your bike tomorrow descending at speed end up crippled, or with a significant brain injury, the demand on the NHS of you "exercising regularly" would dwarf what most people will ever take from the NHS. The NHS exists as insurance so we can get the care we need. That's idealistic and yes certain lifestyle choices are a huge drain. But the answer is social change and education NOT limiting healthcare based on a tick list of what society thinks is the right or wrong way to lead your life Yeah, I agree with that. But the obesity crisis seems like it’s out of control and type 2 diabetes is through the roof, how do you reverse that, something radical needs to happen, not sure what though." Ah...the truth will out! | |||
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"Is it fair that people who look after thereselves, eat healthy, exercise regularly, don’t smoke, don’t drink (or in moderation), subsidise people who do the opposite in excess ? If it’s not what’s the alternative ?" I did all of the positive things listed above. I was a road runner and cross country skiier, competing in both. For over 25 years I trained hard on average 5 days a week, then I got a heart condition; my consultant told me that it was as a result of years of high intensity endurance training. I've had 3 heart opperations and I'm waiting for another. Also, I've came of my road bike and crashed my motorbike, ending up in hospital on both occasions. I've been taken to hospital 3 times in an ambulance. It isn't fair to say that fit healthy people fund the NHS but don't use it; sports injuries are also a burden on the NHS. | |||
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"Is it fair that people who look after thereselves, eat healthy, exercise regularly, don’t smoke, don’t drink (or in moderation), subsidise people who do the opposite in excess ? If it’s not what’s the alternative ? I say this as another cyclist, if you stack your bike tomorrow descending at speed end up crippled, or with a significant brain injury, the demand on the NHS of you "exercising regularly" would dwarf what most people will ever take from the NHS. The NHS exists as insurance so we can get the care we need. That's idealistic and yes certain lifestyle choices are a huge drain. But the answer is social change and education NOT limiting healthcare based on a tick list of what society thinks is the right or wrong way to lead your life Yeah, I agree with that. But the obesity crisis seems like it’s out of control and type 2 diabetes is through the roof, how do you reverse that, something radical needs to happen, not sure what though. Ah...the truth will out! " Oh, I forgot im not allowed to mention obesity, I do apologise. | |||
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"Is it fair that people who look after thereselves, eat healthy, exercise regularly, don’t smoke, don’t drink (or in moderation), subsidise people who do the opposite in excess ? If it’s not what’s the alternative ? I say this as another cyclist, if you stack your bike tomorrow descending at speed end up crippled, or with a significant brain injury, the demand on the NHS of you "exercising regularly" would dwarf what most people will ever take from the NHS. The NHS exists as insurance so we can get the care we need. That's idealistic and yes certain lifestyle choices are a huge drain. But the answer is social change and education NOT limiting healthcare based on a tick list of what society thinks is the right or wrong way to lead your life Yeah, I agree with that. But the obesity crisis seems like it’s out of control and type 2 diabetes is through the roof, how do you reverse that, something radical needs to happen, not sure what though. Ah...the truth will out! Oh, I forgot im not allowed to mention obesity, I do apologise." Actually, you're right. I'm sorry. It is a fact relevant to the conversation. I'm tired, it's early. I am diabetic and other than my medication and my diabetic check ups each year I rarely use the NHS. I do get a medical exemption certificate which means all prescriptions are free. I do think this should only be for diabetic medication and not everything (I could potentially ask to be prescribed paracetamol for instance and not be charged with it, but I don't). I think people need to get away from this 'it's my pot of money' attitude. It's not, it never has been. The NHS is (or was) about providing care for those who need it. | |||
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"Is it fair that people who look after thereselves, eat healthy, exercise regularly, don’t smoke, don’t drink (or in moderation), subsidise people who do the opposite in excess ? If it’s not what’s the alternative ? I say this as another cyclist, if you stack your bike tomorrow descending at speed end up crippled, or with a significant brain injury, the demand on the NHS of you "exercising regularly" would dwarf what most people will ever take from the NHS. The NHS exists as insurance so we can get the care we need. That's idealistic and yes certain lifestyle choices are a huge drain. But the answer is social change and education NOT limiting healthcare based on a tick list of what society thinks is the right or wrong way to lead your life Yeah, I agree with that. But the obesity crisis seems like it’s out of control and type 2 diabetes is through the roof, how do you reverse that, something radical needs to happen, not sure what though. Ah...the truth will out! Oh, I forgot im not allowed to mention obesity, I do apologise. Actually, you're right. I'm sorry. It is a fact relevant to the conversation. I'm tired, it's early. I am diabetic and other than my medication and my diabetic check ups each year I rarely use the NHS. I do get a medical exemption certificate which means all prescriptions are free. I do think this should only be for diabetic medication and not everything (I could potentially ask to be prescribed paracetamol for instance and not be charged with it, but I don't). I think people need to get away from this 'it's my pot of money' attitude. It's not, it never has been. The NHS is (or was) about providing care for those who need it. " Spot on !! | |||
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"The only part I find unfair is that as I have private healthcare through the company, I get taxed as a benefit on it. How is that fair when I am taking the burden off the NHS?" It is fair because the doctors and nurses were trained. Your private hospital is inspected to ensure it meets clinical standards. And God forbid you should ever find yourself unable to afford private healthcare, the gool old NHS will be there for you.. | |||
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"Is it fair that people who look after thereselves, eat healthy, exercise regularly, don’t smoke, don’t drink (or in moderation), subsidise people who do the opposite in excess ? If it’s not what’s the alternative ?" I note you back track for moderate drinkers. I can only assume why. 1.A woman in high heels twists her ankle and stumbles into the road. 2.A child does a wheelie on their bike and smashes their teeth out on a lamp post. 3.A happy worker is dancing to music in the chippy and accidentally shoves his hand in the fryer. Treat them or tell them it was their own fault? | |||
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"I think the system is fair but very annoying when they discharge people before they are fit to go home Yes, there is a culture of getting people home quickly when they might not be fully fit. " This happened recently with my dad, he needs a serious heart operation and is still waiting at home, 8 weeks later | |||
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"The only part I find unfair is that as I have private healthcare through the company, I get taxed as a benefit on it. How is that fair when I am taking the burden off the NHS?" You are taxed on it because it is a benefit in kind. But go for a private procedure and the moment it goes wrong or there are complications it's the NHS that sort it out. | |||
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"Is it fair that people who look after thereselves, eat healthy, exercise regularly, don’t smoke, don’t drink (or in moderation), subsidise people who do the opposite in excess ? If it’s not what’s the alternative ?" Well I don’t drink or smoke I go the gym work hard and tend to eat generally okay and I get ripped off anytime I need something which is rare thou,and people who neglect and abuse their bodies and claim allsorts of benefits for it get it all on a plate. | |||
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"If you walk into an A&E anywhere in this country you will be seen, even if you have a head ache ,this service is free, The NHS is a fair service abused by many and on its knees.Its a system envied by the rest of the world but treated unfairly by the people who it’s trying to help. " well some foreigners come off to have treatment for free then go back home! So there has to be something to be put into place and yes it’s a great system but it’s being completely abused. | |||
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"If you walk into an A&E anywhere in this country you will be seen, even if you have a head ache ,this service is free, The NHS is a fair service abused by many and on its knees.Its a system envied by the rest of the world but treated unfairly by the people who it’s trying to help. well some foreigners come over* to have treatment for free then go back home! So there has to be something to be put into place and yes it’s a great system but it’s being completely abused." | |||
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"Is it fair that people who look after thereselves, eat healthy, exercise regularly, don’t smoke, don’t drink (or in moderation), subsidise people who do the opposite in excess ? If it’s not what’s the alternative ? Well I don’t drink or smoke I go the gym work hard and tend to eat generally okay and I get ripped off anytime I need something which is rare thou,and people who neglect and abuse their bodies and claim allsorts of benefits for it get it all on a plate." How does the NHS rip you off ? | |||
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"Is it fair that people who look after thereselves, eat healthy, exercise regularly, don’t smoke, don’t drink (or in moderation), subsidise people who do the opposite in excess ? If it’s not what’s the alternative ? Well I don’t drink or smoke I go the gym work hard and tend to eat generally okay and I get ripped off anytime I need something which is rare thou,and people who neglect and abuse their bodies and claim allsorts of benefits for it get it all on a plate. How does the NHS rip you off ? " well for one thing I’m charged is £7.20 something min and it goes up and up and the next person behind me gets it for free so I’m punished for working and paying for someone else to get it for free and I’m paying for my own out of my wages. | |||
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"The only part I find unfair is that as I have private healthcare through the company, I get taxed as a benefit on it. How is that fair when I am taking the burden off the NHS? You are taxed on it because it is a benefit in kind. But go for a private procedure and the moment it goes wrong or there are complications it's the NHS that sort it out. " Doubt it as it’s the same surgeons who perform the ops etc just working in their private role. It’s taking the financial burden off the NHS so how is it a benefit in kind? Rip off Britain as ever. | |||
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"The only part I find unfair is that as I have private healthcare through the company, I get taxed as a benefit on it. How is that fair when I am taking the burden off the NHS? You are taxed on it because it is a benefit in kind. But go for a private procedure and the moment it goes wrong or there are complications it's the NHS that sort it out. Doubt it as it’s the same surgeons who perform the ops etc just working in their private role. It’s taking the financial burden off the NHS so how is it a benefit in kind? Rip off Britain as ever. " I really don't think I need to explain to you what a benefit in kind is? You get taxed on it because your employer gives you the cover as part of your benefits package. There is nothing altruistic about them doing that, and it's certainly not to save the NHS money | |||
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"The only part I find unfair is that as I have private healthcare through the company, I get taxed as a benefit on it. How is that fair when I am taking the burden off the NHS? You are taxed on it because it is a benefit in kind. But go for a private procedure and the moment it goes wrong or there are complications it's the NHS that sort it out. Doubt it as it’s the same surgeons who perform the ops etc just working in their private role. It’s taking the financial burden off the NHS so how is it a benefit in kind? Rip off Britain as ever. I really don't think I need to explain to you what a benefit in kind is? You get taxed on it because your employer gives you the cover as part of your benefits package. There is nothing altruistic about them doing that, and it's certainly not to save the NHS money " Lol It’s my company So I pay to go private and they say it’s a benefit.....how so? There are doleites who have sat on their backsides for decades, never paid a penny in and still get the same treatment. Sorry, not fair in my book. | |||
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"The only part I find unfair is that as I have private healthcare through the company, I get taxed as a benefit on it. How is that fair when I am taking the burden off the NHS? You are taxed on it because it is a benefit in kind. But go for a private procedure and the moment it goes wrong or there are complications it's the NHS that sort it out. Doubt it as it’s the same surgeons who perform the ops etc just working in their private role. It’s taking the financial burden off the NHS so how is it a benefit in kind? Rip off Britain as ever. I really don't think I need to explain to you what a benefit in kind is? You get taxed on it because your employer gives you the cover as part of your benefits package. There is nothing altruistic about them doing that, and it's certainly not to save the NHS money Lol It’s my company So I pay to go private and they say it’s a benefit.....how so? There are doleites who have sat on their backsides for decades, never paid a penny in and still get the same treatment. Sorry, not fair in my book. " I know it's your own company and you know full well why you choose for your company to pay your health insurance rather than you pay it as a private individual. Which would of course avoid you being taxed on it, but be less cost effective. | |||
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"The only part I find unfair is that as I have private healthcare through the company, I get taxed as a benefit on it. How is that fair when I am taking the burden off the NHS? You are taxed on it because it is a benefit in kind. But go for a private procedure and the moment it goes wrong or there are complications it's the NHS that sort it out. Doubt it as it’s the same surgeons who perform the ops etc just working in their private role. It’s taking the financial burden off the NHS so how is it a benefit in kind? Rip off Britain as ever. I really don't think I need to explain to you what a benefit in kind is? You get taxed on it because your employer gives you the cover as part of your benefits package. There is nothing altruistic about them doing that, and it's certainly not to save the NHS money Lol It’s my company So I pay to go private and they say it’s a benefit.....how so? There are doleites who have sat on their backsides for decades, never paid a penny in and still get the same treatment. Sorry, not fair in my book. I know it's your own company and you know full well why you choose for your company to pay your health insurance rather than you pay it as a private individual. Which would of course avoid you being taxed on it, but be less cost effective." I don’t blame the NHS as can’t fault them, they provide the best service that they can with both hands tied behind their back. It’s a great asset to our country and I would never want it to stop being there when needed. There are so many time-wasters out their who seem to think it’s their personal drop in centre as we witnessed first hand very recently. | |||
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"It’s a fair system for those who don’t pay for it for sure. For everyone else, maybe. Essentially, you’d be hard pushed to design a more ridiculous system. The people who benefit the most are those who put the least The challenges that face the NHS now are completely different than those at its inception. 1. Aging population. A massive proportional of the population is at an age beyond which they contribute directly in income tax and national insurance 2. The quality of the care and the cost of the treatments is thousands of times what it was when we started. 3. Expectations of the public. Everyone assumes they will live to 90, and will do so in good health 4. Refusal by the general population to take any responsibility for their health. (Until the point of disease) see above posts 5. Politicisation of a health service. Totally unnecessary apples and oranges comparisons but subsequent administrations and media reporting means public only hear bad 6. Media obsession leading to litigious overkill leading to ridiculous overspend on risk reduction/safety 7. Media reporting of ‘science’ not actually designed for lay consumption 8. Commercialisation of the NHS. Very few healthcare workers think they work for the NHS, they work for their shitty little bit of it, their trust, which is competing again all the other local trusts. How can one be ‘doing well’? Competition not good. Do we want organisations responsible for their own budgets and actually making money out of people’s sickness?!! What’s the answer? Reduction in expectations in line with contributions. Effectively a 2-tier system with extra contributions asked for gold standard treatments. Cost effective and proven standard treatment to continue for all free at the point of use. " Good constructive post on the challenges the NHS now faces | |||
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"Okay, illnesses associated with lifestyle choice cost the NHS £11 billion a year. This is Health problems related to poor diet, drinking and smoking. Obviously I’m not saying people who have a healthy lifestyle don’t get ill. But why should people who look after thereselves fund this cost ?" Who said those other people haven't contributed as much as the supposedly "healthy" people? | |||
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"Is it fair that people who look after thereselves, eat healthy, exercise regularly, don’t smoke, don’t drink (or in moderation), subsidise people who do the opposite in excess ? If it’s not what’s the alternative ?" It’s a Fair system, if you don’t like it then live in America see what it’s like there, and make sure your wallet is easily accessible if you have an accident there. The NHS is the greatest institution ever! | |||
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"Is it fair that people who look after thereselves, eat healthy, exercise regularly, don’t smoke, don’t drink (or in moderation), subsidise people who do the opposite in excess ? If it’s not what’s the alternative ? It’s a Fair system, if you don’t like it then live in America see what it’s like there, and make sure your wallet is easily accessible if you have an accident there. The NHS is the greatest institution ever!" Why have I got to move to America, it’s scary and I don’t like driving on the right hand side of the road ?! | |||
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"Is it fair that people who look after thereselves, eat healthy, exercise regularly, don’t smoke, don’t drink (or in moderation), subsidise people who do the opposite in excess ? If it’s not what’s the alternative ? It’s a Fair system, if you don’t like it then live in America see what it’s like there, and make sure your wallet is easily accessible if you have an accident there. The NHS is the greatest institution ever! Why have I got to move to America, it’s scary and I don’t like driving on the right hand side of the road ?!" Then why slag off the way we pay for the NHS then? | |||
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"It’s a fair system for those who don’t pay for it for sure. For everyone else, maybe. Essentially, you’d be hard pushed to design a more ridiculous system. The people who benefit the most are those who put the least in. The challenges that face the NHS now are completely different than those at its inception. 1. Aging population. A massive proportional of the population is at an age beyond which they contribute directly in income tax and national insurance 2. The quality of the care and the cost of the treatments is thousands of times what it was when we started. 3. Expectations of the public. Everyone assumes they will live to 90, and will do so in good health 4. Refusal by the general population to take any responsibility for their health. (Until the point of disease) see above posts 5. Politicisation of a health service. Totally unnecessary apples and oranges comparisons but subsequent administrations and media reporting means public only hear bad 6. Media obsession leading to litigious overkill leading to ridiculous overspend on risk reduction/safety 7. Media reporting of ‘science’ not actually designed for lay consumption 8. Commercialisation of the NHS. Very few healthcare workers think they work for the NHS, they work for their shitty little bit of it, their trust, which is competing again all the other local trusts. How can one be ‘doing well’? Competition not good. Do we want organisations responsible for their own budgets and actually making money out of people’s sickness?!! What’s the answer? Reduction in expectations in line with contributions. Effectively a 2-tier system with extra contributions asked for gold standard treatments. Cost effective and proven standard treatment to continue for all free at the point of use. " Balanced post with possibly the only sensible and realistic proposal. | |||
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" What’s the answer? Reduction in expectations in line with contributions. Effectively a 2-tier system with extra contributions asked for gold standard treatments. Cost effective and proven standard treatment to continue for all free at the point of use. Balanced post with possibly the only sensible and realistic proposal." we have that already - the NHS is the basic one and BUPA is the gold plated one | |||
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"If you walk into an A&E anywhere in this country you will be seen, even if you have a head ache ,this service is free, The NHS is a fair service abused by many and on its knees.Its a system envied by the rest of the world but treated unfairly by the people who it’s trying to help. well some foreigners come off to have treatment for free then go back home! So there has to be something to be put into place and yes it’s a great system but it’s being completely abused." Abuse is sub 1& and daily heil and express wet dream talk. It's a fair system but giant corporations should pay more tax to improve services, including the NHS. Americans die younger, largely due to their health care system which is more expensive than the uK and full of bureaucracy costs because of it. The NHS has made massive contributions to the UK and its population | |||
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"Is it fair that people who look after thereselves, eat healthy, exercise regularly, don’t smoke, don’t drink (or in moderation), subsidise people who do the opposite in excess ? If it’s not what’s the alternative ? It’s a Fair system, if you don’t like it then live in America see what it’s like there, and make sure your wallet is easily accessible if you have an accident there. The NHS is the greatest institution ever! Why have I got to move to America, it’s scary and I don’t like driving on the right hand side of the road ?! Then why slag off the way we pay for the NHS then?" Is the NHS beyond criticism then ? | |||
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"Is it fair that people who look after thereselves, eat healthy, exercise regularly, don’t smoke, don’t drink (or in moderation), subsidise people who do the opposite in excess ? If it’s not what’s the alternative ? It’s a Fair system, if you don’t like it then live in America see what it’s like there, and make sure your wallet is easily accessible if you have an accident there. The NHS is the greatest institution ever! Why have I got to move to America, it’s scary and I don’t like driving on the right hand side of the road ?! Then why slag off the way we pay for the NHS then? Is the NHS beyond criticism then ?" Do you think it should? | |||
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"Treating alcohol and drug misuse related injuries and illnesses should not be provided by the nhs. Exactly." Why? The cost to society of not treating them is much greater than treating them. | |||
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"if you don't think it's fair then don't use it ... simple" Do I still have to pay towards it though ? | |||
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"if you don't think it's fair then don't use it ... simple Do I still have to pay towards it though ?" yes... along with trident, the various bars in the house of commons, some roads in the channel islands, primary and secondry school education for other peoples kids, the coastguard, mountain rescue and a load of other stuff that you've probably never or hardly ever used ... if you think it's unfair then go and use them instead of whinging that it's somehow not fair | |||
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"if you don't think it's fair then don't use it ... simple Do I still have to pay towards it though ? yes... along with trident, the various bars in the house of commons, some roads in the channel islands, primary and secondry school education for other peoples kids, the coastguard, mountain rescue and a load of other stuff that you've probably never or hardly ever used ... if you think it's unfair then go and use them instead of whinging that it's somehow not fair" Yawn | |||
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"Yawn" purile | |||
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"if you don't think it's fair then don't use it ... simple Do I still have to pay towards it though ? yes... along with trident, the various bars in the house of commons, some roads in the channel islands, primary and secondry school education for other peoples kids, the coastguard, mountain rescue and a load of other stuff that you've probably never or hardly ever used ... if you think it's unfair then go and use them instead of whinging that it's somehow not fair Yawn" . I think you've seen the word yawn in the forums but don't actually understand its context, back to the drawing board mate | |||
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"Yawn. I think you've seen the word yawn in the forums but don't actually understand its context, back to the drawing board mate " Yawn | |||
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"I like the concept of the NHS " . So do I, I'm just in favour of some price incentive, there not mutually exclusive. | |||
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"Treating alcohol and drug misuse related injuries and illnesses should not be provided by the nhs. Exactly." Agreed, same should go for other self inflicted injuries, child birth, sports injuries, them pesky road crossers, drivers, cancer sufferers, heart attacks none of them should get free treatment... oh hang on... is that right? | |||
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"if you don't think it's fair then don't use it ... simple Do I still have to pay towards it though ?" Nope, just leave the country and choose a different system. | |||
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"The NHS is one of the most precious things we have in this country everyone who is a uk citizen should get treatment free at the point of care. I love the NHS we are so lucky to have it. " . It's not free, nothing is free, somebody somewhere pays for it. The real question is do we get value for what we pay, I believe that grouping together to pay gives us extra value (like Groupon) however I also believe there should be some price incentive to what we pay which encourages good behaviour. | |||
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"Treating alcohol and drug misuse related injuries and illnesses should not be provided by the nhs. " States a smoker - you couldn't make it up | |||
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"Treating alcohol and drug misuse related injuries and illnesses should not be provided by the nhs. Exactly." Let's exclude gingers too eh? | |||
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"I think the system is fair but very annoying when they discharge people before they are fit to go home " By whose reckoning, yours? | |||
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"The same argument could be applied to flying. You all pay the way for your seats, yet if your 10kgs over the baggage allowment you get penilised, no matter of your half the weight of another passenger, or twice their weight. I think there needs to be some sort of 3 strike rule set in place though. For example, I know there’s people out there that have been through 6,7 or 8 kidney transplants through nothing more than neglecting their own health. To me, that’s just neglect and you should get a grip. " Yeah..... That relates to the handling of the baggage, not the fact its on a plane. | |||
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"I think the system is fair but very annoying when they discharge people before they are fit to go home Yes, there is a culture of getting people home quickly when they might not be fully fit. " Fully fit and medically fit for discharge are two different animals. | |||
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"82% of the price of a pack of fags is tax. Moreover as smokers die younger they are less likely to need expensive end of life care. " What a ridiculous statement. | |||
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"Treating alcohol and drug misuse related injuries and illnesses should not be provided by the nhs. Exactly. Let's exclude gingers too eh?" What a ridulous statement/ question ! | |||
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"82% of the price of a pack of fags is tax. Moreover as smokers die younger they are less likely to need expensive end of life care. What a ridiculous statement." Well it's not really, less pension to pay, plus less old age medical care, and helps the housing problem. Could be on to something. | |||
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"I think the system is fair but very annoying when they discharge people before they are fit to go home Yes, there is a culture of getting people home quickly when they might not be fully fit. Fully fit and medically fit for discharge are two different animals." Yes they are but in our experience the pressures on staff, a and e staff particularly, mean that the definition of medically fit can be loose. My 84 year old mother was discharged from a and e with a fractured vertebra. The following weekend was hell for everyone. | |||
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"Treating alcohol and drug misuse related injuries and illnesses should not be provided by the nhs. Exactly. Let's exclude gingers too eh? What a ridulous statement/ question !" I know. Just as ridiculous as the post you agreed with. | |||
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"82% of the price of a pack of fags is tax. Moreover as smokers die younger they are less likely to need expensive end of life care. What a ridiculous statement. Well it's not really, less pension to pay, plus less old age medical care, and helps the housing problem. Could be on to something. " If someone is in receipt of end of life care, it's no less costly if they are 57 or 87! It's all about what the care involves and the duration. | |||
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"The same argument could be applied to flying. You all pay the way for your seats, yet if your 10kgs over the baggage allowment you get penilised, no matter of your half the weight of another passenger, or twice their weight. I think there needs to be some sort of 3 strike rule set in place though. For example, I know there’s people out there that have been through 6,7 or 8 kidney transplants through nothing more than neglecting their own health. To me, that’s just neglect and you should get a grip. " I would be very surprised if anyone had that many transplants. But more than 1 is not uncommon, the body can reject an organ some tine after transplant and not necessarily due to poor life style | |||
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"I think the system is fair but very annoying when they discharge people before they are fit to go home Yes, there is a culture of getting people home quickly when they might not be fully fit. Fully fit and medically fit for discharge are two different animals. Yes they are but in our experience the pressures on staff, a and e staff particularly, mean that the definition of medically fit can be loose. My 84 year old mother was discharged from a and e with a fractured vertebra. The following weekend was hell for everyone." If there is nothing one of the medical/surgical teams can do, then a person is better off rehabilitating in their own homes than being in hospital. Of course there are failed discharges, but some of these are not medical but social. | |||
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"82% of the price of a pack of fags is tax. Moreover as smokers die younger they are less likely to need expensive end of life care. What a ridiculous statement. Well it's not really, less pension to pay, plus less old age medical care, and helps the housing problem. Could be on to something. If someone is in receipt of end of life care, it's no less costly if they are 57 or 87! It's all about what the care involves and the duration." But at 57 you will not have received 22 years pension, and your house is available for 're use 30 years earlier. And that doeesnt include the 30 years of possible skiing accidents etc. I think whoever it was that suggested smoking may be on to something | |||
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"The NHS is one of the most precious things we have in this country everyone who is a uk citizen should get treatment free at the point of care. I love the NHS we are so lucky to have it. . It's not free, nothing is free, somebody somewhere pays for it. The real question is do we get value for what we pay, I believe that grouping together to pay gives us extra value (like Groupon) however I also believe there should be some price incentive to what we pay which encourages good behaviour." Yes it's paid for through taxes | |||
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"Is it fair that people who look after thereselves, eat healthy, exercise regularly, don’t smoke, don’t drink (or in moderation), subsidise people who do the opposite in excess ? If it’s not what’s the alternative ?" I may be wrong but it was never meant to be fair. If we all used this system 'equally' it would have failed within weeks. And that is still the case as of today. But for those that rarely use the NHS; Think about all the practice our doctors,surgeons, the whole medical profession gained curing the sick and injured. Or would you like to go under the knife of the 'I'm not great at fixing hearts' but I'll have a stab at it'. We have the sick to thank for the skills our medical professions have gained, not the healthy | |||
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"82% of the price of a pack of fags is tax. Moreover as smokers die younger they are less likely to need expensive end of life care. What a ridiculous statement. Well it's not really, less pension to pay, plus less old age medical care, and helps the housing problem. Could be on to something. If someone is in receipt of end of life care, it's no less costly if they are 57 or 87! It's all about what the care involves and the duration." If you live to 87 you are likely to have multiple medical care needs towards the end of your life that you would not have if you conked our at 57. Also, the person dying at 87 has 30 years more use of the NHS than the person dying at 57. Not to mention getting a state pension for twenty years whilst our early deceased smoker gets nothing. | |||
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"I think the system is fair but very annoying when they discharge people before they are fit to go home Yes, there is a culture of getting people home quickly when they might not be fully fit. Fully fit and medically fit for discharge are two different animals. Yes they are but in our experience the pressures on staff, a and e staff particularly, mean that the definition of medically fit can be loose. My 84 year old mother was discharged from a and e with a fractured vertebra. The following weekend was hell for everyone. If there is nothing one of the medical/surgical teams can do, then a person is better off rehabilitating in their own homes than being in hospital. Of course there are failed discharges, but some of these are not medical but social." I think discharging someone 11 hours after being admitted with a fractured vertebra into the care of a 90 year old man was a medical and social failure. I think the NHS is great but in this instance a bad mistake was made | |||
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"Just looked up the stats. Tax on tobacco brings in £9 billion a year. The cost to the NHS of treating smoking related illnesses is something between £3 and £6 billion a year. So smokers clearly cover the cost of their NHS treatment. " IF the taxes from smoking were paid directly to the NHS I would agree, but they are not, so to use that as an argument is irrelevant. | |||
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"82% of the price of a pack of fags is tax. Moreover as smokers die younger they are less likely to need expensive end of life care. What a ridiculous statement. Well it's not really, less pension to pay, plus less old age medical care, and helps the housing problem. Could be on to something. If someone is in receipt of end of life care, it's no less costly if they are 57 or 87! It's all about what the care involves and the duration. But at 57 you will not have received 22 years pension, and your house is available for 're use 30 years earlier. And that doeesnt include the 30 years of possible skiing accidents etc. I think whoever it was that suggested smoking may be on to something" I am keeping my thoughts and hence post in the narrow remit of "end of life care", ie healthcare. | |||
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"Just looked up the stats. Tax on tobacco brings in £9 billion a year. The cost to the NHS of treating smoking related illnesses is something between £3 and £6 billion a year. So smokers clearly cover the cost of their NHS treatment. IF the taxes from smoking were paid directly to the NHS I would agree, but they are not, so to use that as an argument is irrelevant. " It's not irrelevant, The government has to find an extra £3 billion to £6 billion in taxes because people smoke. Smokers actually contribute £9 billion in taxes that they wouldn't pay if they didn't smoke. Hence smokers more than pay for the cost of their habit to the state. | |||
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"82% of the price of a pack of fags is tax. Moreover as smokers die younger they are less likely to need expensive end of life care. What a ridiculous statement. Well it's not really, less pension to pay, plus less old age medical care, and helps the housing problem. Could be on to something. If someone is in receipt of end of life care, it's no less costly if they are 57 or 87! It's all about what the care involves and the duration. If you live to 87 you are likely to have multiple medical care needs towards the end of your life that you would not have if you conked our at 57. Also, the person dying at 87 has 30 years more use of the NHS than the person dying at 57. Not to mention getting a state pension for twenty years whilst our early deceased smoker gets nothing. " "End of life" care opinion stated, nothing else! I do wish people would read . Otherwise I'd discussed co-morbidities | |||
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"Just looked up the stats. Tax on tobacco brings in £9 billion a year. The cost to the NHS of treating smoking related illnesses is something between £3 and £6 billion a year. So smokers clearly cover the cost of their NHS treatment. " Yes cos it all clearly goes to the NHS | |||
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"I think the system is fair but very annoying when they discharge people before they are fit to go home Yes, there is a culture of getting people home quickly when they might not be fully fit. Fully fit and medically fit for discharge are two different animals. Yes they are but in our experience the pressures on staff, a and e staff particularly, mean that the definition of medically fit can be loose. My 84 year old mother was discharged from a and e with a fractured vertebra. The following weekend was hell for everyone. If there is nothing one of the medical/surgical teams can do, then a person is better off rehabilitating in their own homes than being in hospital. Of course there are failed discharges, but some of these are not medical but social. I think discharging someone 11 hours after being admitted with a fractured vertebra into the care of a 90 year old man was a medical and social failure. I think the NHS is great but in this instance a bad mistake was made " Mistakes do happen but i couldn't comment upon this being one. Hospitals are mainly places of proactive clinical care - she may not have met the criteria. If you believe the decision was wrong then seek PALS advice. | |||
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"I think the system is fair but very annoying when they discharge people before they are fit to go home Yes, there is a culture of getting people home quickly when they might not be fully fit. Fully fit and medically fit for discharge are two different animals. Yes they are but in our experience the pressures on staff, a and e staff particularly, mean that the definition of medically fit can be loose. My 84 year old mother was discharged from a and e with a fractured vertebra. The following weekend was hell for everyone. If there is nothing one of the medical/surgical teams can do, then a person is better off rehabilitating in their own homes than being in hospital. Of course there are failed discharges, but some of these are not medical but social. I think discharging someone 11 hours after being admitted with a fractured vertebra into the care of a 90 year old man was a medical and social failure. I think the NHS is great but in this instance a bad mistake was made " That's a social care need, not a medical one. The problem is NHS and social care are two entities, they are not joined up. Social care is the poor relation to the NHS. Yes, your mother shouldn't have been discharged into the care of your father, but it's the lack of standby care home beds that's the issue. She can't stay in hospital if there is no medical need for her to do so (it's called bed blocking which means patients wait in A&E or hospital corridors). | |||
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"Just looked up the stats. Tax on tobacco brings in £9 billion a year. The cost to the NHS of treating smoking related illnesses is something between £3 and £6 billion a year. So smokers clearly cover the cost of their NHS treatment. Yes cos it all clearly goes to the NHS " Look at it this way. The government has a big box of money that it uses to pay for everything. Hospitals, pensions, nuclear weapons etc etc. One day they count all their money and discover they are £6 billion short because they forgot to account for the costs of smoking related illnesses. They decide to whop a massive tax on smokers that brings in £9 billion. They put the £9 billion in their box and the proceed to pay for everything, nuclear weapons, pensions, smoking related illnesses and so on. Hence smokers are paying for the shortfall to public funds caused by their habit. | |||
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"Just looked up the stats. Tax on tobacco brings in £9 billion a year. The cost to the NHS of treating smoking related illnesses is something between £3 and £6 billion a year. So smokers clearly cover the cost of their NHS treatment. Yes cos it all clearly goes to the NHS Look at it this way. The government has a big box of money that it uses to pay for everything. Hospitals, pensions, nuclear weapons etc etc. One day they count all their money and discover they are £6 billion short because they forgot to account for the costs of smoking related illnesses. They decide to whop a massive tax on smokers that brings in £9 billion. They put the £9 billion in their box and the proceed to pay for everything, nuclear weapons, pensions, smoking related illnesses and so on. Hence smokers are paying for the shortfall to public funds caused by their habit. " If only it was that simple | |||
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"Just looked up the stats. Tax on tobacco brings in £9 billion a year. The cost to the NHS of treating smoking related illnesses is something between £3 and £6 billion a year. So smokers clearly cover the cost of their NHS treatment. Yes cos it all clearly goes to the NHS Look at it this way. The government has a big box of money that it uses to pay for everything. Hospitals, pensions, nuclear weapons etc etc. One day they count all their money and discover they are £6 billion short because they forgot to account for the costs of smoking related illnesses. They decide to whop a massive tax on smokers that brings in £9 billion. They put the £9 billion in their box and the proceed to pay for everything, nuclear weapons, pensions, smoking related illnesses and so on. Hence smokers are paying for the shortfall to public funds caused by their habit. If only it was that simple " In broad terns it is. Smokers cause a loss of £6 billion to the public purse due to their habit. As they pay in an extra £9 billion to the public purse, they more than cover this loss. | |||
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"Is it fair that people who look after thereselves, eat healthy, exercise regularly, don’t smoke, don’t drink (or in moderation), subsidise people who do the opposite in excess ? If it’s not what’s the alternative ?" Lets negotiate; All us that smoke, drink, use drugs and lead an unhealthy lifestyle will agree not to receive any further healthcare. If! You and your followers agree to. Forego all the medical expertise that has been gained by the NHS medical professions. And revert back to: Being strapped to a cold wooden bench and set about with filthy knifes, blood soaked rags, cold germ ridden buckets of water, no antibiotics or medication above a clod of moss. Deal ? Go back far enough and you will encounter the likes of Burke and Hare, the infamous grave robbers/murderers. A little further and you will find: Prisoners being autopsied whilst still alive. All done under the 'advance of medical science' claims. It's not just the cash you pay matey! Days ago I was asked a question by BrokenBrilliance ''is society failing'' My belief is; For many ''Humanity is broken'' - the attitudes being displayed here confirms this. | |||
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"I think the system is fair but very annoying when they discharge people before they are fit to go home Yes, there is a culture of getting people home quickly when they might not be fully fit. Fully fit and medically fit for discharge are two different animals. Yes they are but in our experience the pressures on staff, a and e staff particularly, mean that the definition of medically fit can be loose. My 84 year old mother was discharged from a and e with a fractured vertebra. The following weekend was hell for everyone. If there is nothing one of the medical/surgical teams can do, then a person is better off rehabilitating in their own homes than being in hospital. Of course there are failed discharges, but some of these are not medical but social. I think discharging someone 11 hours after being admitted with a fractured vertebra into the care of a 90 year old man was a medical and social failure. I think the NHS is great but in this instance a bad mistake was made Mistakes do happen but i couldn't comment upon this being one. Hospitals are mainly places of proactive clinical care - she may not have met the criteria. If you believe the decision was wrong then seek PALS advice." I know the decision was wrong. It was two years ago, we know mistakes happen, no lasting damage was done we don't want to waste NHS resources by taking it further. I do know that when my mum's taken to hospital now I make sure I'm there with her until I'm happy that she's ok to be discharged or she's admitted. | |||
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