From: T Wake on

<jmfbahciv(a)aol.com> wrote in message
news:ejch86$8ss_023(a)s858.apx1.sbo.ma.dialup.rcn.com...
> In article <guadndllr-dd1srYRVnytg(a)pipex.net>,
> "T Wake" <usenet.es7at(a)gishpuppy.com> wrote:
>>
>><jmfbahciv(a)aol.com> wrote in message
>>news:ej796a$8qk_012(a)s851.apx1.sbo.ma.dialup.rcn.com...
>>> In article <c5b06$45565eec$4fe73d4$10122(a)DIALUPUSA.NET>,
>>> unsettled <unsettled(a)nonsense.com> wrote:
>>>>T Wake wrote:
>>>>
>>>>> <lucasea(a)sbcglobal.net> wrote in message
>>>>> news:eNp5h.7027$yl4.5770(a)newssvr12.news.prodigy.com...
>>>>>
>>>>>>"Ben Newsam" <ben.newsam(a)ukonline.co.uk> wrote in message
>>>>>>news:e96cl2tviek822ftetj8rtphkkoold1oqe(a)4ax.com...
>>>>>>
>>>>>>>(or if
>>>>>>>immobile, I ask to be visited at home),
>>>>>>
>>>>>>Is this a standard form of care in the UK? We haven't had doctors in
>>>>>>general make house-calls here in the US for at least 40 years.
>>>>>
>>>>>
>>>>> Where I live it is very common place, but there is a high percentage
>>>>> of
>>>>> older people in this village. Generally speaking though doctors will
>>>>> make
>>>>> house calls as required - it has been a couple of years since I last
>>>>> needed
>>>>> one, but there was no difficulty. My wife phoned the Health Centre and
>>>>> told
>>>>> the receptionist I was unable to get out of bed, three hours later the
>>>>> doctor was round to treat me.
>>>>>
>>>>> The health centres also have nurse practitioners (extra trained
>>>>> nurses)
>>>>> who
>>>>> spend a lot of time doing home visits.
>>>>
>>>>We have a local physician who makes scheduled house
>>>>calls every Thursday. His office is used by a
>>>>visiting podiatrist that day.
>>>>
>>>
>>> Now note all the times you all wrote "local". That's important.
>>> The US is big. There isn't much "local" anymore. You go
>>> into the city or urban centers and get into their medical
>>> production line.
>>
>>Local doesn't have to mean small. When I lived in the centre of London I
>>had
>>a local GP and a local health centre.
>
> Yes it does to mean small.

Nope. Local does not imply size. My local GP was at a major teaching
hospital. It certainly was _not_ small.

> A local health center has a small
> capacity. Even if you assume that all medical appointments will
> take 5 minutes, the capacity of any center is severely limited.
> Say it is in a population of 10,000 and all come down with a
> flu in the same 24 hours. The center won't be able to handle
> 100, let along 10,000.

You still conflate small with local. In your example, you make the
assumption there is only one doctor and that the practice nurse is incapable
of treating patients with flu. If the local health centre has six doctors
(like my current one) and four practice nurses (like mine), they could
handle 600 patients an hour in your example. Ok, it may take 12 hours to
treat _everyone_ but unless there were 10,000 doctors it is going to take
longer than five minutes.

Please stop making up insane examples to justify your hatred of change.


From: T Wake on

<jmfbahciv(a)aol.com> wrote in message
news:ejcgu0$8ss_022(a)s858.apx1.sbo.ma.dialup.rcn.com...
> In article <45575B7E.31E86C8(a)hotmail.com>,
> Eeyore <rabbitsfriendsandrelations(a)hotmail.com> wrote:
>>
>>
>>jmfbahciv(a)aol.com wrote:
>>
>>> How do you get a new GP if you are unhappy with yours?
>>
>>You say you want to move.
>>
>>
>>> Will that
>>> new GP take new patients? If s/he doesn't, where do you go?
>>
>>The local health authority may offer you a new GP or you may have one in
>>mind
>>and ask them to take you.
>
> You are still assuming that there exists a GP who takes new patients.

Welcome to the NHS. There exists a GP who will take new patients.

> I ask my question again but I'll try to rephrase so that you get it.
>
> If no GPs are taking new patients, what do you do if you are
> legitimately unhappy with the doctor you are assigned to.

Slap yourself, leave the US and come home to the UK.


From: T Wake on

<jmfbahciv(a)aol.com> wrote in message
news:ejchl4$8ss_026(a)s858.apx1.sbo.ma.dialup.rcn.com...
> In article <455760C3.C0979C51(a)hotmail.com>,
> Eeyore <rabbitsfriendsandrelations(a)hotmail.com> wrote:
>>
>>
>>jmfbahciv(a)aol.com wrote:
>>
>>> Eeyore <rabbitsfriendsandrelations(a)hotmail.com> wrote:
>>>
>>> >I'm wondering if BAH thinks we have our treatment 'rationed'.
>>>
>>> Would you know if that happened? Since you can't "shop around"
>>> and compare, you cannot find out if your treatment is rationed,
>>> especially its efficacy.
>>
>>In one case I wasn't happy with the treatment I got from a concultant so
>>my
>>doctor referred me to another one.
>
> How many referrals are you allowed?

IIRC there is no hard and fast limit. If after 3-4 the doctors think you are
jerking the system around you may have a harder time getting more, but you
don't really care about that. You are casting about for things to pounce on
as "flaws" with the NHS. Any number (from 1 to infinite) will be turned into
something you try to castigate the service with. Very naughty of you.

How many referrals do you think the person should be allowed?


From: T Wake on

<jmfbahciv(a)aol.com> wrote in message
news:ejchp6$8ss_027(a)s858.apx1.sbo.ma.dialup.rcn.com...
> In article <45585202.F8E9C40D(a)hotmail.com>,
> Eeyore <rabbitsfriendsandrelations(a)hotmail.com> wrote:
>>
>>
>>jmfbahciv(a)aol.com wrote:
>>
>>> Ben Newsam <ben.newsam(a)ukonline.co.uk> wrote:
>>> >On Sun, 12 Nov 06 14:00:10 GMT, jmfbahciv(a)aol.com wrote:
>>> >> Eeyore <rabbitsfriendsandrelations(a)hotmail.com> wrote:
>>> >>>I'm wondering if BAH thinks we have our treatment 'rationed'.
>>> >>
>>> >>Would you know if that happened? Since you can't "shop around"
>>> >>and compare, you cannot find out if your treatment is rationed,
>>> >>especially its efficacy.
>>> >
>>> >All health systems of whatever sort are limited by cost. An
>>> >insurance-based scheme will give up long before the NHS, however.
>>>
>>> That is one of the reasons an NHS doesn't work well.
>>
>>Right.
>>
>>BAH - you have now moved from making vague assertions about how you think
> things
>>might work in theory to saying now that the NHS doesn't work well.
>
> If it works so well, why is there a backup system called private
> practice?
>>
>>Get over it ! It *does* work well ! 60 million ppl in the UK use it for
>>their
>>health care and we even have a life expectancy 2 years longer than US
> citizens !
>>
>>Start considering instead why the US health care system doesn't work well
>>and
>>costs so much !
>
> That's what I've been talking about all along. An NHS does not and
> will not work.
>
>>
>>You're looking at imaginary problems btw.
>
> No, they are real.
>
> /BAH


From: T Wake on

<jmfbahciv(a)aol.com> wrote in message
news:ejchp6$8ss_027(a)s858.apx1.sbo.ma.dialup.rcn.com...
> In article <45585202.F8E9C40D(a)hotmail.com>,
> Eeyore <rabbitsfriendsandrelations(a)hotmail.com> wrote:
>>
>>
>>jmfbahciv(a)aol.com wrote:
>>
>>> Ben Newsam <ben.newsam(a)ukonline.co.uk> wrote:
>>> >On Sun, 12 Nov 06 14:00:10 GMT, jmfbahciv(a)aol.com wrote:
>>> >> Eeyore <rabbitsfriendsandrelations(a)hotmail.com> wrote:
>>> >>>I'm wondering if BAH thinks we have our treatment 'rationed'.
>>> >>
>>> >>Would you know if that happened? Since you can't "shop around"
>>> >>and compare, you cannot find out if your treatment is rationed,
>>> >>especially its efficacy.
>>> >
>>> >All health systems of whatever sort are limited by cost. An
>>> >insurance-based scheme will give up long before the NHS, however.
>>>
>>> That is one of the reasons an NHS doesn't work well.
>>
>>Right.
>>
>>BAH - you have now moved from making vague assertions about how you think
> things
>>might work in theory to saying now that the NHS doesn't work well.
>
> If it works so well, why is there a backup system called private
> practice?

It isn't a back up. It is called patient choice. You are much too communist
to accept that as an option though (remember your rants about getting rid of
the bourgeoisie, comrade /BAH?)

>>
>>Get over it ! It *does* work well ! 60 million ppl in the UK use it for
>>their
>>health care and we even have a life expectancy 2 years longer than US
> citizens !
>>
>>Start considering instead why the US health care system doesn't work well
>>and
>>costs so much !
>
> That's what I've been talking about all along. An NHS does not and
> will not work.

Once more your first sentence does not imply the second.

If the NHS does not and will not work, can you give me some concrete
examples about where it is drastically failing?

The NHS _does_ have flaws. That is _not_ the same thing.

>>
>>You're looking at imaginary problems btw.
>
> No, they are real.

Nope. They aren't.