The propaganda in favour of the NHS has been more or less continuous since its foundation in 1948, though it has become ever shriller, as propaganda tends to do, as it departs further and further from reality. Indeed, one might surmise that the purpose of propaganda in general is to forestall any proper examination of reality in favour of simplistic slogans convenient to political power.
I grew up, for example, in the inculcated belief that the National Health Service was, according to the slogan of the time, “the envy of the world”. Millions of people believed this, and indeed it was an assertion heard for many years whenever the subject of health care came up. The slogan was last wheeled out in any force in 2008 for the 60th anniversary of its founding.
Oddly enough, it never occurred to the people who repeated the slogan to examine the basis of the claim. Who, exactly, were the people doing the envying — not just one or two of them, but en masse? It is no doubt true that immigrants from very poor countries were pleased enough to receive care under the NHS, comparing it with what they would have received at home. But is it really much of an achievement for a developed country to have health care better than that offered in Somalia or Bangladesh?
A war of anecdotes, while always gratifying to the human mind, is not the way to decide important questions such as the superiority or inferiority of a system of health care.
It never occurred to those who repeated the “envy” slogan to look to comparable countries across the Channel or North Sea to see whether, in fact, those countries had anything to envy. In fact, between 1948 and 1975, even Spain under Franco performed better in the matter of improving the health of the population than did Britain. In most respects, in fact, Britain lagged or limped behind other countries, always in the rear and struggling to catch up.
What eventually struck me, then, was the willingness of so many people to repeat and believe a slogan without any compulsion whatever to do so, and without the slightest inclination to examine its truth — indeed without any awareness of the need for such an examination. There was no oppressive force to prevent or deter them from intellectual inquiry, but they preferred the comfort the slogan offered to the effort and possible discomfort of finding the truth. The NHS, or rather the idea of the NHS, played the role of teddy bear to a population with many anxieties.
True enough, many individuals may have experienced deficiencies in the service — long waiting times, offhand or disagreeable interactions with the bureaucracy, etc. But like Russian peasants of old who believed that the Tsar knew nothing of the oppression which they suffered, and would have put an end to it if he had known, the British continued to believe that the National Health Service had been born with original virtue and that the defects they experienced were exceptions. Repeated scandals of gross neglect or sub-standard treatment were shrugged off in the same way. And in a certain dog-in-the-manger way, the British were inclined to believe that if the NHS was unpleasant to negotiate, at least (being more or less a monopoly) it was equally unpleasant for everyone. Fairness and justice were equated with equal misery. Anyway, being ill is always unpleasant, so what did anyone expect?
Theodore Dalrymple, “Worshipping the NHS”, New English Review, 2020-05-07.
May 20, 2025
QotD: The autohagiography of the NHS
Filed under: Britain, Bureaucracy, Government, Health, Quotations — Tags: Propaganda, PublicHealth, SocializedMedicine, TheodoreDalrymple — Nicholas @ 01:00
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