The NHS has not served the nation well, if international comparison is the criterion by which it should be judged. For example, when the NHS was founded (when British healthcare was among the best rather than the worst in Europe) the population of France had a life expectancy six years lower than that of Britain; it is now two years higher. The health of the population in Spain improved more under Franco than that of the British under the NHS in the same years. Of course, there are determinants of life expectancy other than healthcare systems, but at the very least the comparisons do not suggest any particular virtue to the NHS.
Survival from many serious illnesses such as cancer, heart attacks and strokes is lower in Britain than in most European countries. Publicity is sometimes given to these statistics but they are not immediately apparent to patients or their relatives, and in any case the NHS is immune to criticism because its deficiencies are assumed to be departures from its essential goodness or the result of inadequate funding.
No number of scandals, such as that of Mid Staffs in which hundreds of patients were neglected to a degree that often defied belief, all in plain sight of a large bureaucracy supposedly devoted to ensuring the quality of patient care, can dent faith in the NHS. Staff committed, and management connived at, acts of cruelty that would have made Mrs Gamp blush. Mr Cameron’s government, anxious not to seem an enemy of the NHS, which would have been politically damaging, swept the scandal under the carpet.
A system whose justification for its nationalisation of healthcare was egalitarianism has failed even in the matter of equality. If anything, the difference between the health of the richest and poorest sections of the population has increased rather than decreased under the NHS.
The gap between the life expectancy of unskilled workers and that of the upper echelons, which had been stable for decades before the foundation of the NHS, began to widen afterwards and is now far wider than it ever was. Again, there are reasons for inequality in health other than the deficiencies of healthcare, the prevalence of smoking and obesity, for example; but if systems are to be judged by their effects, the NHS has failed in its initial goal.
Theodore Dalrymple, “Empire of conformists”, The Critic, 2020-04-29.
October 11, 2020
QotD: Britain’s National Health Service cult
Filed under: Britain, Bureaucracy, Government, Health, Quotations — Tags: Criticism, Culture, PublicHealth, Scandal, SocializedMedicine, TheodoreDalrymple — Nicholas @ 01:00
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