Britain
Crisis of the National Health System
The National
Health System (NHS) in Britain is in a profound
crisis which the government, opposition parties
and media disinformation do everything possible to
obscure. Even before the COVID-19 pandemic hit
Britain with a vengeance, a diversionary
discussion over how the NHS should be funded
accompanied the British government's January 15
"mandatory" NHS Funding Bill 2019-20. The
government stated that the additional funding
would be spent by NHS England in the "NHS
Long-Term Plan."
Workers' Weekly denounced the diversionary
discussion and demanded that the NHS fulfill its
original purpose to look after the health needs of
the population rather than the corporate-led
direction that is wrecking the NHS and
jeopardizing its future.[1] The bill was
first announced under the Theresa May government,
Workers' Weekly pointed out. It states that
the government commits to increase investment in
the NHS in the years up to and including 2024.
This will result in a £33.9 billion increase in
cash terms by 2023/24, with total NHS England
spending rising to £148.5 billion in 2024.
The King's Fund, the Nuffield Trust and the
Health Foundation responded that an annual
increase of the NHS funding should be at least
four per cent a year rather than the average of
3.4 per cent a year proposed by the government.
This line of argument was taken up by the
Opposition in Parliament as well.
Workers' Weekly writes: "This may or may
not be the case, but it does not address the
present chronic lack of trained medical and
nursing staff and the loss of NHS services going
back over decades, as many critics have pointed
out. Nor does it challenge the direction in which
the NHS is being taken, its privatization, the
contracting out of services, and even more
fundamentally whether the government's approach
resolves the crisis in NHS funding.
"What is
being obscured is that health care is a claim of
all on the economy which the people must make.
Health workers provide vital and accessible health
services to all and in doing so create value in
the socialized economy by curing people when sick
and injured and keeping healthy the human
resources of society and all those who live and
work in it. This value is consumed by big
corporations in employing the labour power of a
healthy workforce. This is value which should not
be expropriated by these corporations but should
be claimed by the government and their health
services as value that can then be used to
resource a fully-funded NHS. The Bill does not
raise this vital question of the role the NHS
plays in a human-centred economy where the NHS
should become a human-centred system paid for at
least out of the value it creates in the economy
so that any extra funding contributes to meeting
the needs of health care for all."
The total incapacity of the British medical
system to deal with the COVID-19 crisis is proof
enough that the funding provided by the government
would not safeguard the future of the NHS and
neither is it intended to. "Even the claim that a
'mandatory' funding by government gives some
funding 'security' to the NHS is false when it is
combined with a neo-liberal corporate direction
that the 'NHS Long-Term Plan' represents. The 'NHS
Long-Term Plan' is already reducing safe access to
vital emergency, children, maternity and mental
health services for whole swathes of the
population. It is being further pursued in the
present deconstruction of local District Hospital
acute services with a massive loss of acute and
long term care hospital beds and local GP services
across England. This is the 'long-term plan' to
switch funding into an 'integrated' Care Providers
and systems that government intends to be
predominately dominated by the private sector
companies," Workers' Weekly wrote.
Note
1. "'Mandatory'
Funding Obscures How the NHS Should be Funded
and Pursues a Corporate-Led Direction," Workers'
Weekly, January 25, 2020.
This article was published in
Volume 50 Number 11 - April 4, 2020
Article Link:
Britain: Crisis of the National Health System
Website: www.cpcml.ca
Email: editor@cpcml.ca
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