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"Perhaps he was referring to the party that got it into this mess, over 14 years. The motley crew of leadership candidates probably are going to make them worse and closer to the second option. " nothing to do with Blair saddling the organisation with mountains of debt | |||
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"Just wait until they start doing all of the things they castigated the tories for " New housing minister investigated by HMRC for cgt evasion as a second home flipper A labour councillor renting out sub standard mouldy flats Rachel Freeze claiming £3700 energy costs on her second home | |||
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"Just wait until they start doing all of the things they castigated the tories for New housing minister investigated by HMRC for cgt evasion as a second home flipper A labour councillor renting out sub standard mouldy flats Rachel Freeze claiming £3700 energy costs on her second home " And that’s just the start 🤣 | |||
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"That leaves privatisation which is anathema to much of the general public who'd prefer to wait 2 years for their operation than see a company make a modest profit." You know as well as I do, that the profit is not modest. And because it would be shareholder driven, the pressure to cut costs at every root and branch of the service to maximise dividend would compromise care delivery. . The moment you make something someone else's "investment and return scenario", you create conflict of interest. . Many private companies cannot be trusted to deliver public services safely, reliably and repeatedly. To be fair, many public sectors can't achieve the same either regardless of the colour of their tie. It's a human thing, and there is no real answer. | |||
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"That leaves privatisation which is anathema to much of the general public who'd prefer to wait 2 years for their operation than see a company make a modest profit. You know as well as I do, that the profit is not modest. And because it would be shareholder driven, the pressure to cut costs at every root and branch of the service to maximise dividend would compromise care delivery. . The moment you make something someone else's "investment and return scenario", you create conflict of interest. . Many private companies cannot be trusted to deliver public services safely, reliably and repeatedly. To be fair, many public sectors can't achieve the same either regardless of the colour of their tie. It's a human thing, and there is no real answer. " So who do you think develops the leading-edge drugs, the MRI scanners, the robotic surgery arms, the lasers? Yes, Doctors and Nurse are on the front line, but the tools at their disposal are developed and manufactured by private industry. They mostly trade on tight profit margins and give their shareholders and staff a fair return. | |||
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" So who do you think develops the leading-edge drugs, the MRI scanners, the robotic surgery arms, the lasers? They mostly trade on tight profit margins and give their shareholders and staff a fair return. " The flip side being that they'll patent but abort a promising new drug if they feel the return is not worth continued investment. When profit drives the decision-making, altruism takes a back seat. This is measuring the value of a life by the profit it is worth. That does not sit well with me. It's reductive and focuses the innovation to be driven by the intended return, instead of the wellbeing of the patient. | |||
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"Yes, but what reform? imho it's hard to see any public-run healthcare system being efficient and value for money. That leaves privatisation which is anathema to much of the general public who'd prefer to wait 2 years for their operation than see a company make a modest profit." No profit | |||
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"That leaves privatisation which is anathema to much of the general public who'd prefer to wait 2 years for their operation than see a company make a modest profit. You know as well as I do, that the profit is not modest. And because it would be shareholder driven, the pressure to cut costs at every root and branch of the service to maximise dividend would compromise care delivery. . The moment you make something someone else's "investment and return scenario", you create conflict of interest. . Many private companies cannot be trusted to deliver public services safely, reliably and repeatedly. To be fair, many public sectors can't achieve the same either regardless of the colour of their tie. It's a human thing, and there is no real answer. " It's been trialled and failed. Hinchingbrooke hospital case in point. It was returned to nhs due to debt overload before the contract was up. | |||
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