3 Comments

Thanks for writing. I appreciate hearing your viewpoint and I agree with you about remuneration. I have a relative (young) who is a doctor and has worked under both fee for service and as a salaried physician and he much prefers being on a salary. The pressure to see too many patients and not provide sufficient care was overwhelming.

Regarding the NHS and money, it seems that that is a regular issue in a number of countries with universal healthcare. I recall, not so long ago that French doctors went out on strike during negotiations with the government. Of course they came to terms quickly.

One province in Canada had that issue of not enough money in the fund for healthcare, I think it was Ontario, and they people just decided we will tax ourselves a little more to get what we want. I know that's hard in England as the VAT is pretty high now.

Anyway thank you, I poke my nose into how the UK is doing a little more frequently....Be well...

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As a Brit who grew up post 1950 and benefitted from the Welfare State and the creation of the NHS and who now lives in US, I would normally be jumping all over this! I absolutely support universal healthcare and find the existing system in the US to be frighteningly complex and dangerously obscure to the point that I tend to just hope that I never need to use it! However, many do, as will I at some point, so the ostrich approach is no approach at all. Nevertheless, I hate to report that the much-vaulted NHS in the UK is also sadly broken and suffering, ironically from many of the same woes that beset the US system-overworked doctors and nurses, cumbersome bureaucracy, too much demand and not enough money(although the latter is not the case overall in US, I know, unless you are unlucky enough to live in one of the health deserts in this country.) Healthcare is a basic right and tying it to profit and loss inevitably will lead to inequality of care, but it is also true that doctors and nurses deserve decent remuneration in acknowledgement of the years of studying and continuing education they are required to pursue. Obama had a shot at it, but a lot of folks in this country are so biased against anything that smacks of a socialist agenda that I fear the US will never achieve anything like healthcare for all.

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Thanks for sharing this. It is important to have data from those with actual experience using systems in other countries. There is a budget outline in HR 3421 to facilitate placing healthcare providers and the correct specialties where needed by regional authorities. Those budgets also included repair and construction of facilities and an education budget for scholarships, continuing education and tuition debt forgiveness (with service). I will remain hopeful.

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