• tankplanker@lemmy.world
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    1 year ago

    There is a few steps before then. We are currently at the stage of privatising previously state ran services within the NHS such as radiology and buying extra capacity from private business This is being done at a local level using existing budgets so it means money for actual services gets reduced or quality of service drops as no outsourcer works at a loss for very long.

    Other step that happens is you can pay to jump the queue by paying the heavily subsidised private offerings in the UK. This is often the same person you would have seen via the NHS. There isnt this huge magical pool of extra doctors in the UK who only work private (outside cosmetic) so anybody you see privately will almost certainly have a NHS case load. More work private, less work NHS as there is only so many hours they can and will work.

    Next stage is national privatisation of some of the bigger services, for example the recent agreement with Palantir that sells off our data for far less than its worth and without explicit patient permission.

    I would imagine as that will increase costs it will then become optional to pay for the NHS and instead you can pay for private cover (rather than paying for both as we do currently if you want private cover). Once this happens its only a matter of time before the NHS becomes an empty shell as the middle earners who pay the most tax towards the NHS will simply stop paying. Then at that point does private start getting way more expensive and the exclusions start.

    Usually some privatisation apologist will appear and say that we do not have to follow the American model, to which I always say what exactly about this government has ever given you the complete confidence that anything other than the shitest option will happen. Its nice to wish for unicorns but they are not going to happen here.