One of the reasons that motivated my recent move was watching the slow and terminal decline of my local NHS in London. The local GP practice when I left was ranked as poor and failing, and was unable to recruit competent doctors who stayed for longer than 8 months. I once watched the receptionist pick up a silent phone handset and pretend to be engaged on a call when she saw a patient approaching the counter. And many patients were premium rate benefits claimants all relying on the GPs to help prolong their eligibility. There was never a problem getting an appointment in the key 17.30 - 19.00 working people's slots.
At the bottom of the hill was a London University teaching hospital with an A&E department. When I bought my house in 1995 this was a plus point. By the time I left it was an open wound, with an ambulance service in London incapable of responding quickly and patient care suffering in order to concentrate resources on employing the permanent NHS staff. The maternity wing became Little Lagos, the beds filled by fecund Nigerian women from among the 20,000 Nigerians who had settled in the borough since the 1990s. Nigerians don't cross the Mediterranean in leaky boats or storm razor wire fences; they are the world's finest con men, forgers, crooks and blaggers and Nigerian illegals prefer to arrive on scheduled flights with fake documents, each one a PhD.
I caused mild offence a couple of weeks ago when I commented to a local (real) Doktor Doktor that his compatriots had almost as many doctorates between them as the UK's Nigerians, but without the fertility rate.
That the NHS is stuffed with staff who stand by their right to treat the whole world for free and irrespective of any entitlement, as the Mail reports, is no surprise. Until we surcharge the doctors personally for the costs of unlawful treatment, we won't stop it. Their jejune virtue signalling provides justification for their complicity in the theft of tax resources. And that's another of the reasons I made the move; I was sick of it. An FOI request had to be enforced by the Information Commissioner and revealed that the cost recovery position stated to the DoH and quoted by a Minister in a written answer to the House was false - so fictional as to be risible. So they lied to the DoH - which meant the whole thing was rotten right to the top, the CE and Finance Director being as complicit as the medical staff in the theft of tax resources. It stinks.
Here there is a real health insurance scheme, not the fake NI thing. It costs me about £30 a week, and I get a health treatment chipped 'e-card' and a number of vouchers for routine visits to various self-employed GP-type doctors. Whichever ones I choose. They recharge the Health Department via a simple computer system. Hospital costs are covered, as are some dental procedures, and there are nominal prescription charges. The major benefit, though, is that there are no 'free riders'. Doctors and hospitals who unlawfully treat non-entitled persons do so at their own cost - they won't get the money back from the government without the e-card data.
And this, I think, has to be the answer. Neither medical staff nor administrators in the UK can be trusted not to steal tax money. So control over money must be taken from them, and their pay depend on their lawful treatment of entitled persons. Otherwise, we'll just go on treating the world for free.