Health Care Systems Around the World: Britain’s National Health Service
According to a recent study by the Cato Institute of Britain's National Health Service (NHS), there is no perfect scenario when it comes to health care. On one side of the spectrum is the desire to have unlimited medical care to extend one's life as much as possible, and the other end of the spectrum is to ration care to control spending.
The NHS is a centralized government version of the one-payer system in England, and it pays directly for health care and finances the system through general tax revenues. Most physicians and nurses are government employees. Below are some key statistics to keep in mind when looking at a government system without competition.
Things you will want to know about Britain before you visit
The NHS is a centralized government version of the one-payer system in England, and it pays directly for health care and finances the system through general tax revenues. Most physicians and nurses are government employees. Below are some key statistics to keep in mind when looking at a government system without competition.
- Waiting Times. Presently as many as three quarters of a million Britons are waiting to be treated in Britain's hospitals. Cancer patients, for example, will wait as long as eight months before being treated. A byproduct of that wait is that maybe 20 percent of colon cancer patients who were initially considered "treatable" when first diagnosed, will become "incurable" as a direct result of all that waiting. Even more alarming is the fact that as many as 40 percent of cancer patients have never even been seen by an oncology specialist.
- 50-70% wait longer than 18 months to see specialists. In 2008 Britain's goal was for a wait time of no more than 18 weeks. The study showed that only 30-50 percent of patients actually received treatment within the 18-week time frame. What's worse is that only 20 percent of orthopedic and trauma patients received care from a specialist within the18-week target window.
- Rationed care. Not surprisingly, a direct result of Britain's over-taxed system is that certain types of care for more expensive procedures such as open heart surgery and kidney dialysis are now "rationed." Even more alarming is that patients deemed "too ill" or "too old" for a procedure to be "cost-effective" are being denied treatment altogether. One government "solution" being proposed is that the NHS be allowed to refuse treatment to those with "unhealthy lifestyles" such as smokers and the overweight.
- Widening gap between NHS and private insurance. Another solution is "competition" in the form of private health insurance. Currently about 10 percent of Britons have private health insurance, and that number is growing, as more and more Britons seek to gain access to a wider choice of healthcare providers and avoid waiting lists.
- Growing demand for private health care. Studies conducted on the British public indicated that 63 percent felt the need for healthcare reform is "urgent," and another 24 percent believe that it is at least "desirable." Even more telling, however, is that 60 percent of Britons believe that making it easier for patients to spend their own money on health care would "improve quality."
Things you will want to know about Britain before you visit
- The best times to visit are May, June, September and October
- Heathrow Airport handles 67 million passengers a year
- Britain is 35 miles from France
- 80,000 umbrellas are lost annually on the London Underground
- Britain receives on average between 20-35 inches of rain per year
- Nowhere in Britain is more than 75 miles from the sea
- Cars drive on the left hand side of the road
- Voltage is 240 – do not use your 110 American appliances!
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