Posted on 05/21/2024 9:09:47 AM PDT by Heartlander
Allison Pearson has an important article in the Telegraph about the British National Health System (NHS). People in Britian are dying of treatable conditions because the NHS will not provide quality care in a timely fashion. As one doctor complained: “The NHS is run by managers for the benefit of managers.” It has shifted from doctors serving patients to the bureaucracy serving itself -- internally, rather than externally, focused. The NHS is a chilling illustration of where our federal government is headed.
All complex systems require feedback and response. The driver of a car needs a speedometer to detect speed variations. As the car deviates from the speed limit, the driver makes throttle changes accordingly. If the driver fails to make the appropriate adjustments, a helpful officer in a blue uniform will critique the driver’s piloting skills and apply external accountability. The system keeps traffic flowing relatively conflict free -- because the system detects and corrects improper speed. The same principle applies to organizations.
Organizational predictability depends on
Without detection and correction, missions creep and morph. Work products stop being externally focused (what a customer needs) and become internally focused (what the organization wishes to produce). Organizations lacking accountability lose their way and eventually substitute their interests, for the interests of those they are intended to serve.
Successful commercial organizations have layered systems of accountability to prevent deviations from their mission. Quality systems check work products against customer requirements, management watches employees, stockholders watch management, and customers provide external accountability. Organizations that fail to meet customer expectations, suffer declining...
(Excerpt) Read more at americanthinker.com ...
What it needs is an enema.
D
U
H
Article V Convention of the States
(please dont censor this, ok mod ? )
not usa ?
no ?
usa needs A.5 though.
Yes it does, but we will all be forced to watch it and deal with the result.
I once read that the British NHS is the second-largest civilian employer in the world. Behind only the Indian railroad system.
The health care sector is becoming an ever-larger part of modern economies.
An army of ants can’t carry an elephant.
An army of economic ants can’t carry an economic elephant.
At some point, the growing health care sector must become a net tax contributor and not a tax eater.
BNHS = Socialism
I favor fighting for middle-class real property tax and income tax caps in both the state and federal constitutions. We need a ‘wall’ around what is ours. Legal walls are cheaper than concrete and steel walls.
“What it needs is an enema”
Nozzle inserted in NY.
There has got to be a solution for this mess...
How about individuals in government have minimum pay, no benefits, and go back to a job not in politics after 2-4 years?
I know this, "The government that got us in this terrible mess we are in is not the government that will get us out of it." It has neither the means or the will to do that. Furthermore, the enemy has figured out how to use the latitude and liberty of the Constitution to destroy the Constitution. Who wants a governing document that has enough loop holes to drive a truck through and has the mechanisms in place to destroy it from within? Not a rational seeing person and certainly anyone who wants to manipulate it to their own agenda. Free speech allows anything except yelling "fire!" in a crowded theater, any point of view at all can be promoted. It may represent the ultimate in liberty but it is also has been perverted to become the ultimate in what has become the fostering of anarchy, lawlessness, lawfare and the rights of our enemies and what amounts to legal treason and sedition. Now, somehow tyranny is actually upon us.
What happened to treason and sedition? Aren't they now hiding in plain sight behind the mask of free speech and elections? Don't the residents of Detroit have the right to vote to select a Muslim based government? Yes, they do. Don't the sheeple have the right to elect a declared communist as president? Yes, they do. Do they have the right to elect representatives that can change our form of government, if not in fact then by deed? Yes, they do.
If you don't see tyranny alive and well you only need to look as far as the EPA's roughshod regulations or any one of a number of defacto proclamations from the white house of these last couple of decades. Covid anyone?
Sustaining the form of government some of us want to preserve can only be done by an informed, intelligent, moral and ethical electorate of one mind and purpose. The foundations of corrupting founding principles is in the violation of community standards by legal interpretation and decree. Did a majority want to eliminate prayer from schools? No. Why did it happen then? A judge decided we could not violate the rights of those who opposed it and the greater good was in eliminating it. What was done was "legal" under the Constitution. Gerrymandering the illegal alien invasion is actually legal. The refugee and asylum agreement law makers and the administration signed "allows" it. The care and feeding of this hoard is actually mandated by the agreement.
Just about every warning of the founders, DeToqueville, Jefferson, Franklin and others has come true now. "A Republic if you can keep it." "Self-government without self-control will not work." They knew that the Constitution, taken to extreme, manipulated and abused could be used to destroy the Constitution. I believe that in practice, it has.
“In England, an integrated care system (ICS) is a statutory partnership of organisations who plan, buy, and provide health and care services in their geographical area. The organisations involved include the NHS, local authorities, voluntary and charity groups, and independent care providers. The NHS Long Term Plan of January 2019 called for the whole of England to be covered by ICSs by April 2021. On 1 July 2022, ICSs replaced clinical commissioning groups in England.”
https://en.wikipedia.org/wiki/Integrated_care_system
Yes, we are overwhelmed:
https://www.sussex.ics.nhs.uk/
Yes, we are trying to do too much:
https://www.sussex.ics.nhs.uk/wp-content/uploads/sites/9/2023/07/Improving-Lives-Together-Shared-Delivery-Plan.pdf
In my youth, BC/BS coverage paid most of the inpatient hospital bills and enough money to the surgeons to cover their fixed costs so they would show up for surgery.
It did not pay for drugs or doctor visits.
If I needed to see a doctor, my mom wrote a check afterward.
If I needed a prescription drug, my mom paid in cash.
Amen!
As many have said, we are not voting our way out of this. If President Trump manages to get re-elected it will only be a speed bump.
At the rate and frequency of the current plundering of the American taxpayer really makes me wonder what is coming. The elite are stuffing their bank accounts like there is no tomorrow. Maybe there isn't.......
We have a two-tier economy, one supported by market forces (McDonald’s, grocery stores, etc.) and another mainly supported by government force (most schools and almost all hospitals).
Obviously, we should try to rein in the use of government economic force.
In the 1960s, human medical care providers and drug companies were mainly in the market force economy.
What can be provided by an individual or small business should be primarily be provided via a market-based system.
Silly folks still think we can vote our way out of this crapshow.
“How about individuals in government have minimum pay, no benefits, and go back to a job not in politics after 2-4 years?”
The systems that support corruption are highly complex.
Most voters want stuff and services paid primarily by others.
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