, 21 tweets, 2 min read Read on Twitter
I increasingly believe we need a kamikaze government to denationalise the NHS & depoliticise healthcare once & for all to save our politics
It is ridiculous that the 5th largest employer *in the world* is not a UK private company but a govt nationalised healthcare bureaucracy
It is also ridiculous that the emotional sway of the NHS turns us into frightened, defensive cultists rather than thinking citizens
Other countries can use their elections to debate things other than how many nurses to hire in Dorset or whether some local A&E stays open
But no, not us. One of the most consequential nations on earth has to spend endless hours navel-gazing about one specific domestic issue
It took the Second World War to give us the NHS, and it will take a very bold act to rid us of our childlike attachment to it.
Even if you believe the NHS was right for its time (an understandable case), the NHS model is woefully unsuited to the present day
NHS cultists will always screech that the answer is more money & accuse the Evil Tories of privatising by stealth (ha!), but this is untrue
And no, this does not mean we should adopt the idiotic US system of employer-based, inadequate private health insurance with huge co-pays
It suits apologists for the NHS Industrial Complex to pretend that there is a binary -Our Blessed NHS and the Evil American System. Not so.
Universal health coverage can be maintained with both private & public insurance-based systems. There are a world of examples out there.
But it is key that we inject personal responsibility back into healthcare - security for all, but financial incentives for healthy living
These can never exist so long as the NHS exists. We all pay in at the same rate via taxes regardless of whether or not we make good choices
A better health system would incentivise better lifestyle choices, and free us from having to be lectured by the insufferable Jamie Oliver
A denationalised system also allows for more experimentation & variety, to find out what works best, rather than trying one thing nationwide
Ideally we need a system which maintains the huge buying power of the NHS but frees the system from national targets & national control
People cleverer than me have ideas as to how this could be done. But few are encouraged to research/speak up for fear of the NHS priesthood
Our slavish devotion to Our Blessed NHS is truly like a cult, with its own figureheads (St Aneurin Bevan of Tredegar) and holy sites
That's why we need politicians and a government of conviction, who come to Westminster with one single aim - to denationalise the NHS
For this gift to the nation they will be booted out of office & made toxic for a generation, even as healthcare outcomes immediately improve
But that one single act would do more for the country than any government has accomplished since Thatcher's day. Now is the time to step up.
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