Urmstongran
Nothing in the NHS will change until people realise that it is not "the envy of the world," because only then will Governments stand any chance of introducing real reform without it being politically suicidal to do so.
Urmstongran
You are so right.
But that view will not change until government - any government - has an honest 'debate' with the nation about it. As others have pointed out, there are now treatments and procedures (and new drugs), which weren't available even a decade ago - and a huge demand for them. This all costs. As does the burden of an ageing population.
When the NHS was founded nearly 70 years ago, one-in-two people died before they reached 65. Now this has dropped to about one-in-eight. By the time they reach 65 men can now expect to live on average for another 18 years and women for 20 years. (National Clinical Director for Older People and Integrated Care - NHS)
An 'honest debate' with the nation would require a brave government to tell us that we cannot have a first-class health service 'on the cheap'. How we fund the NHS is the debate. Unfortunately, the NHS has been and is now, a political football. Successive governments dare not make themselves unpopular by talking about increased taxation or the modus operandi adopted by other European nations where patients - or 'service users' as we are sometimes called - pay for a visit to their GP, or consultant.
When I lived in Norway and joined their health service, all doctor and consultant appointments attracted an extra charge on top of the national health contributions (hospital admissions are free at the point of need). But here's the thing... Norway is a high-wage economy, people can afford these extra costs. It is also a high-tax economy because the nation accepts that it has to pay for decent, efficient health and social-care services.
Everyone seems to think that the choice is between a 'free' NHS or the American model of private insurance. Personally, I would favour the European model - others will disagree. That's why we need a national 'debate'.
As a side note - you can, in Norway, opt for a private consult or treatment and pay upfront. But that, too, is affordable. I opted for a procedure privately which cost just over £50 - the equivalent procedure here in the UK would cost £hundreds.