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The Daily Sceptic
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Praising the NHS Is Good Politics for the Right

by Noah Carl
12 March 2024 11:00 AM

In his recent Spring Budget speech, Jeremy Hunt made a rather cringeworthy remark: “the NHS is, rightly, the biggest reason most of us are proud to be British”. The Chancellor was likely referring to a 2023 poll in which 54% of people said “the NHS” made them proud to be British – a higher percentage than for any other item.

Right-wing pundits had a field day on Twitter, lampooning Hunt with AI images portraying the NHS as having played a crucial role in events like the signing of Magna Carta and the defeat of the Spanish Armada. Writing in the Telegraph, the journalist James Bartholomew made the obligatory call to “abolish” the NHS and said it was “absurd” to be proud of Britain’s healthcare system.

While journalists and other commentators are free to do as they wish, does it make sense for Right-wing British politicians to bash the NHS? No – not if they want to get elected.

The simple fact is that the NHS remains overwhelmingly popular with the British public. A 2022 YouGov poll asked what are the best things about Britain today, and “National Health Service” came top. (“Britain’s countryside” came second.) The NHS is immensely popular not only among Left-wing voters, but also among Right-wing voters. In a 2018 YouGov poll, 88% of Conservative voters and 88% of Leave voters said they were proud of the NHS.

And when asked in 2019 whether we should raise the basic rate of income tax (the rate paid by ordinary people) to “better fund the NHS”, a majority of Britons said we should. Even 50% of Conservative voters said we should, compared to only 37% who held the opposite view.

Britain’s health service is, quite literally, the most popular institution in the country. Nigel Lawson’s quip that it’s the “closest thing the English have to a religion” was no exaggeration. And this is despite several decades of people like James Bartholomew banging on about its flaws.

In addition to being immensely popular, the NHS is something on which voters place a great deal of emphasis; it has high ‘salience’, in the political science jargon. According to the latest Opinions and Lifestyle Survey, “the NHS” is the joint-most important issue facing the country, along with “the cost of living”.

Don’t get me wrong, I’m not saying the NHS should be so popular. From what I can tell, there’s plenty of room for improvement. And the quasi-divine reverence in which it’s held is frankly bizarre.

But the idea that Right-wing politicians should go around bashing the health service is a non-starter. Republicans on the Left are smart enough not to call for abolishing the monarchy – and the monarchy isn’t nearly as popular. “Let’s abolish the NHS” has about as much chance of working as “Let’s put kittens in blenders”.

Public opinion is largely with the Right when it comes to reducing immigration, and the Right can’t even win on that. To believe the Right can win on abolishing the NHS (where public opinion is clearly with the Left) is pure fantasy.

In order to get elected, the Right has to appeal to enough working-class whites in the country’s marginal seats. These voters tend to be patriotic and instinctively conservative on issues like crime and immigration. Yet they also tend to have warm feelings toward the NHS. If Right-wing politicians don’t pay lip service to the health service’s ‘greatness’, Left-wing politicians can say, “we told you they want to sell off Our NHS” and such voters will not hesitate to cast their ballots for the Left.  

In the coming years, Britain’s healthcare system will need to be reformed as it comes under increasing pressure due to population ageing (a process that is affecting all developed economies). Meanwhile, Right-wing politicians need to accept political reality and pretend the NHS is great.

Tags: Jeremy HuntNHSRight-wing

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36 Comments
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Marcus Aurelius knew
Marcus Aurelius knew
1 year ago

It may have been a reason to be proud.

Things change.

Now it’s a vehicle for enormous corruption, a haven for grifters, and nothing to do with health.

All the good medics, physios et al who I know have left in disgust.

Sad.

Last edited 1 year ago by Marcus Aurelius knew
107
0
transmissionofflame
transmissionofflame
1 year ago
Reply to  Marcus Aurelius knew

Tricky question possibly but if you were a politician (lol) how would you approach it?

9
-1
Marcus Aurelius knew
Marcus Aurelius knew
1 year ago
Reply to  transmissionofflame

Here’s a politician’s answer:

I don’t answer hypothetical questions.

But seriously, I think a large part of the solution would be to find an army of matrons to kick out the eternally ill work shy folks. People like Katie Hopkins would do a good job. Too many of the hospitals feel like enormous community centres.

And most importantly I would axe almost everyone who cannot explain in one sentence what they themselves do directly to help heal sick people, i.e. the endless ranks of “consultants” and “managers” and DEI executives.

Last edited 1 year ago by Marcus Aurelius knew
75
-2
transmissionofflame
transmissionofflame
1 year ago
Reply to  Marcus Aurelius knew

I like the matrons idea.

In short you would try to make it work better rather than ditching it completely?

12
0
Marcus Aurelius knew
Marcus Aurelius knew
1 year ago
Reply to  transmissionofflame

Yes. It’s always tempting to ditch things completely. But it’s a lot easier to destroy than create.

True though, the NHS is an enormous mess. I think it will have to get a lot worse before it gets any better. Falling tax takes will help speed that along.

I would also implement a system similar to that in France – the patient gets the bill, and claims back all or some of it, depending upon their choice of treatment, economic situation, personal circumstances, age, etc. This helps because the “customer” keeps up to date with how much things cost. This also helps to keep the pricing honest. They all knew how much the jibbyjabs were costing, for example.

Food is also better in France. And more expensive. And schools take mealtimes very seriously. They often have a separate building just for meals, with proper cooks. Nurseries all the way up to the Lycees. It’s a culture thing. Far fewer obese people.

And there are far more farmers. Smaller farmers. Everyone knows several farmers.

Food. Very important.

Last edited 1 year ago by Marcus Aurelius knew
49
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transmissionofflame
transmissionofflame
1 year ago
Reply to  Marcus Aurelius knew

“This helps because the “customer” keeps up to date with how much things cost.”

My old boss never gave customers freebees because he said people don’t appreciate things when they are given for free – they assume they are of little value, or cost nothing to provide.

29
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soundofreason
soundofreason
1 year ago
Reply to  transmissionofflame

I hated being given freebies by suppliers. I felt that instead the cost should have come off the bill my company paid. I also felt that the supplier’s representatives were, in a small way, trying to make me feel that I ‘owed’ them something.

As for invitations to charity golf days… Grr. (Major network provider I’m looking at you).

12
0
transmissionofflame
transmissionofflame
1 year ago
Reply to  soundofreason

Indeed – it’s probably an admission you’re being overcharged.

11
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JXB
JXB
1 year ago
Reply to  Marcus Aurelius knew

“Yes. It’s always tempting to ditch things completely.”

But isn’t that what was done in 1948: they ditched the medical care system that existed completely?

Where do you think all the hospitals, personnel and other stuff came from in 1948 – rained down from the heavens, or sprouted up from the ground?

Prior to 1911, 75% of the population had private health insurance, but that was ditched completely by the National Insurance Act 1911 which forced workers to pay into the State insurance scam, instead of their preferred insurers.

The problem with the NHS is everyone has been brainwashed to believe there was nothing prior to 1948.

Lack of any history. I blame the schools.

26
0
kev
kev
1 year ago
Reply to  transmissionofflame

The concept of a free at point of need health service is a very laudable and altruistic ideal.

Where it all goes to pieces is when it becomes an unmanageable and insatiable money pit. No amount of money will fix the NHS, because lack of money is not the problem.

A root and branch culling of the non clinical and surgical staff, and those involved in patient care would be a start. You need administrators and ancillary staff, but not masses of grossly overpaid “managers”.

0
0
transmissionofflame
transmissionofflame
1 year ago
Reply to  kev

True, though you are still left with an organisation where it’s difficult to apply incentives because you have nothing to compare productivity to as it’s a monopoly provider,

1
0
JXB
JXB
1 year ago
Reply to  Marcus Aurelius knew

Ah yes, bring back matron, toss more money into the pit, one more heave of the wheel – that should do it.

3
0
JXB
JXB
1 year ago
Reply to  transmissionofflame

Easy.

Remove the NHS monopoly. Allow citizens to opt out paying for it with the proviso, 1) they cannot then use it free at point of delivery; 2) must buy private insurance.

This administratively is easy: everyone would be issued with a Health Insurance card which would confirm entitlement to ‘free’ NHS, or private payer use. So private insured could use NHS if that would be their best option, and/or if private facilities were not available.

This would exclude non-citizens (aka immigrants) from using the NHS – legislation would specify only people paying into the NHS or privately insured can use it, also it would bring revenue to the NHS.

It would of course result in more private providers entering the market so the privately insured had more choice. The NHS would then have competition (gasp!) and would either have to up its game or go out of business.

As far as payment: it can be done in the same manner as opting out of SERPS was done. The money (for private insurance) taken from wages and redirected to insurer of the employee’s choice.

But here’s why this won’t happen. Since payment for the NHS is not collected entirely through NIC, but from general taxation too, the Government would have to reveal the actual monthly/annual cost to each individual of their NHS insurance.

Then people will be shocked to see how expensive – depending on tax status, between £6 000 and £9 000pa – the ‘free’ NHS actually is and decide whether it’s value for money or not and whether they can get a better deal opting out and choosing a private insurer. .

The above has elements of what is done in France and other Continental Countries.

26
0
transmissionofflame
transmissionofflame
1 year ago
Reply to  JXB

I think that policy is sellable over the medium term, if the political will existed. Which it doesn’t.

6
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huxleypiggles
huxleypiggles
1 year ago
Reply to  JXB

“everyone would be issued with a Health Insurance card which would confirm entitlement to ‘free’ …”

Don’t worry JXB one T. Bliar has spotted this “gap” and he’s got just the thing. He calls it a Digital ID.

You can use it wherever you go. In fact you can have your ‘Digital ID’ chipped under your skin if you want – it’s optional at the moment.

At the moment…

Mr Bliar is a big friend of Klaus, the world famous business man grifter and also of the most famous philanthropist conman in the world.

So that’s alright then.

13
-1
JXB
JXB
1 year ago
Reply to  Marcus Aurelius knew

The myth of the golden age of the NHS – it always was what it now is, people just weren’t aware.

10
-1
transmissionofflame
transmissionofflame
1 year ago

Well you could start by allowing people to deduct payments to private providers/insurers from their tax bill.

Mr Carl may well be right, but the implication is that we will be stuck with the NHS forever. In any case, the NHS is just the worst example of our addiction to an enormous state which either directly or indirectly through outsourcing or the regulated private sector controls far too much and is expected by many to solve all of their problems.

The only hope I can see is collapse that is so dramatic that it wakes people up. A lot of pain to be endured before then.

51
0
AJPotts
AJPotts
1 year ago

The NHS is, and always will be, appalling and dysfunctional due to is essential design features; funded by taxation, free at the point of use, and provided by the state. The abolition of the NHS might well not be a tenable political position at present but conservative or libertarian politicians (and Hunt is neither) need a healthcare policy which makes the NHS less salient and which allows consumers to be less dependent on such a flawed and failing healthcare system.

Allowing consumers to opt out of NHS coverage and receive an actuarially based tax rebate to be used for comprehensive health insurance would be one such way. Thatcher didn’t abolish council housing but she made the state much less significant in housing provision while providing council tenants with the option of becoming home owners. A similar policy for healthcare is plausible and might be popular with conservative inclined voters.

51
0
FerdIII
FerdIII
1 year ago
Reply to  AJPotts

And murderous. 30 K murdered during the Rona fascism in the NHS and Old Age homes. Midazolam etc. No one cares. Bang pots.

Dancing in empty hospitals. No one cares. Bang pots.

8 million on waiting lists. No one cares. Bang pots.

I paid £11 K in taxes last year to this useless sack of shyte. No one cares. Bang pots, pay more taxes.

NHS is a bloody Communist joke. And a deadly one.

Yes you reform it. Or shoot it.

24
0
RTSC
RTSC
1 year ago
Reply to  FerdIII

Starmer’s latest pronouncement is that, like Macron in France, he’s going to introduce “assisted dying” …. ie euthanasia ….. if he gets to No.10.

Funnily enough the WEF has a paper out entitled “We will live to 100 – how will we afford it.”
https://www3.weforum.org/docs/WEF_White_Paper_We_Will_Live_to_100.pdf

Looks like the answer is ….. make sure most people don’t live that long.

7
0
soundofreason
soundofreason
1 year ago

…when asked in 2019 whether we should raise the basic rate of income tax (the rate paid by ordinary people) to “better fund the NHS”

Well, I’m one who does not support that idea. Cut the waste everywhere in the public sector and especially in the NHS. Better funding for the proper healthcare services and less make work and painting hospitals in rainbow stripes.

39
0
JohnK
JohnK
1 year ago

As an experienced patient, the structure of the NHS appears to be almost unique, compared with most industries. In particular, quite a few senior staff actually work part time for them, and the rest of their available time to a more lucrative firm down the road, often just next door. To a large degree, the NHS acts as an advertiser for the private sector. A lot of it came about on account of the way nationalisation was done by Aneurin Bevan in 1948.

A bit of archive history: https://assets.publishing.service.gov.uk/media/57a08d91e5274a31e000192c/The-history-and-development-of-the-UK-NHS.pdf

9
0
AJPotts
AJPotts
1 year ago
Reply to  JohnK

The same surgeon able to undertake only three joint replacement operations on a full day operating list in the NHS will manage five such operations in the private hospital setting. Similarly, the eye surgeon who manage thirteen cataract operations in a half-day private list is only able to undertake five in a half-day NHS list. Incentives matter. NHS staff get paid the same whether they work hard or not or even bother to attend work.

17
0
JohnK
JohnK
1 year ago
Reply to  AJPotts

And then there are dentists that work in exactly the same room, but offer more upmarket products if one shells out more. Such premises are basically private businesses that do some NHS work on their property.

8
0
soundofreason
soundofreason
1 year ago
Reply to  JohnK

Such premises are basically private businesses that do some NHS work on their property.

Yes. Too few people seem to realise this.

9
0
soundofreason
soundofreason
1 year ago
Reply to  AJPotts

A few years back I needed a fairly minor day-surgery operation. I was offered an NHS paid appointment at a private hospital as the local NHS hospital was too busy. The operation was discussed with me, scheduled and carried out as planned. I was put for recovery in a private room. There were nursing staff who checked on me regularly. Caterers brought tasty food and plentiful decent tea. The discharge process was swift and efficient.

Do I reckon the private hospital cut corners somewhere (figuratively speaking): on the surgery, care, cleanliness, record keeping or catering? No, I reckon they went beyond what would have been expected at the NHS hospital (I’ve had a longer stay in the local hospital previously). It was clearly cost-effective for the NHS to get me off the waiting list by paying the private hospital to do the work.

15
0
NeilParkin
NeilParkin
1 year ago

Lets say you’ve been badly hurt in an accident. Or you have a life threatening condition, or one of these applies to a close friend or relative, and they were restored to health by the clinicians and nurses of the NHS. To be fair most people know someone in that position and the gratefulness that you feel for their service is quite normal, If you or a loved one have been ‘saved’ then you will see the NHS differently. Its all about outcomes and no-one cares that much if its badly run and wickedly expensive. It is seen through the very thickest lenses you can find on rose tinted spectacles.

One anecdote…I happened to be waiting outside A&E a couple of years back, when a brand new box van drew up and reversed up to the building. Two guys jumped out, not the driver, there were three in the cab, and made their way round to the roller door on the back. The door was opened and there, on its own, was a chair, singular. They lifted the chair down on the tail lift, and then one of them pushed it into the building on its castors. The other guy went with him. Ten minutes later, they reappeared with a different chair which had obviously broken a wheel. They carefully put it on the tail lift, and raised it to the door, then pushed it inside and threw a strap round it to stop it moving. Then they closed the roller shutter and both got into the van, and the driver drove away, presumably to ‘Stores’ which is about 400 yards away. I dont know if this is typical of the sloth and inefficiency, but if it is, theres little wonder that it costs £500m a day or whatever the number is now.

Last edited 1 year ago by NeilParkin
11
0
Alan M
Alan M
1 year ago

To anyone who tells me we should pay more tax to “fully fund the NHS” I always have 2 questions:

1 How much money would classify as “fully funded”?
2 If you want to pay more tax, go ahead and do it. Get the details of your doctor’s surgery bank account and set up a standing order.

The answers reveal what they really think.

18
0
transmissionofflame
transmissionofflame
1 year ago
Reply to  Alan M

It’s a bit like “covid” rule followers – they were “happy” to be restricted because of “covid” but only if everyone else was. Wearing a mask is the right thing to do, so I will do it, but everyone else has to as well otherwise I will get upset. It has to be fair!

12
0
Solentviews
Solentviews
1 year ago

I don’t trust those polls at all. First of all it’s YouGov (red light already flashing) and then we know that the preceding questions can lead to the ‘required response’. Many have woken up to the shortcomings of the NHS since the Scamdemic and will never forgive the treatment (lack of) they received.

The very worst thing a ‘right winger’ could do is join in the praise of this badly failing socialist experiment. People need to be shown that there are much better alternatives for the same sort of money, across the Channel. This needs to be done rationally and persistently. If there is a viable alternative, people will take it.

17
-1
Lockdown Sceptic
Lockdown Sceptic
1 year ago

“Right-wing politicians need to accept political reality and pretend the NHS is great.”

Just keep lying in other words

14
-1
JXB
JXB
1 year ago

Does the NHS remain remarkably popular? All I ever see is criticism and dissatisfaction. 7 million on the waiting list… you want to see a GP – laughter.

Leadership means showing the way, not following the herd.

The Tories ‘could’ if they had any backbone and any idea, explain why a denationalised health system which lost its State monopoly would allow more choice, lower costs and higher quality and benefit us all.

The population have arrived at that point with that other ‘makes yer proud to be British’ sacred cow, everybody’s former favourite Auntie, the BBC.

16
-1
huxleypiggles
huxleypiggles
1 year ago
Reply to  JXB

Actually, I find the alleged dichotomy between left and right wholly illusory.

There is without question an extremely large and virulent left-wing in this country but right wing? Where is it? Doubtless a lefty viewing DS would condemn us all but to me 99% of the views expressed here represent nothing but common sense although I don’t necessarily agree with them all.

The political divide in this country is between left-wingers and clear thinking pragmatists. That’s it.

10
-2
RW
RW
1 year ago

Here’s a suggestion to solve the aging population of all developed economies problem: End NHS funding for contraception. Children are not an illness which needs to be cured or prevented. They’re the natural outcome of certain actions everyone is perfectly free to avoid. As single, I don’t quite understand why I should subsidize the sexual entertainment of people who aren’t, especially not when the overall effect is socially detrimental.

7
-1
RTSC
RTSC
1 year ago

I wonder what other choices for “what makes you proud of the UK” those who participated in the poll were offered?

Let’s make a guess. Well we know the countryside was also one so we’ll start there:

  1. The NHS
  2. The countryside
  3. The Royal Family?
  4. The BBC?
  5. Our Parliamentary Democracy?
  6. Our diverse multi-cultural Society?
  7. The charity sector / foreign aid?
  8. The Armed Services?
  9. The Police Service?
  10. Our history?

As with every poll, the question asked leads directly to the result they want. And that fact is, that there is very little to be proud of about the UK now …… the Westminster Uni-Party has wrecked pretty-much everything.

In my experience, the number of people complaining about the dire NHS has grown considerably in the last couple of years. Most people say that the individual nurse/doctor they (eventually) saw was wonderful …. but the service overall was dire.

5
0
Norfolk-Sceptic
Norfolk-Sceptic
1 year ago

We could wish that Private Industry could replace, in parts or wholly, the NHS with a proper Business Model, and expect it to become less expensive for the taxpayer.

But, before we start the ‘transformation’, we need to consider whether result of 75 years of State Run Medicine, ‘aided’ by the Pharmaceutical Industry, is what we want for the future.

Many still expect ‘a pill for every ill’, ignoring poor diet, lack of exercise, and the unfeasibility of the challenge, and expect to be ‘looked after, from the cradle (if not before) to the grave’, without any thought to preventing poor health, or even improving it, until it’s too late.

A new approach may not make millions for drug companies, or allow the NHS to continue, as ‘normal’, but it may allow people to have a healthier life, and for longer, and develop a national health service that functions. Here’s a glimpse of what might be:
Lies I Taught in Medical School @RobertLufkinMD
https://youtube.com/watch?v=R75awCqbInk&si=dpQ304SCX8MVyD-s

This doctor was hit by several severe symptoms but, with an exceptional CV,  he was able to untangle the Medical Industry Complex and find that Diet played a very important role in Good Health. The video gives a broad , digestible, advice, (with an appropriate level of Biochemistry for the novice), and touches on many of the changes to diet that have been found to improve health, especially those suffering from some of the ‘modern diseases’.

With this information, isn’t the idea of changing the NHS bureaucracy, but keeping the Medical Operation unchanged, very disruptive, and very, very expensive for the taxpayer, so ultimately unattainable? 

2
-1

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