Insurance means someone – in the case of the UK – that is the .gov – will pay. But if you can’t find a doctor… Why young doctors are quitting the medical profession in droves.
You go to college. You go to medical school. You spend a lot of time and money. Then you quit?
There are a couple of anecdotal stories in the article, but the statistics tell the story.
The General Medical Council reports that a quarter of young medics feel ‘burnt out’ by the strains of the job, according to a new 70,000-person survey, while in 2017, only 43 per cent of junior doctors stuck to their NHS career path after finishing their first two years of training, down from 71 per cent in 2011.
That’s right. More than half, nearly 6 out of 10, doctors leave the NHS after 2 years. Some leave medicine. Some go to other countries to practice where the conditions are better, even if the cases are harder.
And as more leave sooner, that knowledge is percolating down to the folks who are deciding whether or not they should go into medicine.
So what happens when you can’t find a doctor? What happens when the bureaucrats push people out of medicine? If you’re smart enough to be a doctor, then you probably have other choices.
There is already a shortage of medical professionals in the NHS – both doctors and nurses. This won’t make the situation better.
Or something like that. NHS trusts will be forced to publish concerns raised by staff and patients in wake of Gosport scandal.
In June this year, it emerged a hospital GP presided over an “institutionalised regime” which saw more than 600 patients have their lives cut short after they were prescribed powerful painkillers without medical justification, a report found.
656 people were killed, basically by drug overdose. Whistle-blowers were kept quiet.
The report said that there was “disregard for human life” and and it told how patients who were viewed as a “nuisance” were given drugs on syringe drivers which killed them within days.
Say it again. In the world of socialized medicine, patients are not customers, just nuisances. They stand in the way of meeting quotas and keeping costs down.
And the authorities were not exactly on top of the situation.
It also criticises Sir Peter Viggers, former MP for the area, who the panel said repeatedly played down what had happened, questioned the need for inquiries and made clear he supported the hospital.
In part because NHS is the Sacred Cow of the UK.
Or, in the words of a Chicago political observer, “Don’t make no waves. Don’t back no losers.”
As has been noted elsewhere, there is no incentive to keep sick people alive. They just cost the system more money. Hundreds of pancreatic cancer patients denied life-saving surgery because of delays.
Survival rates drop from 22.3% to just 2.3% if people are not diagnosed quickly and gotten to surgery quickly.
A new report by Pancreatic Cancer UK warns that patients often have to wait months for tests to determine whether they are eligible for surgery by which point it is often too late. Two thirds of patients who could be treated with surgery do not recieved an operation.
The UK’s NHS can move faster, but moving fast is not the standard mode for a large bureaucracy.
Because the .gov doesn’t need informed consent. Terminally ill patients at risk of being used as ‘human guinea pigs’ by doctors who want ‘research glory’.
Under “compassionate use” guidelines, doctors are allowed to use unapproved treatments on people with life-threatening conditions, as long as it is in the patient’s bets interests and they understand the risks.
But some experts say that this is open to abuse, particularly if doctors are also researchers in the same field of medicine. They say that this could lead to doctors encouraging patients to take part in risky operations in order to further their research goals.
And this isn’t just a theoretical issue.
This week, The Daily Telegraph revealed how scientists behind a clinical trial at University College London (UCL) are accused of a “cover-up” over the deaths of two young women who died after undergoing experimental treatment.
Compassionate use is a good thing – to give patients a chance at life. But if you are pushing terminal patients into a study to further your career…
But then the bureaucrats are in charge of healthcare. Patients left at risk of blindness amid NHS waiting list backlogs.
Sometimes being forced to wait for treatment has very bad effects.
At least 7,000 patients suffering from conditions like glaucoma were not given appointments, as the trust [University Hospital Southampton] failed to cope with rising demand, Health Service Journal reports.
Trainee doctors wrote to managers at the trust earlier this year, warning of their concerns at the risks to patients.
And this probably isn’t limited to just one hospital trust.
The Royal College of Ophthalmologists said similar problems were likely to be occuring elsewhere, amid a national shortage of consultants.
Why the shortage? Because if you’re smart enough to be a doctor, you’re smart enough to realize you probably don’t want to work for the biggest bureaucracy in the country.
I can’t wait until we have socialized medicine.
I’m shocked – Shocked! – to discover that bean counters aren’t concerned about health. ‘I knew something was not right’: Mass cancellations of diagnostic test orders at VA hospitals draw scrutiny. OK, I’m not that shocked.
Cancellations of more than 250,000 radiology orders at VA hospitals across the country since 2016 have raised questions about whether – in a rush to clear out outdated and duplicate diagnostic orders – some facilities failed to follow correct procedures. At issue is a concern over whether some medically necessary orders for CT scans and other imaging tests were canceled improperly.
So the record keeping was screwed up to begin with, and the attempt to clean up the faulty record-keeping was also screwed up. Isn’t socialized medicine wonderful?
And so they are going after the whistle-blower.
In the disciplinary case against Dettbarn, his supervisors alleged he was “disruptive” and didn’t send one patient’s images to be interpreted – accusations he denied. The investigation was initiated soon after he reported his concerns about the order cancellations.
I mean be fair, he made them look bad.
Some orders were held over from a decade ago, but some orders were placed 6 months out as a follow up to be sure conditions were improving (or at least not getting worse.)
Read the whole thing. It isn’t long.
The wacky world of socialized medicine. Sometimes entertaining. Sometimes maddening. Sometimes just plain sad.
First story: Drugs are expensive. So why approve their use? NHS will not fund MS drug which can delay need for wheelchair by up to seven years.
The NHS will not pay for patients with a degenerative form of multiple sclerosis to receive a new drug which can slow the disease and give up to seven additional years before they need a wheelchair.
And don’t think you are going to buy it on your own, because Red-tape is a bureaucrats best friend.
The NHS is trying to adopt technology to save money. There are some people – who maybe should know – that are saying the current project is off the rails. Matt Hancock’s plan for an NHS tech revolution is doomed to fail.
But what really caught my attention was a fun fact, that sums up the state of the NHS.
The NHS is the world’s largest purchaser of fax machines
They are stuck firmly in the 1980s. Though I must admit that the tag line is interesting as well.
“Tech companies approach to healthcare is akin to Facebook’s approach to democracy – it’s a data opportunity, most often targeting the vulnerable.”
And finally, the Bureaucrats have decided to sell the family silver. (That’s a British phrase for robbing the endowment.) Amount of NHS land earmarked for sale is soaring, figures show
The NHS is seeking buyers for 718 different plots of land or buildings it owns across England, prompting fears that underfunding has forced cash-strapped NHS trusts to dispose of vital assets.
The total of 718 sites represents a 72% rise on the 418 plots the NHS deemed as surplus to requirements two years ago.
I can’t wait until we have these kinds of problems.