Who funds the NHS?

Carrying on the thread from the post below about public funding for airport security, there is a related issue to do with the National Health Service. The one thing that most people in the UK are happy to contribute their tax pounds to must be the NHS. But it may not be prepared to come through with the goods when we need it to.

FFS, it’s spending comically inflated sums on a new computer system. Drugs that will give sight to the blind or another 5 years to people dying of kidney cancer are obviously too much of an expensive luxury after that.

Tony Wilson – former Granada TV presenter, creator of the independent Factory Records (Joy Division, et al) , styled “Mr Manchester” by fellow Granada TV presenter Gordon Burns – has kidney cancer. And lo, he finds that the NHS won’t pay for the drugs that would almost certainly give him 5 years more life.

The view expressed by his local health authority and National Institute for Clinical Excellence is that these drugs are too expensive (at over £2k) and aren’t a “cure”. Tony Wilson says that, although not a cure, the main doctors in the field regard them as essential. But obviously, £2k is too much to pay for one individual to live another half decade or more…

Well, Tony Wilson can pay, or his showbiz chums can pay for him. But, he is, unselfishly, campaigning for all the other patients who can’t come up with £2k to save their lives.

Similarly, there is a treatment for macular degeneration (age-related blindness) that is also considered too costly. So, if you suffer from macular degeneration, depending on where you live and whether you are already blind in one eye or not, it’s possible that you might get it. Then again, you may not.

This stuff is not even remotely rational. If the health service budget is stretched to its limits, take more money from us. Or, maybe try some more ruthless cost-cutting.

Like, don’t give Prozac to everyone who seems a little unhappy, for a start. Don’t lash millions of working computers and replace them with a multi-billion computer system designed to leak everyone’s personal information at will, but ready for the one occasion a year when you need to book someone from Dorset into a hospital in Aberdeen.

Some insignificant fragment of it is MY money, right? If I ever get kidney cancer or go blind, I’ll happily let the NHS use my computer, but I want the best treatments.

[tags]blindness, cancer, health, kidney cancer, national health service, nhs, public spending, medicine, tony wilson, Health Service[/tags]

Who funds the cost of terrorism?

On the BBC there is a news/vote item about the “spiralling costs” of airport security. Apparently the airports industry is complaining that complying with the security restrictions imposed by the government (or the US government in some instances) is destroying their profits and they want the Government to contribute to offset some of the burden. The BBC writes:

The aviation industry has said it can no longer afford the spiralling costs of security at Britain’s airports.
Costs have risen by 150% since new security measures were brought in after the 11 September attacks in 2001.

Security now costs a quarter of major airports’ income. Airports cover all security costs themselves, but say this is simply not sustainable.

The industry now wants the government to contribute, but ministers insist the aviation industry must foot the bill.

Since the 11 September attacks, the government has introduced restrictions on hand baggage, a ban on liquids on board and, more recently, measures to move vehicles further away from terminal buildings.

It is interesting that the airports feel having to abide by government legislation is not something they should have to pay for, it strikes me as being the same as if car manufacturers decided to make the government pay for seatbelts, but that is a debate for another day.

Likewise, the idea that losing a bit of profit to improve upon safety is a “Bad Thing” is open to all manner of arguments – you could easily complain that airports only spend a quarter of their income on security…, but I will leave that as well.

Oddly, I will also avoid the farcial nature of the security measures – they are, by and large, pointless and designed for nothing more than pandering to peoples crackpot fears, but I will rant about that another time. (Phew 😉 ) I will even leave the nonsense comments alone today.

The main thing which piqued my interest, were the options in the vote. Before you shout at me, I know these “votes” are more for fun than anything else, I haven’t taken it seriously – however, the news debate on TV, Radio and online seems to realistically consider these three choices as the only options.

Who should pay for airport security?
The aviation industry
The government
Passengers

The survey has most voters saying “The Government” and this has been reflected by the TV news coverage and the comments attached to this news item. Personally, I would have said it is the aviation industry’s responsibility but I am used to holding a minority viewpoint.

The issue I have with the choices here, and this is something which is often reflected in public debate, is the crazy idea that the Government has “money” in any realistic sense.

It strikes me that people seem to be massively unaware of the fact that making the government pay for something (even the constant stream of “Public Inquiries” we seem to need now) actually means everyone pays for it. If, for example, the UK government is forced to subsidise the airports, the money will either come from reducing other sectors of public funding (so we get worse hospitals or roads for example), cutting back on the money given to local authorities (so we pay more council tax for example) or by increasing the basic tax rates – so we pay more. What ever the option, it is the population of the country who will lose out.

Comically, the airports are on shaky ground here, as they do not bear the full costs of airport security really. Since 2001, the charges levied on airlines and travel operators has increased to offset the costs of anti-terror methods – which in turn has the effect of either reducing their profits or translating into higher travel costs. So in effect, the passenger has already been paying for the costs and now the airports want more.

Really, there are only two choices as to who bears the costs – the public as a whole, or people who use air travel. Personally, given that choice, I think it realistically has to be the people who chose to fly. Shame really. I fly a lot. 🙁

Annoyingly, despite some of the claims that all the measures are in response to demands by the UK government this is not the case. In some instances they are extra measures that the US government has demanded, in some they are demanded by international organisations. So, in effect, we have to subsidise the fears (real or otherwise) of foreign nations. Such is life, post-Empire…

[tags]Philosophy, society, culture, air travel, Security, Terrorism, Government, Industry, Taxation, Airlines, Airports, Flight Safety[/tags]

Religious geography

In case you ever wonder about how far people’s beliefs affect the rest of society, (Well, alright, the advent of suicide bombing probably means you have an idea that there may some connection – Look, I’m just trying to introduce the blog, OK?) piece in the Times that compares a USA map of religious adherents as a percentage of all residents, with another map showing whether each state voted Democrat or Republican in the 2004 elections.

There is a broad (but moderately convincing) similarity between the map of the densest areas of god-adherents and the map locations of Republican states.

This reinforces an impression that the Republicans have pretty well hijacked Christian “belief” across swathes of the USA.

If you keep repeating over and over that Christianity = “traditional values” = Republican, some of it is bound to stick.

I always wonder how the uncomfortable bits of Christian writings – like the Sermon on the Mount – are so easily reconciled with the social policies of the Republican right, but I assume that the religious have to get well used to picking and choosing what to actually follow in their “unerring” texts.

Otherwise, the bizarre prohibitions and injunctions in Leviticus would have to be a daily guide for Christian fundamentalists. Which would be a moderately good grin for the rest of us.

As it is, US religion-in-politics seems to relate to just being anti-abortion and anti-gay – neither of which I can remember as having been big concerns of Jesus, from my school RE lessons. In fact, I thought “Render unto Caesar” was about as overtly “political” as the New Testament got.

But, then, I have to admit to having paid minimal attention, so these may indeed have been hot political issues in ca. 0 AD Palestine.

Announcing Planet Humanism

For those of you haven’t yet been to Nullifidian’s blog today, he has announced the creation of “Planet Humanism.” This looks like an excellent addition to the Blogosphere, although because I am lazy I will save effort here by repeating what Null has written in his announcement post: (Not to mention the fact Null has written it better than I could re-word it!)

After the runaway success of Planet Atheism, I thought that it might be appropriate to see if we could do for humanism what Pedro of Way Of The Mind has done for atheism.

So, without further ado, I introduce you to the Planet Humanism blog aggregator.

Unlike Planet Atheism, Planet Humanism is for blogs that have a generic humanist focus or element, regardless if they are atheistic or not. Of course, I appreciate that some (most?) humanists are likely to come from an atheist perspective, but not all will, and hopefully this will be somewhere that our commonality of humanism can allow some conversation on common ground.

If you’re interested in adding your blog to Planet Humanism, and if it has some kind of humanist element, drop me an email at planethumanism@nullifidian.net and let me know your blog’s:

  • title;
  • URL; and
  • feed URL

Even if you’re not interested in humanism yourself, if you have humanist readers, please help to make them aware of this new aggregator. Thanks.

So, what are you waiting for? If you have a suitable blog, sign up, and if you dont just go and bookmark it to read the latest and greatest posts.

[tags]Planet Humanism, Humanism, Atheism, Rave, Nullifidian, Society, Culture, Blogs[/tags]