I am reading the PM's tweet "We are writing off NHS debt as part of a major financial reset for NHS providers" and my hair rises at the back of my head. Ever since the COVID19 started I wanted to write "Now when you see how dysfunctional the NHS is, hope you’ll finally dismantle it" but restrained because the moment seemed inappropriate.
But actually there is no other moment to write it. For it is now that we have to rethink the future.
Now we rethink, while dealing with COVID19, and then dismantle and build anew the NHS immediately after.
Everything about the NHS is dysfunctional for different technical reasons at different levels and places, but in principle for one big reason : the system was created and run by different kind of people, so it didn't have or need protection mechanisms. The class system doesn't help, as everybody imitates the behaviour of those on top of them...and as those on top are arrogant profiteers...
So the system is abused in a spectacular way. And here is the usual paradox, and as it is usual, it shouldn’t be a paradox any longer, but the paradox is that it still is a paradox: Whenever the finger points in one direction for “the guilty” one should look in the exactly opposite direction. Thus, the NHS is not failing because it treats tons of foreigners; but because it is run by aliens with "foreign" ethics and is overcrowded by spongering providers, not users. Just as there are so many drug users, because there are thus many drug dealers and not vice versa. There are just too many drug dealers, warmongers, human traffickers, NHS contractors etc etc Black Brethren pumping the light out of the world. You know it better than me; I am only just finding it out. I mean, you must have been silently witnessing it from ages.
Since working in a renowned NHS hospital - and don't get me wrong they perform miracles there, but at the same time the levels of abuse of the system at any given level are pharaonic - I always wonder why we insist on keep saying "African scale of corruption"? I mean why "African"? Really. The systematic witnessing of criminal levels of bullying, extortion and corruption makes one paranoid. Not only did I not want to write about it, even though at the time I tried to get in touch with a BBC journalist, but I was even reluctant to keep notes on the subject.These notes, if only I've kept them, would have made a fantastic background for a criminal novel. And then a wonderful Netflix horror series.
The details don't matter because the system is ...well, systematically abused head to toe. Therefore, it has to be dismantled and built anew (Please note that I believe that anything that functions shouldn't be touched). There is no fixture for the NHS the way it is now though.
In private healthcare, where every position up the line get's a percentage from the economies it makes downwards is even nastier. Strange phenomenons exist there, like subletting your work position: it is very simple it works like that: I receive, say £20ph but I am letting you work in my position for £10. Thus, I mind my other business while still pocketing £10 ph every hour you work... Like in Libya at the zenith of Gaddafi's era. As much as I appreciate when somebody finds a way to abuse an American corporative system thus much I hate it, because it usually is of negative consequences for everybody else, patients included.
Another trick is when your line manager is signing for you, as it has lately happened to me. Which basically means that not one time did I receive the same amount of money for the same amount of working time. It has always been more or less, depending on the manager's needs.
Obviously, all these forms of extortion are witnessed directly by at least two-three people at any given time, who naturally don't have an opinion. Now, how do you fix this - People without any opinion or position whenever there is a personal price to be paid?
My text ‘Black&Blue* or The Makhno State of Affairs’, further down, is dedicated to this subject - the healthcare system in this country. Private and NHS, and in the zones where these two coexist.
So yes, take the NHS apart and rebuild it from scratches integrating all possible anti-bullying, extortion, corruption and abuse mechanisms. And don’t allow capital - feudalism within the private healthcare in this country.
Well, if you ask me, I would add "And no box-ticking health assessments either" ... but this is too much of wishfulthinking and daydreaming... for if there is no box-ticking at hospital assessments their wouldn’t be box-ticking tests at schools either… and this would obviously happen only after a massive human extinction.