Anecdotes, neither positive nor negative, are not the way to assess the performance of the NHS or any other healthcare system. But I suspect that I am not alone in finding it distinctly difficult, intimidating and unpleasant even to get to see a doctor (though I am middle-class and tolerably prosperous).
I have to run a gamut of procedures to do so and face a receptionist who treats me as a fraud trying to get something to which I am not entitled, and I have no practitioner whom I can call my doctor. The NHS has crowded out private competition, and the nearest private doctor is 25 miles away. Suffice it to say that, if I want to see a doctor, it is easier, quicker and more pleasant for me to go to France than to the health centre about 300 yards from my house in England.
I cannot in all honesty say, however, that my health has suffered in any measurable way as a result of this unpleasantness, because my health is good and I am not a doctor-botherer. But it does reveal something about Britain that is not true in France: in our dealings with the NHS, we are a nation of paupers who must accept what we are given by grace and favour of the system. It may be good or it may be bad, but we have to accept it.
Furthermore, under the NHS doctors themselves are becoming ever less members of a liberal profession and ever more executors of orders from on high, with little leeway to consider whether these orders are good or bad in the case of the individual case before them.
This is a problem in all systems in which a third party pays for patients’ treatment, but it is particularly acute in a highly-centralised and dirigiste system such as the NHS, in which uniformity is the goal, even if it be uniformity of error. And increasingly, it creates an atmosphere of technical, managerial and ethical conformity.
Theodore Dalrymple, “Empire of conformists”, The Critic, 2020-04-29.
June 30, 2025
QotD: Britons and their NHS
Filed under: Britain, Bureaucracy, Government, Health, Quotations — Tags: Criticism, SocializedMedicine, TheodoreDalrymple — Nicholas @ 01:00
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