tag:blogger.com,1999:blog-32841798.post5162788960688035408..comments2024-03-28T22:45:51.014+00:00Comments on Capitalists@Work: Stuffing the Doctors' Mouths with Gold - Again?CityUnslickerhttp://www.blogger.com/profile/15929544047783163175noreply@blogger.comBlogger44125tag:blogger.com,1999:blog-32841798.post-12411997438539053542015-04-11T12:11:02.998+01:002015-04-11T12:11:02.998+01:00I’m very fired up to show it to anyone. It makes m...I’m very fired up to show it to anyone. It makes me so satisfied your vast understanding and wisdom have a new channel for trying into the world<br /><a href="http://www.urbanfitnessgroup.com" rel="nofollow">urbanfitnessgroup.com</a> | <br><br />Anonymoushttps://www.blogger.com/profile/04630472344767113376noreply@blogger.comtag:blogger.com,1999:blog-32841798.post-38158671671029727732014-12-05T09:58:09.305+00:002014-12-05T09:58:09.305+00:00Mate this is a very nice blog here. I wanted to co...Mate this is a very nice blog here. I wanted to comment & say that I enjoyed reading your posts & they are all very well written out. You make blogging look easy lol I’ll attemp to start a blog later today and I hope it’s half as good as your blog! Much success to you!<br /><a href="http://www.princetonhome.org" rel="nofollow">princetonhome.org</a> | <br><br />Anonymoushttps://www.blogger.com/profile/01434366743793816227noreply@blogger.comtag:blogger.com,1999:blog-32841798.post-7081805547381792672014-11-27T09:08:44.185+00:002014-11-27T09:08:44.185+00:00Great tips and very easy to understand. This will ...Great tips and very easy to understand. This will definitely be very useful for me when I get a chance to start my blog. Thanks for sharing such a great content with us.<br /><a href="http://www.cadtechlabs.com" rel="nofollow">cadtechlabs.com</a> | <br><br />Anonymoushttps://www.blogger.com/profile/07280715681612801274noreply@blogger.comtag:blogger.com,1999:blog-32841798.post-17995286139628640412014-11-19T10:20:11.817+00:002014-11-19T10:20:11.817+00:00Wow what a Great Information about World Day its v...Wow what a Great Information about World Day its very nice informative post. thanks for the post.<br /><a href="http://www.genesis-forwarding.co.uk" rel="nofollow">genesis-forwarding</a> | <br><br />Anonymoushttps://www.blogger.com/profile/01351224525083655286noreply@blogger.comtag:blogger.com,1999:blog-32841798.post-45086025087680370002014-03-16T07:52:17.610+00:002014-03-16T07:52:17.610+00:00Hello, I love your post. Doctors, nurses and other...Hello, I love your post. Doctors, nurses and other therapeutic experts can help kids adapt to the relative disease. Throughout such times of family emergency, youngsters require more consideration, help and seeing inside their family, yet the family is frequently so concentrated on helping the patient, that it gets to be exceptionally challenging to know how to help the kids too. thanks all!<br />Best Wishes-<br />Natalie B.21 cfr part 820http://majakel.co.uknoreply@blogger.comtag:blogger.com,1999:blog-32841798.post-22362848535328609592013-11-22T11:54:56.081+00:002013-11-22T11:54:56.081+00:00EK: "Ryan - To become a GP one has to become ...EK: "Ryan - To become a GP one has to become a doctor first. I don't doubt that less altruistic motives take over later. "<br /><br />I just wanted to separate out doctors/GPs from surgeons. I think being a surgeon is an entirely different kettle of fish.<br /><br />As for the Beebs Holby City/ Casualty - agreed. As is Waterloo Road - laughably inaccurate propaganda (they forget most of us actually went to a comprehensive!)Ryannoreply@blogger.comtag:blogger.com,1999:blog-32841798.post-12001501992411805142013-11-21T11:56:37.561+00:002013-11-21T11:56:37.561+00:00Ryan - To become a GP one has to become a doctor f...Ryan - To become a GP one has to become a doctor first. I don't doubt that less altruistic motives take over later. <br /><br />My comment about the BBC:<br /><br />The dramas Casualty and Holby City are both BBC and both meant to be up to date social comment (such was the anti police sentiment I couldn't watch in the '80s) - asylum seekers on the run, racist coppers, nasty white middle class patients, hard pressed doctors and nurses battling on in spite of the cuts and bastardly capitalist managers... <br /><br />Not one episode featuring surly nurses, foreign doctors with poor English, bed sores, shitty linen or pensioners having to drink out of vases. <br /><br />This is how biased and propagandarised the BBC is. The North Koreans would be proud of it.Electro-Kevinhttps://www.blogger.com/profile/18073103431166273080noreply@blogger.comtag:blogger.com,1999:blog-32841798.post-57647993845247435922013-11-21T10:44:08.661+00:002013-11-21T10:44:08.661+00:00"I doubt very much that anyone becomes a doct..."I doubt very much that anyone becomes a doctor for the money. "<br /><br />Well I have three doctors in my family and I would say "status" plays the biggest part in wanting to be a GP.<br /><br />Apparently the level of education required is not that high to be a GP, but the medical schools in the UK limit their numbers. Presumably they are trying to enforce a cartel situation whilst the Labour government simply used that as an excuse to import more doctors with dubious foreign qualifications.<br />Ryannoreply@blogger.comtag:blogger.com,1999:blog-32841798.post-40598873471466371102013-11-21T07:54:08.683+00:002013-11-21T07:54:08.683+00:00...And yes. Doctors are wanted Down Under so they ......And yes. Doctors are wanted Down Under so they can walk if the terms don't suit.<br /><br />Apropos BQ's earlier point about getting retail workers in on Boxing Day.<br /><br />Such is the demand that all sorts of minions should work the Christmas period for no extra pay I suggest there isn't much left of Christmas spirit. <br /><br />Both days should be withdrawn from the holiday calendar and everyone made to take annual leave if they want to celebrate it. I've always been happy to work it (and have done so on the railways too. Maybe this year as well.)<br /><br />This is the general direction of the consumerist push is it not ?<br /><br />Another subject raised a little too early - I digress. Sorry.<br /><br />Bah humbug.<br /><br /><br /><br />Electro-Kevinhttps://www.blogger.com/profile/18073103431166273080noreply@blogger.comtag:blogger.com,1999:blog-32841798.post-76619611957143630542013-11-21T07:40:39.881+00:002013-11-21T07:40:39.881+00:00I doubt very much that anyone becomes a doctor for...I doubt very much that anyone becomes a doctor for the money. <br /><br />What happens once they get older, wiser and crustier might be another thing though.<br /><br />With the loss of unionised heavy manufacturing/mineral extraction the NHS is the new industrial wing of the Labour Party and doctors are its skilled shop workers.<br /><br />Health workers are much harder to demonise than those who worked in the mining, motor, print industries were. Especially with the Labour Party's own broadcasting wing - the BBC.<br /><br />Tories are skewered and they are having to do deals.<br /><br />Electro-Kevinhttps://www.blogger.com/profile/18073103431166273080noreply@blogger.comtag:blogger.com,1999:blog-32841798.post-43605506465677885182013-11-20T23:05:08.817+00:002013-11-20T23:05:08.817+00:00Clive, you made a statement that there was "n...Clive, you made a statement that there was "<b>no</b> state provision" in the USA. You were wrong, stop trying to wriggle out of it. Neither do I endorse the USA healthcare system; I merely highlighted your prejudice and error.<br /><br />The original post was about GPs in the NHS. It was a critique of the government badly running any enterprise. Indeed NHS faultlines are similar to those of statist systems everywhere in the world.<br /><br />The reason is that human beings are neither perfect nor perfectible. Consequently incompetence, greed and corruption occur in all systems - "capitalist" or socialistic alike. The difference is that when a state system fails, as the NHS is doing, it affects the entire nation.<br /><br />It is much safer for serfs like me if power is spread around in small doses, ie in capitalist businesses, rather than concentrated in the hands of a corrupt state, whether run by a King, or by a socialist.Budgienoreply@blogger.comtag:blogger.com,1999:blog-32841798.post-49574723593792677912013-11-20T22:21:49.265+00:002013-11-20T22:21:49.265+00:00Clive - I would argue that capitalism, together wi...<b>Clive</b> - I would argue that capitalism, together with some of its typical adjuncts, the rule of law, freedoms-under-law and liberal-ish democracy - has delivered most of what constitutes modern civilisation <br /><br />the debate will always rage as to the exact form of governance structures that best 'contain' the creative capitalist dynamic<br /><br />and of course China hopes to show it can be done without the 'freedoms' part<br /><br />but the fact of ongoing debate over which model of health-care delivery is best, shouldn't cloud the entirely practical (i.e. nothing-to-do-with-labs) fruits of capitalism<br /><br />here endeth the lessonNick Drewhttps://www.blogger.com/profile/13670594203660051701noreply@blogger.comtag:blogger.com,1999:blog-32841798.post-46647478958099680172013-11-20T21:02:40.041+00:002013-11-20T21:02:40.041+00:00@ Cityunslicker
Ahh... The recurring problem wit...@ Cityunslicker <br /><br />Ahh... The recurring problem with capitalism through the ages ! It all works just fine "in the lab" (usually in the economic theory textbooks, it's some lucky small island community exchanging bananas for horseshoes or some such artificial construct).<br /><br />Bring in real, live people -- wanting such things as protection from exploitation from natural monopolies or a regulatory body imposing minimum standards because consumers lack and cannot possibly have perfect information (e.g. your child is sick and you want a diagnosis then and there, you don't have the opportunity for comparison shopping) and it all starts to get a bit messy doesn't it ?!Clivenoreply@blogger.comtag:blogger.com,1999:blog-32841798.post-6293759650952823482013-11-20T20:29:06.789+00:002013-11-20T20:29:06.789+00:00I think the internet may have changed peoples perc...I think the internet may have changed peoples perceptions of working hours. It's not lonely anymore to be on different hours to everyone else.<br /><br />Not to mention that unless they're in a strict 9-5 job everybody seems to have crazy sleeping hours these day.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32841798.post-1728809816632333592013-11-20T20:18:48.566+00:002013-11-20T20:18:48.566+00:00"when younger was one of those who worked 120..."when younger was one of those who worked 120h weeks": my wife once met a woman at a party who said that her surgeon husband worked a two hundred hour week. My wife replied that seven times twenty-four was one hundred and sixty-eight.<br /><br />I must say that when I had a job, long ago, that required me to be "on call"from time to time, it did not occur to me to claim that I worked all the hours when I was on call.deariemenoreply@blogger.comtag:blogger.com,1999:blog-32841798.post-26533843290194783382013-11-20T18:46:49.819+00:002013-11-20T18:46:49.819+00:00On the small point of pay more for nights and week...On the small point of pay more for nights and weekends or they won't do it I can give the retail answer.<br /><br />And that was <b>to pay more for a limited period</b> until new working hours become the standard. So today there are almost no payments for working nights or Sundays.<br />And even boxing day is only paid out as double time by the best employers. Many treat it as a normal day, normal pay. Yet as little as 10 years ago it would be almost impossible to find anyone to work without a triple time day in lieu bonus.<br /><br />* and retailers are greedy buggers because Boxing day is generally a massive earner for the stores. Incredibly,{to me} one of the busiest shopping days of the year.<br /><br />And ..sorry to labour the point, but when BQ was tasked with bringing in the compulsory boxing day openings and finding many old school managers wouldn't do it whatever the pay, <br />I went to the hospitality sector and took the best cafe and pub managers i could find. They were grateful for the 'short hours'.<br /><br />So for the NHS there is always Rio, or Moscow, or Manila to recruit from.<br />Bill Quango MPhttps://www.blogger.com/profile/14861116614665461655noreply@blogger.comtag:blogger.com,1999:blog-32841798.post-92169694355590147042013-11-20T17:22:52.856+00:002013-11-20T17:22:52.856+00:00Doctors are very well paid. Unfortunately this als...Doctors are very well paid. Unfortunately this also means they are highly taxed. This in turn means they can decide to do fewer hours work. Actually, I'm not even sure their contract enforces hours - it used to be a contract per patient on the books.<br /><br />One of the intersting effects of the doctor's monopoly is the impact on getting penicillin. You can't have it without a prescription. Why? Because you might not finish the course and therefore be responsbile for breeding a superbug. OK, but since when has a doctor checked you to ensure you have finished a course of antibiotics and are now clear of infection????<br /><br />In most EU countries pharmacists are the first port of call for health matters.<br /><br />But the whole thing is very Victorian and needs to be opened up at every level. Hip replacement ops should be "production line" operations for instance. <br /><br />Generally just too much faffing around. Ryannoreply@blogger.comtag:blogger.com,1999:blog-32841798.post-42676073957561721892013-11-20T17:06:06.910+00:002013-11-20T17:06:06.910+00:00Clive - its not a market, its a monopoly. there re...Clive - its not a market, its a monopoly. there re no marekt forces, see Hovis above.CityUnslickerhttps://www.blogger.com/profile/15929544047783163175noreply@blogger.comtag:blogger.com,1999:blog-32841798.post-71466473188816963782013-11-20T15:38:56.720+00:002013-11-20T15:38:56.720+00:00Oops I meant Clive, apologiesOops I meant Clive, apologieshovisnoreply@blogger.comtag:blogger.com,1999:blog-32841798.post-54995794151593412492013-11-20T15:37:29.780+00:002013-11-20T15:37:29.780+00:00Andrew: are you asking what is wrong with rent see...Andrew: are you asking what is wrong with rent seeking per se or what is wrong with moral blackmail (shroud waving is always a health industry tactic), special pleading and (as you hinted at) extortion of rent by implied force via taxation? <br /><br />Any group who employ these latter methods will attract the same distain no matter the industry. Also those maximising income in a rigged/rigid market, tends to be unpopular.hovisnoreply@blogger.comtag:blogger.com,1999:blog-32841798.post-69267065931915845542013-11-20T14:59:33.854+00:002013-11-20T14:59:33.854+00:00@ CityUnslicker
Yes, totally agree. I'm not a...@ CityUnslicker<br /><br />Yes, totally agree. I'm not at all keen on increasing payments to GPs. We must be at the stage of diminishing returns by now -- if not well past it !<br /><br />But what I'm still not able to understand is why you think that it's okay for, say, you to maximise your earning power by negotiating up to the highest price point that the market will stand... but it's not okay for the GPs to do the same (which was Anonymous's original question). <br /><br />Okay, in this case the rent extraction is paid for out of general taxation and as such there's some moral argument in there about why it's not cricket. But as a principle, what exactly is wrong with what they are doing ? Clivenoreply@blogger.comtag:blogger.com,1999:blog-32841798.post-61287616205115381362013-11-20T14:35:57.842+00:002013-11-20T14:35:57.842+00:00Oli - in all the scrum, let's remember our man...<b>Oli</b> - in all the scrum, let's remember our manners: welcome! And thanks for the comments. <b>Andrew</b>, too<br /><br /><b>Elby</b> - get well soon ! And point takenNick Drewhttps://www.blogger.com/profile/13670594203660051701noreply@blogger.comtag:blogger.com,1999:blog-32841798.post-70316162115626362942013-11-20T14:29:14.466+00:002013-11-20T14:29:14.466+00:00@andrew:
My sympathy to your OH, being run ragged...@andrew:<br /><br />My sympathy to your OH, being run ragged and asked to do more for less. But the answer would seem to be better organisation, or additional technology so that people aren't kicking their heels, waiting for six people to get together before anything can be done. Fact is, there isn't going to be an additional 20% slack put into the system so the only answer is to work smarter.DJKnoreply@blogger.comtag:blogger.com,1999:blog-32841798.post-66251375336812513942013-11-20T14:20:00.876+00:002013-11-20T14:20:00.876+00:00Clive - where did we say the USA was the best syst...Clive - where did we say the USA was the best system. OK, as it happens, when I was very ill in the US it was great, much better than here - but whatever, its a much richer country for starters.<br /><br />All we were saying is that the Govt response to GP's (very insightful comments Andrew, thank you) is crazy, as it has been and always will be in the monopolistic scenario -France and other countries have a part-pay and part insurance system. They have lower costs and better health outcomes.<br /><br />CityUnslickerhttps://www.blogger.com/profile/15929544047783163175noreply@blogger.comtag:blogger.com,1999:blog-32841798.post-66211785402132118042013-11-20T13:53:23.572+00:002013-11-20T13:53:23.572+00:00@ Andrew
I think that's one thing that all si...@ Andrew<br /><br />I think that's one thing that all side of this debate can agree on -- there's too many managers. There's too many manager's because there's too much targeting / tick boxing. There's too much targeting / tick boxing because the agencies responsible for getting value for money -- be it taxpayer's money or insurance company's money -- don't know how to mindfully manage a system and the people who work within it.<br /><br />As with a lot of what ails modern Britain, the root lies somewhere in poor management.Clivenoreply@blogger.com