The eternal conundrum of the NHS is a riddle that may
never be solved; where does all the money go? Variously described as a shining
example to the world, a victim of its own success and a basket case, the National
Health Service costs half of our entire annual budget. Okay, it’s not that
much, but at £120 billion last year this is £4000 a year for each one of the nominal
30 million taxpayers. Of course, a huge number of those taxpayers are also in
receipt of tax credits and other benefits so a conservative estimate probably makes
it closer to £10k per head for those who receive no such rebate.
People in those income brackets and above of course are
less likely to be sick, more likely to have access to private healthcare and
even if they do succumb to illness are often too busy to seek treatment,
certainly for minor issues. So it turns out that the NHS is really a wealth
redistribution system, used disproportionately by those who play no part in
funding it. I’m not arguing for dismantling it, nor for selling it off; bizarrely,
for an evil, baby-eating Tory type, I think it is a wholly good thing that we
have a health service accessible to all and free at the point of use. And
yet...
It’s the same old thing, isn’t it? The left denigrate the
rich and want to tear down capitalism and never seem to understand that if they
get their wish and the costs of the welfare state had to fall more heavily on
weaker shoulders the system would simply buckle under the strain. There is only so much money to go around and the NHS has
been pleading poverty every single year of my sentient life.
Of course it can’t go on delivering an expanding menu of
treatments to an ever greater population. Austerity isn’t mean; it’s living
within our means. However you look at it, pouring more and more money into a
system whose appetite is never satisfied is an appalling business model. Build
it and they will come; give it away for free and they will gorge themselves.
How, as a nation with our population, can we be so poorly that the NHS boasts
of being one of the biggest employers on the planet?
Obviously, rationing healthcare is a dangerous road to go
down; some need so much more than others. But shouldn’t we, as a society who
pays for it all, start to take responsibility for this thing we can scarcely
afford? If you knew you hadn’t the funds to replace it, would you deliberately crash
your car? If you’re not going to eat it, why buy food with a short shelf life
and then throw it away? So why eat, drink and drug yourself sick, relying on
the health service to rescue you later?
The NHS is not free. I’ll say that again: the NHS is not
free. Every penny it spends comes from the same source that funds defence, police,
transport, education and your pension. Every bandage, pill, operation, therapy
and consultation costs you, the taxpayer, and denies that funding to something else
considered vital. You expect to draw on that pension for longer and longer
these days, while also having your age-related illnesses eased? Which other
fund do you sacrifice?
Take one every four hours... if you can afford it.
So, while nobody is suggesting you suffer in silence, if
you really want to continue having access to non-judgemental care without
up-front fees, how about taking some responsibility for your own health? And
why not exercise a little personal triage before that automatic trip to the
surgery? You keep demanding that the government saves our NHS. Why not save it
yourself?