An Hour Wait for an Ambulance After 911 Call

I usually write about 911 response time and police, but this hits the topic of “socialized medicine.” EMS staffing emergency results in response time delays.

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So this is from Eastern Kentucky, but once you get away from major metro areas, the same conditions apply in a lot of the country. Long waits for ambulance services in response to a 911 call.

One aspect many may not realize, is the reimbursements ambulance services receive.

“Oftentimes, your 911 provider, and it doesn’t matter if it’s our company or if it’s the company in the next county over, we operate at a loss. It’s because of some of our Medicaid reimbursements,” said Absher.

After the cost of medical supplies, trucks, and other important items, outweigh the profit of a call.

So the .gov doesn’t pay the cost of an ambulance ride, and then people are surprised that there aren’t 100s of companies lining up to be put out of business by the .gov. Only someone in government could set up a payment system designed like this. Someone with no contact with the real world.

“Medicare for all” would sink every one of the ambulance services that try to cover medicare patients with the profit from other patients. Unintended consequences? At some point you have to believe that the idiots in government (while clearly idiotic) are not that completely stupid. They want something to fail, so there’s an excuse to take more control.

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Only a Bureaucrat Could Construct a Tax Rate ABOVE 100%

Because multiple parts of the government don’t have to talk to each other. They are each masters of the the universe. At least in their own minds. One in three consultants and GPs may be hit by tax rules which are fuelling soaring waiting lists.

Politicians still haven’t figured out that they can’t repeal the law of unintended consequences.

One is a taper on annual earnings, which means doctors can end up paying more tax than they earn, on income of more than £110,000 a year, including rises in value of their pensions.

Even if they drop the tax back to 90%, where it was, they will still have trouble getting doctors to work overtime. Calculate your hourly rate (assume 2000 hours per year, though if you are salaried, you probably work more than that.) Divide that hourly rate by 10. How many hours of overtime would you be willing to work for that 10 percent? What other things would you rather do, like spend time with your family and friends, play sports, catch up on chores around the home, etc?

The result is delays all through the medical system.

The document [from the British Medical Association (BMA)] warns that the current situation is causing “significant financial concern” to a number of doctors, causing many to consider retiring or cutting their hours.

“Around a third of NHS consultants and GP practice partners have earnings from the NHS that could potentially lead to them being affected by the tapering annual allowance,” officials warn.

Even if they don’t retire, but cut their hours in half, that additional 16 or 17 percent of work would have to be taken up by the rest of the NHS. Who are already working overtime.

I can’t wait until our government totally controls health care.

They Thought Health Care Was Free

Only “government approved” care is free. The rest costs, or is rationed in other ways that weren’t immediately apparent. NHS price list sparks outrage as patients charged up to £8,000 for operations.

One Pound Sterling, is about $1.25 at today’s rate.

In response to the criticisms, Mel Pickup, chief executive of the Trust, said: “The Trust does not charge NHS patients for NHS funded procedures. Not all healthcare services are funded by the NHS.

So in other words, if you have a problem with NHS payment schedules, you should take them up with NHS. Which is the .gov, and that means you might not get too far.

Welcome to the Real World™

Does a .gov Agency Have an Incentive to Change?

It would seem the answer to that question is, “Not always.” Exclusive: NHS England ‘buried’ concerns over child cancer services.

NHS England covered up serious problems with paediatric cancer care in London – which had seen children dying in “terrible agony” – and has “buried” attempts to overhaul the services, an HSJ investigation has established.

The study was complete in 2015. It was only just published. In 2016 there are emails talking about a “supposed cover-up,” and warnings that it could blow up in their faces. Worries that there are powerful people involved were also expressed. In short, health care in the UK is in the hands of politicians.

Because protecting turf might come at the expense of children’s lives, but how do you expect politics to work? (Or not work.) After all, parents can’t research “which hospital is best for my child” because they have no choice. They go where the government tells them to go for care.

What Happens When No One Wants to Work in Health Care?

Great plans to have universal health care, require people to actually provide health care. NHS forced to prioritise staff wellbeing to tackle escalating crisis.

70 or more years of government control of health care in England, and things are not going great. There are 100,000 vacancies, shortages of both doctors and nurses.

Problems such as bullying and poor work-life balance are not new to the NHS. But “the sheer scale of the current workforce shortage is making organisations think more creatively about how to keep staff happy and motivated”, adds Bailey.

They are trying for more flexible work hours, and doing some small stuff. (The lack of yoga classes are probably not the issue, but maybe they will help with stress.) But unpaid overtime, stress-related illness, working under “unrealistic” time pressures, and more are the real problems.

Those issues from staff were highlighted in a survey from February of this year. NHS England survey reveals ‘alarming downturn’ in staff wellbeing

Other key findings include:

  • A majority (51%) are thinking about leaving their current role and 21% want to quit the NHS altogether.
  • More than three-quarters (78%) feel under unrealistic time pressures some or all of the time.
  • Nearly six in 10 (58%) say they do unpaid overtime every week, though that number is falling.
  • Nearly 28% have suffered back pain in the last year as a direct result of their work, up two percentage points since 2017.
  • Fewer than three in 10 (28.6%) feel their trust takes positive action to improve staff health and wellbeing.

And those 100,000 vacancies have real consequences for care. Record numbers of NHS cancer patients face ‘agonising wait’ to see specialist. “Waiting” in cancer treatment can be a death-sentence, depending on the type of cancer.

In April alone nearly 20,000 people missed the 14-day target to meet with an oncologist

Can’t you just wait for the Socialists to take over medicine in this country?

UK’s NHS Tells Old People To Go Blind

So is it free health care, if there is no health care? Thousands in Britain left to go blind due to eye surgery rationing: Report.

The Times newspaper said a survey by the Royal College of Ophthalmologists (RCO) found tens of thousands of elderly people are left struggling to see because of an NHS cost-cutting drive that relies on them dying before they can qualify for cataract surgery.

The survey has found that the NHS has ignored instructions to end cataract treatment rationing in defiance of official guidance two years ago.

The NHS isn’t following its own guidelines because it is expensive. (Not really.)

The Telegraph has mostly disappeared behind a paywall, but their story Elderly go blind as NHS ignores eye surgery rationing advice has an interesting take on the costs.

The comments came after guidance that said removing cataracts was almost always a good use of resources, and could even save money by preventing older people from falling.

But if they save money on accidents that didn’t happen, they can’t count that in their annual performance review. Besides, if the managers of NHS didn’t stop surgeries and ration medicines, exactly what would they do to make themselves feel more important than the doctors?

Hat tip to The Pirate’s Cove and Weaselzippers.

The UK’s National Health System: Killing People for Socialism

Do you expect government-run medicine to be different from the Dept. of Motor Vehicles? Welcome to Socialized Medicine.

A 94-year-old grandmother died after NHS medics sent her home because she was ‘too old’ for an operation on a varicose vein.

She bled to death when that vein (really a lump) ruptured and paramedics could not get to her in time.

And…

Last November, Lancashire Police were asked by Blackpool Teaching Hospitals NHS Foundation Trust to investigate alleged incidents in their stroke unit.

Why people think putting the .gov in charge of health care is a good idea is beyond me.