The UK National Health Service is severely stretched, and about to enter its second winter of Covid, with a new variant on the loose. You can’t get a face to face doctor’s appointment for love nor money, and you’re as well to avoid A+E, unless your life depends upon it. Covid is taking its toll in ways other than infection. That said, I was invited for my Covid booster at the weekend, and found the whole thing calm and well organised. The staff were friendly, and welcoming. I turned up a little before the allotted time, and got the jab straight away. Then I was asked to wait fifteen minutes before leaving, just in case of an adverse reaction. And while I waited, I got to thinking.
There was a big take-up, both with booked appointments and walk-ins. The nurse who saw me was in her sixties and had a manner that would have made light of any indignity she ever had to inflict on her patients. She was the epitome of the NHS: professional, friendly, and efficiently competent. There was also a sympathy about her that’s often nine tenths of healing. She was more than a nurse, then, she was your aunt, she was your mother, she was your sister.
We’re used to having the NHS around, and we expect it will last forever. Everyone benefits from the same level of top-notch care. We all chip in through our taxes, and then we all benefit. Those who can afford to pay little or nothing are looked after by those who can afford to pay more. I think it’s a good system. It’s civilised and decent. But there’s a class of economic fundamentalist who hates it, and would rather see it sucked into the toxic world of the global market-place, where the price is everything and human values are of no consequence.
I’m aware bits of it are already privately run. One of my local GP surgeries was recently bought out by a “for-profit” global brand. They bid to provide services for the NHS and, through the NHS, and our taxes, make vast sums of money for people we’ve never heard of, instead of that money being ploughed back into care. The next phase, through the current Health and Social Care Bill, paves the way for an insurance based system, like they have in the United States. This is where the insurance companies dictate whether we get access to treatment. And in a system run for profit, it’s not in their interest to grant it.
All of this seems unthinkable, but then, until recently, it was unthinkable we would ever have food-banks in the UK, but now we do. We have them by the score, because the welfare system is no longer serving the people who need it, and wages are suppressed to a level well below what’s decent, so even people in work are having to use them. We’ve grown used to having foodbanks around, used to the fact there are more and more of them. That’s just the way it is, we say.
I guess it’ll be the same with the NHS. Though it’s hard to imagine it, one day, all of this will be gone. The ambulance man will turn up to transfer your ailing, aged parent to hospital, and you’ll have to swipe your debit card before he lets you on board. He won’t want to do it. It’ll seem inhumane to him, but it’ll be the system, and he’ll have no choice, because he serves a master for whom care is no longer primary. And we’ll get used to it being that way, and we won’t complain about it.
Our healthcare will be tiered. The more we pay, the better care we get. If we can’t pay anything, we get nothing. And if the insurance company finds a way of wheedling out of paying for your surgery, you’ll either have to sell your house to pay for it yourself, or go without. That kindly nurse? She’ll be gone too, replaced by a slave to tick-box managerialism. Global health brands will be running ads at us, talking about “choice”, and “excellence”, and the corporate drone-bots will be pinging you emails to “kindly rate your experience today”. And we’ll accept it all as being just the way it is, because that’s just the way we are. But is it really who we want to be?
My fifteen minutes are up, and just as well. I’m good to go.