NHS

The Perfect Storm: When Continuity Remainers Meet NHS Worshippers

Samuel Hooper1 Comment

Peoples vote for the NHS - Brexit - EU

 

When all else fails, Continuity Remainers invoke the NHS in their last-gasp attempt to win support for their “People’s Vote”

The past few years have seen an inexplicable surge in the release of implausible, cheaply-produced disaster movies, aided by the falling costs of CGI, with plots based on supersized or hybrid creatures doing battle with the unfortunate humans who encounter them.

One of the first such movies, Sharknado, premiered in 2013 and is now up to the sixth film in the franchise (The Last Sharknado: It’s About Time). The dubious low-budget aspiring cult classic has also spawned spin-offs such as Lavalantula, a gripping tale of fire-breathing spiders which take over Los Angeles. Indeed, in order to maintain viewer interest the premises and storylines have had to become more and more outrageous, such that most new movies in the genre now require more than one type of freakish hybrid monster pitted against another – see Sharktopus vs. Pterocuda, in which a half-shark / half-octopus fights a half-pterosaur / half-barracuda for ninety excruciating minutes.

And as is often the case, what screenwriters see in their florid imaginations is eventually reflected to some degree in the real world. Right now, for example, British politics can be best analogized to the climate disaster movie The Day After Tomorrow, in which multiple large storm systems combine to create a deadly superstorm which plunges the world into a new ice age.

One such storm in Britain – as ever present as the red spot on Jupiter – is the constant chorus of mindless praise for the National Health Service, a gale which blows moderately during Labour administrations but turns into a full force hurricane whenever the Conservatives are in charge (despite the constant failure of the Tories to destroy the NHS, as warned by the Left). This storm system manifests itself in the hordes of pathetic activists who croon love songs to the NHS on YouTube, but also in actual political parties which have been established for the sole purpose of uncritically venerating this one very specific public service.

Another such storm, much more recently developed, is generated by the ongoing howls of indignant outrage from Continuity Remainers who lost the EU referendum in 2016, failed to engage in any introspection during the subsequent two years and who have now convinced themselves that they and the entire machinery of the British state were plucky and outmatched underdogs who lost against a dastardly Leave campaign with a complete monopoly on lies and misinformation. To their minds, Brexit is an evil con perpetrated by Boris Johnson, Jacob Rees-Mogg and the Russians, and while the issue of Britain’s EU membership should never have been put to a public vote in the first place, now that the people have foolishly voted to leave the EU we must immediately hold another “People’s Vote”, and another one after that if necessary, until the current result is overturned.

Two political storms, both alike in stupidity. And now, as in a bad sci-fi movie, these two storms have collided and given us a superstorm – something new but equally tedious to watch:

 

Just as every general election since the 1950s has been billed as our last chance to save the NHS, now we are being told that thwarting Brexit and keeping Britain in the EU is the only way that a benighted country like the United Kingdom can possibly continue to provide healthcare free at the point of delivery.

Why? Because some opportunistic souls working for the Astroturf, Not At All Funded By Foreign Billionaires group People’s Vote realized that there were few more effective ways to rally hordes of whinnying, metro-leftist, public sector voters to their banner than by merging their own pet issue with the seventy-year campaign to Save Our NHS.

This is the new B-movie of British politics. Call it Sharktopus, call it Pteracuda, call it the Perfect Storm – what we have are two laughable, commercially dubious characters or phenomena forced together and foisted on the public in the grasping hope that the people will be too dim to see through the cynical political manipulation and buy into the resulting hackneyed storyline.

Watching Continuity Remain merge with Britain’s incessant Cult of the NHS is like witnessing two giant storm systems collide and combine to produce a Force 5 shark-spitting tornado of self-obsessed, teenage drama. This is disaster porn for crusty socialists and upper middle class EU cheerleaders who have yet to learn that a public which was not persuaded by hysterical worst-case scenarios during the 2016 referendum is not going to be effectively persuaded by an even cheaper, more ludicrous sequel two years later.

The ironic thing, though, is that these B-movie producers of British politics don’t see themselves as peddlers of low-budget tat; on the contrary, they think that they are highly skilled directors producing a critically acclaimed masterpiece. These are the folks who consider themselves the smartest people in the room, the people who think that their social position, academic credentials and professional accomplishments make them uniquely equipped – and entitled – to chart Britain’s political course. And the best that Britain’s top policy minds have come up with in response to Brexit is “let’s try shouting about the NHS at the same time we shout about the EU”. No introspection. No positive, compelling vision for Britain within the EU with which to convince swing voters. Just more worst-case scenario disaster peddling from the same overcredentialed mediocrities who still haven’t figured out why they lost the last round.

At this point, one can only laugh. If they were to have any hope of decisively seizing the public imagination and turning the tide against Brexit, Remainers needed to come up with a rich, compelling and superior new narrative. They needed to produce The Godfather, but instead they have given us Sharktopus.

 

Jaws vs Sharktopus

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Left-Wing Groups Continue To Outpace The Conservative Party On Strategic Thinking

Samuel Hooper4 Comments

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While Theresa May’s rootless Conservative Party tears itself apart over Brexit and continues to fail to provide a clear, positive vision for Britain, one currently has to look primarily to left-wing groups for a systemic analysis of Britain’s challenges — and ideas to fix them

Depressing as it is to write, still it must be acknowledged that with the Conservative Party permanently stuck in neutral under the leadership of a failed prime minister, nearly all of the intellectual and political energy currently resides on the left and centre-left of British politics.

Not Jeremy Corbyn’s faction of the Labour Party, of course – Corbynism still doesn’t seem to amount to much more than reheating the planned economy policies of the 1960s and 1970s, which only failed last time because we didn’t throw ourselves behind them lustily enough when they gave us the three-day week and rolling blackouts. And an important caveat should be made that some forward-thinking Conservative MPs are doing their utmost to shock some intellectual and ideological life back into the party – George Freeman and Nick Boles being the two most prominent examples.

Yet it remains the case that when it comes to acknowledging that Britain has entered a period of discontinuity – a time when we face a new configuration of challenges which are unresponsive to the policy remedies of the past and causing people to lose faith in existing political parties, processes and institutions – the Left seems to “get it” far more than the Right. This might be forgivable if conservatives were actively using their time in government to enact an agenda of their own, however misguided. But there is no agenda, save what appears to be a concerted effort to move the Conservative Party to the left of Ed Miliband’s losing 2015 Labour Party manifesto.

By contrast, Ria Bernard, chair of the Young Fabians, has one eye fixed on the future. Writing for LabourList, Bernard urges:

As the UK prepares to leave the European Union, we need to be thinking about our position globally to ensure that we can compete and prosper economically and socially on the international stage.

While understandably most parliamentary activity is currently focused on the Brexit deal, we need to consider what happens next as Britain seeks a more independent role for itself in global trade.

The idea of auditing our strengths and vulnerabilities as a nation should not be something brought about by the decision to break ties with the EU – it should be something we are routinely doing to enable us to reach our potential and ensure prosperity for everyone in society. But it seems particularly important that at this time we consider where we stand in terms of a range of domestic policy areas and how we measure up to nations around the world.

If we look at our domestic policies, are we functioning at full capacity? Do we have the skills, expertise and structures in place to ensure that domestically we are supporting the population, and internationally we are able to compete? Which areas of domestic policy will put us in a strong position as we go it alone, and where will we need to be focusing our efforts to ensure that we can compete and participate in the global economy?

Apparently the Young Fabians have been working on this initiative for awhile, and have now published a report with the fruits of their labour. The report itself grew out of discussions around three specific questions:

  1. What are the strengths and vulnerabilities of Britain’s domestic policy in comparison with other countries?
  2. What are our core strengths as a nation that will enable us to effectively compete in the global community?
  3. What will undermine our place on the global stage?

These are absolutely the kind of questions that need to be asked in order to engage in strategic thinking. Serious political leaders ought regularly to conduct a dispassionate analysis of where we stand vis-a-vis our peer countries and competitors. They ought to fearlessly scrutinise our current strengths and weaknesses, confronting any serious liabilities rather than ignoring them. And perhaps most importantly, serious political leaders should be able to outline a clear vision for domestic political reform or management together with an unambiguous declaration of what Britain stands for in the world – and with whom we stand.

Does anybody honestly think that the incumbent Conservative government is engaging in any of these basic acts of strategic thinking? Does anybody honestly believe that they have done so since Theresa May came to power? Or even since 2010 and the coalition government led by David Cameron? In the former cases, the answer is surely no. Instead, ministers scurry around putting out fires or chasing positive headlines, picking up or dropping policies based on the next day’s news cycle rather than doing what is right, guided by conservative principle. And all of this under the “leadership” of a prime minister whose primary objective every morning is to survive the day.

Obviously it is easier to engage in strategic thinking from the luxury of opposition, when one has nothing but time to kick ideas around and undertake the kind of analysis that leads to good policy. But being in power is no excuse for a failure to plan – this government should be able to walk and chew gum at the same time, otherwise what are we paying them for?

Meanwhile, as Conservative MPs and activists glumly try to discern whether Amber Rudd or Philip Hammond is the more inspirational, charismatic future leader to replace Theresa May, the Young Fabians correctly identify many of the major challenges facing the country:

It is widely acknowledged that we are performing poorly in terms of growth, productivity and underemployment. We have a generation of young people who are encouraged to go to university, then face a limited pool of graduate-level jobs, leading to a huge mismatch between skills and demand across the skills bands. The “gig economy” and the rise in automation is at risk of eroding hard-won rights and making job security a luxury. Our levels of productivity are some of the lowest in the world and yet we are working some of the longest hours in Europe.

If we look at health and education – are our systems the most effective way to ensure a healthy, prosperous and highly skilled population? The NHS is under phenomenal strain as it performs in a context of under-funding, staff shortages and the demands of an increasingly ageing population. A country with a healthcare service that is entirely free at the point of use, and provides services far beyond the scope of when it was initially founded in 1948, spends a significantly low proportion of its GDP on it. The NHS is likely to face challenges around funding for new research and negotiating with pharmaceutical companies, as well linking up with social care and the correcting the failure to invest in prevention.

The increasingly fractured education system, which comprises a wide range of schools from privately-funded institutions and state comprehensives to academies, free schools and faith schools, is leading to postcode lotteries and a disparity in access to specialist provision. Yet, in terms of skills and innovation, we need to be evaluating whether our national curriculum is fit for teaching the skills and knowledge that will be needed to compete in the international job market. Is the next generation prepared for the new world of automation and able to compete in the era of globalisation?

At one point in the report, the Young Fabians – the Young Fabians! – even question the continued viability of the National Health Service:

Turning to the NHS, there was much discussion on whether it is the most cost-effective way of delivering high quality, free at the point of use healthcare or if the system is no longer sustainable.

Meanwhile, Conservative MPs, terrified of showing anything less than fawning deference to our national religion, continue to tweet out bland banalities and paeans of praise to the NHS without engaging in any kind of strategic or comparative analysis to determine whether that dated organisation still best serves our needs:

What is impressive here is that rather than wasting time in a divisive effort to thwart Brexit or impose an ideologically pre-determined left-wing wishlist of policies on Britain, the Young Fabians chose instead to look forward, not back. They started with a blank sheet of paper and  sought to identify all of the various challenges (and presumably opportunities) facing Britain in order to inform joined-up policymaking.

The next step – for which we have not yet seen any evidence from the Young Fabians, though hardly their fault when nobody else has led the way – is an attempt to join up these various diagnoses and identify the connections, dependencies and shared root causes between the various issues. This is an important step if we are to ensure that future policies work in concert with one another to achieve positive outcomes rather than interfering with one another or leading to the kind of confused messaging which can erode political support for a course of action.

It should be a source of abiding shame to Theresa May and those with prominent positions in the Conservative Party that one has to turn to groups such as the Young Fabians for the kind of strategic analysis that most competent governments (and nearly all major corporations) undertake as a matter of course. It should not be necessary for blogs such as this one to plead with MPs and ministers to lift their gaze from the daily news cycle for long enough to articulate a positive vision for their respective departments or for the country as a whole, and yet here we are.

When Britain last went through a period of discontinuity in the late 1970s, Labour represented declinism, fear of the future and a slavish commitment to the failing policies of the post-war consensus. Their punishment for failing to show political courage at that time was eighteen years in the wilderness of opposition, and the destruction of much which they claim to hold dear. The Tories now find themselves in a nearly identical position, painted as grim custodians of a failing status quo, an obstinately un-visionary party of technocrats and chancers who want to cling onto power only for power’s sake. Some of the issues feeding into our current period of discontinuity are different, but the political threat is identical.

And unless the Tories can stop being bested at strategic thinking by a group of earnest twenty-somethings of the centre-left, Labour’s fate of 1979 awaits them.

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NHS Defenders Value Ideology Over Healthcare Outcomes, But Voters Increasingly Disagree

Samuel Hooper3 Comments

Reform think tank - NHS private non profit provision

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A startling new poll from the Reform think tank suggests that the public’s devotion to government-provided healthcare may be a mile wide but only an inch deep, threatening to burst the leftist bubble of blind, uncritical NHS worship

Today being Valentine’s Day, a predictably saccharine hashtag is trending on Twitter as British people exhort one another to #LoveYourNHS.

And so begins another round of unthinking, unending hymns of praise to the National Health Service, egged on by ideological zealots who wake up in a cold sweat at the mere thought of anyone but the government directly providing all healthcare services in the land, and amplified by thousands of well-meaning but uncritical Britons who have been indoctrinated to believe that because the NHS once delivered their baby / set their broken leg / dug out their inflamed appendix / scooped them off the road after they walked in front of a bus they now owe their eternal thanks not to the medical professionals who helped them, but rather to the bureaucratic system which (dis)organised their care.

These odes of praise generally fall into one of a few well-defined groups. First, there are those predicated on the simple-minded assumption that no other advanced country in the world has figured out how to provide universal healthcare to its citizens:

 

Then there are those who displace their relief and gratitude at having been successfully treated or sympathetically cared for away from the medical professionals who deserve the praise toward a faceless government bureaucracy and the fifth largest employer on the face of the Earth (right after McDonalds):

 

Then there are those who just like to take any excuse to bash the Evil Tories and paint themselves as virtuous defenders of institutionalised compassion, struggling against heartless conservatives who want poor people to die in the street when they get sick:

https://twitter.com/JamesSorah/status/963762294890139650

 

Bringing up the rear are the Part-Time British Exceptionalists, leftists who normally scoff at any expression of patriotism or national pride, but who on hearing or reading the letters “NHS” immediately transform into the worst kind of stereotypical Ukipper, ranting and raving about how our healthcare system is the “envy of the world” and our country the birthplace of all that is good and compassionate, all the while furiously failing to notice the rather glaring fact that no other country in the world has copied our unique and outdated post-war system of socialised healthcare delivery:

https://twitter.com/RoseTintMyWorId/status/963748528588812288

 

And last but not least are the childishly simple gestures of reverence and affection – poems, songs and the like – which reveal the truly infantilised and subservient attitude held by many of the NHS’s loudest defenders toward the service:

https://twitter.com/RMitchell_NHS/status/961285576816242691

 

Because these various types of people – NHS High Priest, NHS Congregant, NHS Faith Militant and so on – are so loudly vociferous in the press and on social media, I and many others had rather simplistically assumed that their angry squawking spoke for the country as a whole. But a new poll taken this year shows that in fact the British people have a far more nuanced view of the NHS and the need for serious healthcare reform than the leftist NHS hagiographers would have us believe.

The Reform think tank has published a fascinating poll, taken in January, which revealed some rather striking findings, including:

58 per cent of British voters believe that the NHS needs reform more than it needs extra money, according to a new poll commissioned by the independent think tank Reform.

64 per cent of voters believe that it should not matter whether hospitals or surgeries are run by the government, not-for-profit organisations or the private sector provided that everyone has access to care. This is 2 per cent higher than in 2014, despite the Populus poll of 2,106 people being conducted on the day Carillion went into liquidation.

The think tank finds that 59 per cent of voters would nonetheless be willing to pay higher income tax to fund the NHS. This is up from 33 per cent in 2014. On average, British voters would be willing to pay ÂŁ5.25 extra a month, which is 0.4 pence in the pound of income tax.

The statistic that most of us are already familiar with is the final one – that a healthy majority (in this poll 59 percent) of Brits would be willing to pay higher income tax in order to support the NHS. We cannot escape stats and narratives like this because the media (and on this subject even the supposedly conservative-leaning newspapers are doggedly left-wing) trumpet the news from dawn to dusk.

But looking at this number alone is highly misleading, because all it tells us is that a majority of people would be willing to pay more money for the NHS, not whether they want to do so or even believe that it is necessary. And that is where the other two statistics come in, rather awkwardly for NHS defenders who loudly insist that everything would be perfect if only we firehose more taxpayer money at the same, unreformed system.

We learn in the first bullet point that a full 58 percent of voters believe that the NHS needs reform more than it needs more money, which suggests that contrary to the prevailing narrative, voters are not automatically opposed to significant reform and in some cases might even welcome it if the reforms were woven into a coherent, comprehensive plan to improve healthcare outcomes for patients. And who can seriously argue that the NHS could not do more to find even top-line efficiency savings when we see non-jobs and full-time union rep roles draining local trust budgets?

https://twitter.com/johnmknox1/status/959819605651984389

 

But it is the second bullet point which is truly surprising – the fact that a full 64 percent of voters don’t give two hoots whether the hospital or medical facility where they receive treatment is government-owned and operated or run by non-profit or even private service providers.

This flies in the face of everything that we are told about public opinion towards the National Health Service. We may as a country (wrongly) favour the re-nationalisation of the railways, but when it comes to healthcare it appears that we are far more pragmatic, preferring what works to leftist ideology or sentimentality for a system which has operated since 1948.

From the Reform blog:

This is an important message for politicians who have questioned the premise of the outsourcing model following Carillion’s liquidation. The reality is that public services would grind to a halt without private and third-sector involvement. Almost one-third of government spend (£242 billion) is spend on external providers for goods and services from paperclips to the trident nuclear deterrent. The NHS spent £54 billion on external suppliers in 2014-15. This model has delivered value for money through increased competition. While the execution of some contracts can be improved, it seems voters are more concerned with access to services than ideological arguments on either side.

Why this growing openness to non-government provision? It could potentially be a case of “the grass is greener on the other side” – the rail operators are already privatised, and so dissatisfaction is more likely to be expressed in terms of a desire to roll the system back to a previous state, whereas NHS delivery (particularly hospital care) is almost always government-provided, making fresh alternatives seem more appealing. This is very likely a factor.

But such is the strength of public feeling on the issue – with 64 percent supporting radical change – that I don’t think “grass is greener syndrome” can account for the entirety. On the contrary, it seems as though the Left have massively overplayed their hand, thinking that they stood on a rock-solid foundation of obstinate support for preserving the NHS in aspic when in fact they are on a bed of quicksand.

Interestingly, the Left have likely done this to themselves, to a large extent. Having bleated for decades that we have only X or Y number of days to “Save Our NHS” only for the NHS to persist through Tory and Labour governments alike, and with left-wing commentators, members of the NHS Industrial Complex and alarmist agitators like Owen Jones penning articles suggesting that the “NHS as we know it” has in fact already been abolished, perhaps the general public has finally tired of their endless hysteria and started to take it for what it is – cynical emotional manipulation.

And if there really is a new openness to healthcare reform, then all it would now take to finally break free from British healthcare exceptionalism – the blind devotion to a tattered post-war consensus dogma which suffocated all previous impetus for healthcare reform – is a purposeful, visionary government with a clear mandate to lead and a Cabinet brimming with talent and political courage.

Oh well.

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NHS Hagiographers Continue To Use Commonwealth Fund Survey As A Shield Of Bias Confirmation

Samuel Hooper2 Comments

NHS commonwealth fund study analysis 1

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Britain’s NHS idolaters cling to the Commonwealth Fund’s rosy but skewed assessment of the National Health Service like shipwreck survivors cling to floating wreckage

Brexit is not the only issue which reveals the intellectual limitations and paucity of vision of our politicians. Simply whisper the letters “NHS” and the vast majority of parliamentarians instantly turn into zombies, mindlessly repeating the same worn-out old paeans of praise to centralised government healthcare as though they were under the control of a hypnotist.

There are few better demonstrations of this pathology than yesterday’s segment on BBC This Week, in which Andrew Neil questioned uncritical acceptance of the Commonwealth Fund study (the only survey which routinely rates the NHS favourably) and Kate Andrews of the IEA gamely tried to advance the heretical notion that Britain might do well to learn from other advanced countries when it comes to organising healthcare delivery.

This went down like a lead balloon with bipartisan couch-warmers Anna Soubry and Alan Johnson, whose minds are both welded shut against any information that might suggest that the NHS is not, in fact, the “envy of the world”. Neither host Andrew Neil nor Kate Andrews are able to break through this veil of self-imposed ignorance:

From the segment:

Andrew Neil: Let’s just take the Commonwealth Fund now, because you politicians on both sides, you’re always using it —

Alan Johnson: Well, it’s the only one —

Andrew Neil: No, it’s not. It’s the only one in which the NHS does well, and actually in the Commonwealth Fund it measures inputs, not outputs, not patient care. Indeed, on the patient care – on actual health outcomes – even in the Commonwealth Fund the NHS comes tenth out of eleventh. The Guardian remarked on the Commonwealth Fund: “the only serious black mark against the NHS in Commonwealth Fund research was its poor record of keeping people alive”.

Alan Johnson: Yeah, America came eleventh, by the way, but…

Kate Andrews: Why America? Why not Germany or Belgium or Switzerland or France?

Alan Johnson: Because you came on here and said Trump has a point, are we supposed to talk about Sweden when you said Trump has a point?

Kate Andrews: You’re right, I did say Trump had a point, this whole point is that the NHS is failing, that doesn’t make America any better. Look, I’m from America, I’m not coming over here saying look, adopt the American system”, as I said in the video I wish both countries would look at Switzerland. But let’s stop painting this black and white decision because it’s not about USA versus NHS.

Alan Johnson: The Commonwealth Fund is the only one who measures things like health inequalities and fairness and how it affects the poorest —

Kate Andrews: What is fair about thousands more people in European countries surviving? What is fair about that? What is fair about the fact that 13,000 more people in Germany every year will survive the five most common types of cancer? What is fair about that?

Alan Johnson: [Becoming more incoherent and hysterical with every passing moment] You quote that without saying — as if the NHS was very keen for people to die of cancer —

Kate Andrews: No, of course they’re not, but we can do something about this —

Alan Johnson: One of the biggest problems is early reporting, is people going to their GP, particularly men —

Anna Soubry: Absolutely, it’s the biggest factor.

Kate Andrews: Great. Well, you need access to the GP, don’t you? You need shorter waiting times.

Anna Soubry: We have – please, please, don’t tell me that you don’t have – depends on where you live —

Kate Andrews: The waiting times for this country are appalling compared to their European counterparts.

Anna Soubry: [Disingenuously talking about same-day emergency appointments rather than scheduled GP appointments] Excuse me. Your GP, it depends exactly where you live, because certain GP surgeries like mine, I can see my GP if I want to on the morning that I have – I can ring up and can get in straight away. It depends where you live —

Kate Andrews: That doesn’t sound like a very fair system. It doesn’t sound like a postcode lottery is a very fair system.

Anna Soubry: No, it’s not a postcode lottery.

Kate Andrew: Well he [Alan Johnson] is talking about fairness, and that’s what the NHS is good at, but you were talking about a postcode lottery system. There’s nothing fair about that system, and there’s not a lot that’s very good about it either.

So the NHS is perfect, equality of dismal outcome is preferable to aspiring toward excellence, and if you are one of those people whose deaths would have been prevented by another, superior healthcare system it’s your own stupid fault for not seeing your GP (the unnecessary gatekeeper to practically all NHS care) on time. So say Tory wets and Labour centrists alike.

This is mental subservience to the Cult of the NHS, pure and simple. Every day, the high priests of the NHS surpass themselves in new feats of bias confirmation. One might think that the NHS coming second from last in the rather key metric of keeping people alive might give pause for introspection, but throw up any fact or scenario which suggests that the NHS is inferior and immediately two things happen.

Firstly, up goes the wall of ignorance and denial. Why are you fussing about health outcomes anyway, they splutter. Don’t you know that fairness, ease of access and cost-effectiveness are the only metrics worth considering? And if that doesn’t work, then out comes the good old US/UK false dichotomy, where NHS defenders pretend, quite slanderously really, that anybody who questions the NHS model or expresses an interest in learning from other countries secretly wants to emulate the US system.

Kristian Niemietz has also been fighting this lonely fight against uncritical acceptance of the Commonwealth Fund survey for a long time:

The Commonwealth Fund study is the outlier among health system rankings, because it pays little attention to outcomes – it is mainly based on survey responses and general system characteristics. But it has one category which does relate to outcomes, and in that category, the UK comes out 10th out of 11 countries. So even the preferred study of NHS cheerleaders confirms that in terms of outcomes, the NHS is one of the worst systems in the developed world.

Niemietz concludes:

The jingoism of Little Englanders is sometimes unedifying, but it is not nearly as cringeworthy as the NHS patriotism of the left. The NHS is the country’s most overrated institution. It is the Carling of healthcare systems. It achieves nothing that dozens of other healthcare systems do not also achieve, and usually better – and it’s time we admitted that to ourselves.

I made the same point in a television interview several years ago, pointing out that if you want to make a staunchly internationalist, post-patriotic left-winger sound like the stereotypical swivel-eyed Ukipper all one has to do is whisper the letters “NHS”, at which point they will immediately start ranting about British superiority and exceptionalism, waxing lyrical about how we alone have unlocked the secret of compassionate, universal healthcare delivery, while the other, benighted nations of the world look on at us in envy.

If the NHS is ever to be meaningfully reformed, if healthcare outcomes are ever to improve in Britain relative to the countries which are overtaking us, this wall of ignorance and denial must be torn down. But just from the facial expressions and physical demeanour of Anna Soubry and Alan Johnson in this BBC This Week segment, you can see that they will not be reasoned with. And if politicians who style themselves as pragmatic centrists cannot take the emotion out of an argument and drop the NHS hagiography for an honest discussion of healthcare reform, what chance is there?

This is a cult, plain and simple. When people cannot look dispassionately at a government service but instead debase themselves by sanctifying it (as though universal healthcare were in any way unique to Britain), observing its holy days, quoting its founders and worshipping its historical figures, what you have is a cult.

 

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Stephen Hawking vs Jeremy Hunt: The Insidious Cult Of The NHS

Samuel HooperLeave a comment

BRITAIN-POLITICS-HEALTH-DEMO

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Stephen Hawking vs Jeremy Hunt, a beloved national treasure going up against somebody who actually knows a thing or two about healthcare systems – in NHS-worshipping Britain, this could only end one way

If your car breaks down in the middle of the desert, who would you rather have come to your aid – the world’s most famous and accomplished concert pianist, or a fully equipped mechanic with a bit of a bad reputation?

Unless you particularly want to die of dehydration amid the sand dunes you pick the dodgy mechanic every time. At least he has some experience with the subject matter at hand, after all. And would you listen to angry protestations from other people who said that the concert pianist was equally entitled to tinker with your car, just because he has been driven around in many cars throughout his career? Of course not. Making use of the functions of an automobile is not the same as understanding how a vehicle works or being able to diagnose technical faults with the engine.

And yet as soon as the national conversation turns toward Our Blessed NHS, this kind of common sense goes out the window. So desperate are many British people to receive confirmation bias-affirming propaganda about “Our NHS” that when theoretical physicist Stephen Hawking got into a debate with Health Secretary Jeremy Hunt on the subject of healthcare, people essentially chose the concert pianist over the mechanic. Proudly and unequivocally.

This is the mental poison spread by the Cult of the NHS. It warps thinking, is impervious to reason and transforms what should be a measured, rational and unemotional debate about how best to provide healthcare services to a country of 70 million people into a frenzied orgy of emotionalism and unconditional praise for government bureaucracy, combined with a seething intolerance of anybody who dares to question the status quo.

Most unbecoming for a scientist, Stephen Hawking leaned heavily on emotional rather than empirical arguments to make his case, writing in the Guardian:

Like many people, I have personal experience of the NHS. In my case, medical care, personal life and scientific life are all intertwined. I have received a large amount of high-quality NHS treatment and would not be here today if it were not for the service.

The care I have received since being diagnosed with motor neurone disease as a student in 1962 has enabled me to live my life as I want, and to contribute to major advances in our understanding of the universe. In July I celebrated my 75th birthday with an international science conference in Cambridge. I still have a full-time job as director of research at the Centre for Theoretical Cosmology and, with two colleagues, am soon to publish another scientific paper on quantum black holes.

Whereas in France, Germany, Australia, Canada or Japan he would have been left to die in the street? This is misleading, emotionally manipulative balderdash of the first order. Newsflash, Stephen Hawking – the NHS did not save your life. Doctors and nurses and technicians and administrators did. And all of these professions can be found outside of our own creaking nationalised healthcare system.

Universal healthcare and treatment free at the point of use are not innovations unique to the United Kingdom. Other countries manage to do it too, using a variety of different delivery models – many of which achieve better healthcare outcomes (ultimately the only thing that matters to patients) than Our Blessed NHS.

And Stephen Hawking knows this full well. Yet he is happy to take advantage of the British public’s sentimentality for the NHS and lack of awareness of healthcare in other countries to create a false impression that motor neurone disease patients such as himself – indeed, people suffering from any disease or injury – are somehow left to die on the street in other countries, and that it is only in socialist Britain that people enjoy modern healthcare. This is the kind of dishonesty and low skulduggery that belongs in the field of politics, not science. Hawking should be ashamed of himself.

But he isn’t done yet. He continues:

Last year my personal experience of the NHS and my scientific life came together when I co-signed a letter calling for healthcare policy to be based on peer-reviewed research and proper evidence. The specific issue addressed in the letter was the “weekend effect”. Jeremy Hunt, the health secretary, had claimed that thousands of patients died unnecessarily because of poor hospital care at the weekend, and used this to argue that we needed to implement a seven-day NHS. I had mixed feelings about the issue. Having spent a lot of time in hospital, I would like there to be more services available at weekends. Also, it seems possible that some patients spend more time in hospital than is necessary because certain diagnostic tests can only be done on weekdays.

However, as we showed in the letter, Hunt had cherry-picked research to justify his argument. For a scientist, cherry-picking evidence is unacceptable. When public figures abuse scientific argument, citing some studies but suppressing others to justify policies they want to implement for other reasons, it debases scientific culture. One consequence of this sort of behaviour is that it leads ordinary people to not trust science at a time when scientific research and progress are more important than ever.

Yes, we wouldn’t want to cherry pick evidence now, would we Stephen? Like resolutely pretending that the only alternative to the NHS is “a US-style insurance system”, conveniently ignoring the wealth of other examples out there?

But even more asinine than this is Hawking’s assertion that healthcare policy should be based on “peer-reviewed research and proper evidence”. This is all well and good as far as it goes, but we are talking about designing complex human organisations here, not conducting a controlled physics experiment.

The only peer-reviewed research and evidence that can possibly be brought to bear on the question of how to design an optimal healthcare system for a medium-sized advanced economy will come from the social sciences, which are inexact and often unquantifiable by their very nature. What’s more, in academia the social sciences are populated almost exclusively by leftists and are effectively locked into a self-perpetuating purity spiral. When there is no diversity of perspective or political thought in the field, how can one have the slightest confidence in the outcome of the resulting studies?

Do you really think that scientists check their political opinions at the door of the library or laboratory? If so, where were all the economists during the EU referendum declaring in TV interviews that Brexit might be bad for the economy but still worthwhile overall? They were nonexistent. Why? Because they all started from a place of liking the European Union and wanting Britain to remain a member. Facts and evidence which contradicted this desired outcome were determinedly pushed aside, again and again.

Oliver Norgrove gets it right on this point:

The other issue I have with Professor Hawking’s comments is that they essentially capture the nauseating emotional connection that Brits have with healthcare provision. It is odd because healthcare needs are, by their very nature, private and oughtn’t represent bargaining chips for politicians at election time. ‘Groupthink’ surrounding the NHS is rife and poisonous. I particularly loathe the term ‘our NHS’. In using it we promote unhealthy tribalism, which blockades against meaningful debate about how we improve a stagnant system of healthcare. Diluting this poisonous emotional attachment is perhaps the first step to achieving a market-based system, similar to those seen all around the continent.

Notice also the reliance upon using the American healthcare system as some kind of stick with which to beat free marketeers in Britain. It is as if there are only two structures globally, and we must protect one from becoming the other. Professor Hawking, a clever man, knows full well that by instigating comparison with the United States he can more aptly generate support for the maintenance of the NHS. Which I believe, given changes to demographics, life-expectancy and population-induced strains, is bad for our healthcare outlook.

Increasingly, academics believe that, almost by right, they are entitled to transfer their authority in a particular field to other fields, often for the sake of making noise and boosting their own public profile. This became especially apparent during Britain’s referendum on European Union membership. Of course, I am not saying that academics should not have the right to speak and be heard. Nobody values the importance of free speech more than I do. The issue is that by association alone they are afforded disproportionate exposure and their words a special (and often unwarranted) significance. This is damaging to debate as it promotes laziness and useless conventional wisdom.

And besides, Stephen Hawking doesn’t really want to design an optimal healthcare system. No, he is attached to the present system for emotional reasons, and is busy corralling facts and figures which confirm his own biases and preferences. A rational scientist would start with a blank sheet of paper, not a crayon drawing of the NHS logo with girlish hearts scribbled all around it, Ă  la Hawking.

Yet Hawking preposterously claims to be a dispassionate observer in all this:

A physicist like me analyses a system in terms of levels of approximation. To a first approximation, one can see the situation facing healthcare in this country in terms of forces with different interests.

Quite. So let’s talk about the NHS Industrial Complex, that byzantine and interconnected web of special interests from pharma companies to suppliers to logistics providers to medical schools to clinical staff on the taxpayer dollar, to the army of administrators and bureaucrats required to run what is – astonishingly – the fifth largest employer on the face of the Earth. All of these actors have a vested interest in the current system perpetuating itself – it’s how they get their pay cheques and make their profits. Disruption to steady-state operations is therefore unwelcome and to be resisted at all costs, even if there are potential windfalls for patients.

But these are not the malevolent forces that Stephen Hawking wishes to discuss. He wants to go on a generic leftist rant about the “multinational corporations, driven by their profit motive” – forgetting that the profit motive he so despises helped to spur the development of many drugs and healthcare technologies which save lives every day. He also takes the economically illiterate view that there is a fixed amount of money in the economy and healthcare system, and that shareholder profit necessarily means less funding available on the front line. This is nonsense, as any sixth-form economics student could have explained.

Hawking ends his cri de coeur with this rousing message:

If that all sounds political, that is because the NHS has always been political. It was set up in the face of political opposition. It is Britain’s finest public service and a cornerstone of our society, something that binds us together. People value the NHS, and are proud that we treat everyone equally when they are sick. The NHS brings out the best in us. We cannot lose it.

Isn’t it funny that if you want to make an establishment leftist sound like a frothing-at-the-mouth Ukipper all you have to do is whisper the letters “NHS”, at which point they will immediately start ranting about British culture and values, the importance of our unique island history and our unquestioned superiority over every other country.

And yet we see smug, superior headlines from the likes of the Independent, sardonically declaring “It’s brave of Hawking to take on an intellect like Hunt“, as though Stephen Hawking’s brilliance when it comes to physics somehow automatically translates to the complex political and organisational considerations involved in healthcare reform. This is basic, superficial thinking of the first order – and yet nearly every newspaper clapped along like trained seals, without stopping to think whether Hawking really has any credentials to be pontificating on the future of the NHS. He doesn’t.

Stephen Hawking is little more than an NHS Ukipper, with no more right to meddle in British healthcare reform than your garden variety Ukipper should be allowed to go up against Michel Barnier in the Brexit negotiations. But his ignorance and emotional manipulation are given cover by a bovine public raised to worship the NHS unquestioningly, and by a sycophantic media who prefer to make smartass headlines about Jeremy Hunt’s intellectual deficit rather than stopping to question who makes the better argument.

And as it happens, both men are wrong. Stephen Hawking is busy trying to reanimate the mortal remains of Aneurin Bevan, while Jeremy Hunt is tinkering around the edges of a failing system which needs redesigning from the ground up.

This is what passes for a debate about healthcare reform in this country, and the cost of all the virtue-signalling, NHS-worship and half-hearted reforms can be counted in human lives.

 

Stephen Hawking - Jeremy Hunt - NHS debate

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