The NHS model is something of an outlier in not only paying for everyone’s healthcare but in owning the infrastructure, employing all the medics and being run by the government. In mainland Europe, it is more normal for people to take out health insurance with a provider of their choice and for hospitals to be running privately.
Governments ensure that everybody is covered, either by paying for everyone’s health insurance or by paying for those who cannot afford it, but none of them has an enormous state-run leviathan like the NHS. This introduces an element of choice and competition that raises standards and promotes efficiency.
Moreover, the NHS is not under-funded by any reasonable definition. According to the latest data, only five OECD countries spend more on healthcare as a percentage of GDP than the UK. NHS spending was ring-fenced in the ‘austerity’ years and there were never any cuts to its budget.
On the contrary, its budget has rocketed since 2018. The good news is that public opinion has started to change. As recently as May 2021, a YouGov survey found that 39 percent of British adults believed that the NHS provided better healthcare than other European countries while only 10 percent thought the opposite.
When the same survey was carried out last month, 33 percent said that European systems deliver better healthcare than the NHS and only 17 percent thought the NHS was superior (the rest said that they either didn’t know or that both systems delivered similar results).
Perhaps more surprisingly, when another poll published this month asked people what the biggest problem with NHS funding is, only 33 percent said it was that "the NHS does not receive enough funding" whereas 55 percent said that "the funding the NHS does receive is not spent as effectively as it should be".
Wednesday, 25 September 2024
A glimmer of hope for British healthcare
I've written for the Express about how public opinion is slowly changing with regards the NHS:
And read Kristian Niemietz's new report in which he shows how we can move the NHS towards a social insurance system and end the misery.
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