Tag Archives: Obama

Do we #lovetheNHS enough to be genuinely proactive?

When I was a student, we used to joke that if you took six people down to the union, you could probably win a motion to change the university’s name. The level of disinterest in student politics meant that you could pretty much get anything through if you decided to take your mates along, instantly tripling the number of voters in attendance.

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Stand up for the NHS!

You’d have to be very hard-hearted not to have felt an extra glimmer of hope for the future of mankind when Barrack Obama was elected president of the US.

But of course not everyone shares his views and some will no doubt believe that he is positively evil in the way that he has set out to attack some of the vested interests that are so heavily entrenched in US society and international relations.

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Literacy and health

What has literacy got to do with health? This is not something I’d thought much about until this week.

We hear a lot about different languages and cultures presenting difficulties in providing healthcare, and even local dialects in different parts of the UK.

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Let them eat cake (or watch porn)

Last weekend’s ‘ministerial porn-viewing’ scandal and other expenses-related revelations have further undermined people’s (already fairly minimal) trust in politicians. Not since Marie-Antoinette uttered her callous words about cake has anyone shown such utter contempt for the chattering classes.

Ok, that might be over-statement. But the antics of Ms Smith and co feel like a kick in the teeth for those of us who play by the rules, pay our own way and generally do our best to be decent citizens rather than going all out to feather our own nests. We feel that rules and codes of conduct should apply not only to the ‘little people’, but to all, regardless of class; earnings; job status; or contacts.

There can be sensible exceptions: James Bond is ‘licensed to kill’ though the rest of us are not; this seems fair as he comes up against many more crazed baddies bent on world domination  than the rest of us put together. However, I still think we’d object to Mr Bond claiming back money for his TV package, his blue trunks, or a second home in the Bahamas. (he probably does, but at least we don’t get our noses rubbed in it)

Let’s face it, unlike secret agents, politicians hold prominent, public positions and are supposed to be setting a good example. They have leadership roles and regularly adopt the moral highground, whether lambasting benefits cheats or accusing GPs of seedy ‘gentlemen’s’ agreements’. We therefore expect them to be squeaky clean themselves, hence our anger when we find out that they can ‘legitimately’ (?) claim back expenses for just about everything and nobody checks to ensure that these claims are accurate and fair.

If MPs are genuinely underpaid and need to supplement their ‘meagre’ salaries, they should be paid more – but explicitly: cynicism aside, they have an important role to play and we need to attract the best candidates into these jobs; we cannot simply rely on the enthusiasm of those with ‘vocations’ (the same should be true for the nursing profession!)

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Obama’s new health secretary Kathleen Sebelius

If Alan Johnson thinks he has a tough job, then how must Kathleen Sebelius feel as Obama’s new health secretary?

At lunchtime today the Kansas governor is due to be unveiled as head of the US Department of Health and Human Services, but is already facing a storm of protest for her pro-abortion views.

And that’s just for starters. Governor Sebelius is renowned for her bipartisan approach to politics but is going to have her work cut out for her tackling the problems now facing the US health system.

While the UK government has been busily importing the American way of healthcare provision, the US system has been slowly running out of steam.

As costs have spiralled, efficiency has remained low, access has declined and standards of care have slipped. According to the latest national scorecard on the US healthcare system, in 37 indicators of core performance, the US achieved 65 out of a possible 100.

Some 42 per cent of adults are uninsured or underinsured, and the country now ranks last in a table of 19 on a measure of ‘mortality amenable to medical care.’

So it’s going to be an interesting breakfast meeting at the King’s Fund in London this month, when Tony Blair’s former health adviser Simon Stevens, now president of global health for the UnitedHealth Group, will be telling NHS managers what more can be learned from the US health experience.

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