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IOM DHSC & MANX CARE


Cassie2

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43 minutes ago, wrighty said:

Listening to the UK Health Secretary on R4 this morning it appears that they're finally admitting that the NHS in its current form is unaffordable.  It needs reform, particularly the way it's funded.

And in what it does. 

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2 minutes ago, wrighty said:

Listening to the UK Health Secretary on R4 this morning it appears that they're finally admitting that the NHS in its current form is unaffordable.  It needs reform, particularly the way it's funded.

They're just saying they want to impose more of the same failed 'reform' agenda and that's what is really unaffordable.  But this was to be expected from Streeting and co who basically thought that there was nothing wrong with the system, except that they weren't in charge and doling out the goodies to their mates and donors.

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5 minutes ago, Roger Mexico said:

except that they weren't in charge and doling out the goodies to their mates and donors

Quite an ironic statement, Roger, given the mobsters and old boys who have just vacated the premises…

Edited by Jarndyce
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19 minutes ago, Jarndyce said:

Quite an ironic statement, Roger, given the mobsters and old boys who have just vacated the premises…

Well quite.  It may even turn out that some of the mates and donors are the same people.  But Streeting was very keen to take donations from sources linked to private health care in opposition and now it's payback time.

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7 hours ago, Roger Mexico said:

Well quite.  It may even turn out that some of the mates and donors are the same people.  But Streeting was very keen to take donations from sources linked to private health care in opposition and now it's payback time.

The National?   Pre-election?   Your sources aren’t as unimpeachable as they used to be, Roger…🙂

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3 hours ago, Roger Mexico said:

They're just saying they want to impose more of the same failed 'reform' agenda and that's what is really unaffordable.  But this was to be expected from Streeting and co who basically thought that there was nothing wrong with the system, except that they weren't in charge and doling out the goodies to their mates and donors.

The same should happen here.  No more money until manxcare is reformed, ideally by people with actual experience in running efficient organizations rather than failed 'leaders' from a UK NHS service.

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It remains to be seen how much the Labour Government will be able to improve the severely underfunded NHS in the UK, but at least they have accepted that going forward the fate of their NHS will be in their hands. They have acknowledged that the public has the “right to be angry” about the state of NHS (they have inherited) and “are determined to do something about it...”.

Contrast these statements with what our politicians have done – the IOMG has outsourced all practical responsibility for our NHS to Manx Care; our politicians no longer need to take any responsibility for anything NHS related i.e. job well done! Bizarrely, our Health Minister does not think that it is within his remit to be responsible for the Island’s health services as his only ‘job’ seems to be rebuffing questions about Noble’s waiting lists, waiting times in A&E, deficiency in provisioning of GP services and NHS dentists, etc.

IMHO, there are three broad options for reforming funding and (re)structuring a National Health Service:

1.    The USA version where most health care is privatised,

2.    The (former) USSR version where all health care was nationalised,

3.    A middle-way where a mix of nationally funded and private health services are provided. In Australia, for example, if you earn (income, capital gains, etc) above certain amount you will either have to take out private health insurance or the Government will whack you with additional taxes. Incidentally, almost 30% of Australians are born abroad or are second generation immigrants – like everywhere else in the western world, their population is aging and therefore their Government has adopted a policy of attracting foreign born workers, especially for the health and social care sector.

I hazard a guess that options 1 and 2 are non-starters, and rightfully so. That leaves us with various configuration of option 3…

What worries me is the statement from Manx Care Finance Director Jackie Lawless that they are "now looking at further opportunities" to make savings as “it's thought the deficit can be brought down by a further £11million approximately”. If savings are to be made by cutting the number of pen pushers, then it is probably a good move. However, if the savings are to be achieved by further cuts to already abysmal front-line health services, then the IOM public could end up with a health system that is stretched to the point where it may become unsustainable and poor value for taxpayers’ money.

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PBS Frontline: Sick Around the World

https://www.youtube.com/watch?v=h4rg-DJBd34

PBS Frontline "Sick around the World" 2008, an enlightening documentary about different approaches to health care in 5 countries. They each have their pros and cons, described in this evenhanded report, but they all appear to be superior to the US system in the important ways.

 

 
 
 
 
 
 
 
 
 

 

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7 hours ago, Jarndyce said:

The National?   Pre-election?   Your sources aren’t as unimpeachable as they used to be, Roger…

If you actually read it, you'll see that it's based on public sources, such as the HoC register of interests and company ownership.  No doubt if it was all made up, Streeting would have been quick to have it retracted.  Perhaps you should be asking why none of your 'unimpeachable sources' aren't publicising the same easily accessible facts.

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12 minutes ago, Roger Mexico said:

Perhaps you should be asking why none of your 'unimpeachable sources' aren't publicising the same easily accessible facts

Not aware that I mentioned any - but I take your point.   As for your assertion that it's "payback time" - well, we'll see, won't we?

Further down the same article (which I actually read):

'A Labour spokesperson said: “Labour is proud to be supported by successful business people, who are persuaded by our plans to rebuild the NHS after more than a decade of Tory and SNP ruin. Attempts to link them to private healthcare are tenuous at best.

“The SNP government in Holyrood is using the private sector to treat NHS patients in Scotland, and did so when Humza Yousaf was health secretary – you can smell the stench of their hypocrisy from here.”'

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4 hours ago, cissolt said:

The same should happen here.  No more money until manxcare is reformed, ideally by people with actual experience in running efficient organizations rather than failed 'leaders' from a UK NHS service.

Yeah.  Because if stopped the flow of money to Manx Care the management are going to get rid of the managerial bloat and give the money saved to frontline services.  Rather than cutting those back, charging for what's left and giving themselves pay rises because of the increased stress on the poor dears.

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Manx Care was set up because the politicians and civil service couldn't run our NHS. It gives them some plausible deniability, or so they think. It's still not clear who is responsible for what. Our legislation especially for mental health is not fit for purpose, and the whole affair is chronically underfunded. So there's a lot of blather about 'Manx don't Care' on Facebook and the useless minister and department get off scot free.

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33 minutes ago, Harry Lamb said:

Manx Care was set up because the politicians and civil service couldn't run our NHS. It gives them some plausible deniability, or so they think. It's still not clear who is responsible for what. Our legislation especially for mental health is not fit for purpose, and the whole affair is chronically underfunded. So there's a lot of blather about 'Manx don't Care' on Facebook and the useless minister and department get off scot free.

Part of the reason for setting up Manx Care was to stop politicians from interfering needlessly.

They are supposed to create the policies not run the hospital and other facilities.

There was too much, 'Leave it with me' in previous administrations.

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On 5/17/2022 at 6:23 PM, Albert Tatlock said:

As was said many times by many people on here when Manx Care was first proposed...we all look forward in 5 years to the enquiry about why Manx Care was first proposed.

Every 5 to 10 years we look into failing social care and health systems here...and learn...nothing.

That.

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