Government should raise taxes to fund NHS and social care, say expertsBMJ 2017; 356 doi: https://doi.org/10.1136/bmj.j1381 (Published 17 March 2017) Cite this as: BMJ 2017;356:j1381
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The recent capitulation of the Government in the face of criticism from the self-employed, who were being asked to increase their social insurance contributions in line with the employed, demonstrates the difficulty with which many segments of the population have with raising income taxes.
I resent my taxes being squandered by inefficient bureaucracies. The NHS is a case in point. The NHS has been over-capitalised for decades, resulting in an organisation, if it was run as business, would have been declared bankrupt years ago.
Probably as much as 25% of spend is waste, not adding but rather subtracting from patient welfare. There is an ever-diminishing return.
Polypharmacy, the lack of adequate patient examinations, too much specialisation, the inability of the medical profession to make timely diagnoses, too much symptomatic treatment without identifying the offending causes, bureaucracy for bureaucracy's sake and complacency of the healthcare system, the public and the medical profession are all to blame for the present state of affairs.
Britain and Britons need to smarten up.
This week's edition of The Economist, notes the reluctance of governments to raise taxes. Government debt is ever rising to levels which may be unsustainable. People can no longer do without, refuse to discipline themselves, and demand more bang for their buck without paying for it. We have all become spoilt.
Not-for-profit, privatisation of the healthcare system is the only realistic outcome; sustainable, quality care at an affordable price.
Competing interests: No competing interests