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IOM DHSC & MANX CARE


Cassie2

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3 minutes ago, Two-lane said:

Take a look at countries that have a better health service.

What does it cost? How do they achieve it?

Once upon a time, we sent a delegation, including 2 individuals in particular, all the way to NZ to examine a model for that.

What became of their findings?

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1 hour ago, Banker said:

We need to tax the wealthy and higher earners more, ma6be capital gains taxes for amounts over £5k Pa  to tax all the investment property owners, higher rates on second homes etc. UK budget due this month may help by raising fuel duty which give us more money.

Tax Banker more. Purely on the basis he’s a complete Banker.

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That is super bright they will all depart for sunnier climes.     Top earners who pay a fixed amount bring in guaranteed income whilst getting little in services back.    They will not be troubling local doctors , dentists or Nobles if they are ill  they will have private healthcare.   Whilst they spend their six months of permitted non residency off Island they employ people to look after their properties such as housekeepers, cleaners, gardeners etc.   Taxing them more would be an envy tax something Labour are going to find out does not work.  A bird in the hand……

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6 hours ago, code99 said:

My assumptions are that now that Manx Care has started cutting "front line services" : a) those cuts will be permanent, and b) in future years they will be expanded.

Indeed. Sir Jonathan's report was always about moving some services out of Nobles to be closer to patients in their own homes and communities though. That's the idea of Primary Care at Scale. 

The notion that the review of various medical roles on the island would probably not have been highlighted when they all voted for Manx Care.  

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3 hours ago, Non-Believer said:

Once upon a time, we sent a delegation, including 2 individuals in particular, all the way to NZ to examine a model for that.

What became of their findings?

Fat boy got a free holiday   and the Harley Davison  man  moved on  to smaller things  , went downhill from there 

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1 hour ago, Fred the shred said:

That is super bright they will all depart for sunnier climes.     Top earners who pay a fixed amount bring in guaranteed income whilst getting little in services back.    They will not be troubling local doctors , dentists or Nobles if they are ill  they will have private healthcare.   Whilst they spend their six months of permitted non residency off Island they employ people to look after their properties such as housekeepers, cleaners, gardeners etc.   Taxing them more would be an envy tax something Labour are going to find out does not work.  A bird in the hand……

 

Edited by CATHYJAY
dont agree
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4 hours ago, Banker said:

We need to tax the wealthy and higher earners more, ma6be capital gains taxes for amounts over £5k Pa  to tax all the investment property owners, higher rates on second homes etc. UK budget due this month may help by raising fuel duty which give us more money.

I agree with this. Why shouldn't those who gain more pay more. The same discussion is going on in the UK with some saying we may lose those who are wealthy. If they are not prepared to help those or those services struggling maybe those people are not the sort of people we want??

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8 hours ago, code99 said:

Could the DHSC do better by bringing healthcare back ‘in-house’?

In Manx Care we have a massively expensive bureaucracy sitting on top of the already massively expensive government bureaucracy.  On the basis of 'last in, first out' Manx Care has to go and would we, the people, actually notice any material difference?  It was a brainfart vanity experiment that was never needed but it did succeed in putting more well-aid snouts in the trough.

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1 hour ago, Utah 01 said:

In Manx Care we have a massively expensive bureaucracy sitting on top of the already massively expensive government bureaucracy.  On the basis of 'last in, first out' Manx Care has to go and would we, the people, actually notice any material difference?  It was a brainfart vanity experiment that was never needed but it did succeed in putting more well-aid snouts in the trough.

The problem being that those more, well-paid snouts will/would require equally large amounts of redundancy/payoffs to depart said trough.

Edited by Non-Believer
Typo
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