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Spangly A
May 14, 2009

God help you if ever you're caught on these shores

A man's ambition must indeed be small
To write his name upon a shithouse wall

Zephro posted:

The NHS is one of the most efficient healthcare systems in the world, so pretty much everywhere else with comparable standards of healthcare will spend more money on it than we do.

The French spend more than anyone, though. Their system is about getting the absolute best care possible as opposed to ours, which is high-functioning high-efficiency. Was, anyway.

e; I think it's the second most expensive in the world behind (obviously) America.

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notaspy
Mar 22, 2009

can someone repost that table that details the number of expats there are from each country (India was first, then china, then the UK) TIA

Ms Adequate
Oct 30, 2011

Baby even when I'm dead and gone
You will always be my only one, my only one
When the night is calling
No matter who I become
You will always be my only one, my only one, my only one
When the night is calling



Yeah the French have the best system in the world by any metric, but it does cost them a pretty penny. We've still got an amazingly good system that's much more efficient, but I think we tend to rank about fifth globally? Pretty amazing at any rate.

I think part of it is that some countries seem to be moving in different directions. The UK is barelling full-tilt towards, at best, old-school East Asian autocracy. Meanwhile the US just had major healthcare reforms. We're still miles ahead of them, yes, but it's not hard to look at the situation and wonder for how long that might be true. If they get around to a single payer system in another twenty years or something, I wouldn't be surprised to see our rankings flipped around. Christ can you imagine how good the Yanks would be at healthcare if they spent the same amount of money but on actual healthcare? Anyway my point is if you're looking at the way things are going instead of how they currently are, you may draw different conclusions. They may not be the right ones of course.

SybilVimes
Oct 29, 2011

Mister Adequate posted:

Christ can you imagine how good the Yanks would be at healthcare if they spent the same amount of money but on actual healthcare?

Terrible, their health care is not only expensive, but it's terrible for any price, and only made worse because it's terrible.

They have some 'decent' surgeons, not the best for most fields, but decent, but anything below that? piss poor.

There were 2 things really horrible about the time I stepped on a rusty nail in the US...

1) Their 'care' was putting my foot in a bowl of iodine for 20 minutes.
2) Said 'care' cost $700 (granted, it was ER, but I got myself there under my own power).

3) Ok... AMONG the things wrong with that incident... 3) The attitude I got from everywhere except the ER - 'gently caress off, we're busy' (my regular doctor had a game of golf that day, and the next day he was planning on evacuating for the hurricane for which I was nailing boards over the window for).

Their dentists aren't much better, either.

Trickjaw
Jun 23, 2005
Nadie puede dar lo que no tiene



Seaside Loafer posted:

Trickjaw I was more talking about the road but my upper esophagus irritation is doing allot better thank you :)

Seriously that was always quites a nice drive, has it gone mental or have i missed the point/joke.

No, the A12 is abominable, even worse when you get beyond the m25 junction. I was talking more about Essex towns, as its Tory central here, with a healthy smattering of racists in Dagenham/Barking

Renaissance Robot
Oct 10, 2010

Bite my furry metal ass

Spangly A posted:

The French spend more than anyone, though. Their system is about getting the absolute best care possible as opposed to ours, which is high-functioning high-efficiency. Was, anyway.

Efficiency is defined as output divided by input. If government input to health care is zero, public sector efficiency is automatically infinite! :buddy:

Gyro Zeppeli
Jul 19, 2012

sure hope no-one throws me off a bridge

Renaissance Robot posted:

Efficiency is defined as output divided by input. If government input to health care is zero, public sector efficiency is automatically infinite! :buddy:

Keep your voice down, or Jeremy Hunt will hear you.

Rude Dude With Tude
Apr 19, 2007

Your President approves this text.
A new people's champion arises http://www.standard.co.uk/news/transport/the-wouldbe-next-bob-crow-who-revels-in-bringing-london-to-a-standstill-9325940.html

Bozza
Mar 5, 2004

"I'm a really useful engine!"

Isn't this guy a wife beater? There's definitely one guy at the top of the RMT who is and I'm fairly sure this is him.

JoylessJester
Sep 13, 2012

Bozza posted:

Isn't this guy a wife beater? There's definitely one guy at the top of the RMT who is and I'm fairly sure this is him.

According to twitter gossip you are correct.

http://socialistunity.com/statement-from-steve-hedley/

That appears to be where it all stands legally now.

JoylessJester fucked around with this message at 22:00 on May 6, 2014

Rude Dude With Tude
Apr 19, 2007

Your President approves this text.
Oh, bollocks :(

goddamnedtwisto
Dec 31, 2004

If you ask me about the mole people in the London Underground, I WILL be forced to kill you
Fun Shoe

Trickjaw posted:

Its been tory through and through since before time. I would say its odd you know all the places along the A12 that are notorious for cottaging, but then we know how you suffer from digestive stress.

That A11/A12/A13 corridor only really turned into the Essex we know and hate in the eighties. Tebbit's "Basildon Man" theory really was the Tories Southern Strategy, playing up on racist fears particularly among those who participated in the massive White Flight in the eighties under Right to Buy, as well as of course convincing every jobbing plumber and chippy that they too were now a Captain Of Industry.

You see this most particularly in the areas between the North Circular and the M25 (which I know isn't technically Essex) where the BNP and EDL are well-supported by people absolutely terrified by the fact the Brown Hordes they thought they'd escaped when they flipped their council flat on Vallance Road suddenly started getting enough money to move out to Barking and Rainham.

Trickjaw
Jun 23, 2005
Nadie puede dar lo que no tiene



goddamnedtwisto posted:

That A11/A12/A13 corridor only really turned into the Essex we know and hate in the eighties. Tebbit's "Basildon Man" theory really was the Tories Southern Strategy, playing up on racist fears particularly among those who participated in the massive White Flight in the eighties under Right to Buy, as well as of course convincing every jobbing plumber and chippy that they too were now a Captain Of Industry.

You see this most particularly in the areas between the North Circular and the M25 (which I know isn't technically Essex) where the BNP and EDL are well-supported by people absolutely terrified by the fact the Brown Hordes they thought they'd escaped when they flipped their council flat on Vallance Road suddenly started getting enough money to move out to Barking and Rainham.

As always, much more complete and well put across than my effort.

Trickjaw fucked around with this message at 22:10 on May 6, 2014

goddamnedtwisto
Dec 31, 2004

If you ask me about the mole people in the London Underground, I WILL be forced to kill you
Fun Shoe

Trickjaw posted:

No, the A12 is abominable, even worse when you get beyond the m25 junction. I was talking more about Essex towns, as its Tory central here, with a healthy smattering of racists in Dagenham/Barking

The A12 from the M25 junction out to Chelmsford used to be the approved high-speed proving ground for London bikers because Essex plod were all busy ticketing continental lorry drivers on the M11. Then came the Gatso, and a generation lost their licence.

(Well not quite but ISTR the speed camera just past Brentwood, cunningly hidden under the overpass, used to be the second-most profitable in the UK)

Minghawk
Oct 9, 2012
Unrelated to anything really, I just wanted to say that I finished a lovely and stupidly dangerous Mandatory Work Activity placement on Friday, the last day of which involved working from 8.30 until 5.30 without a break or as much as a sip of water. On Saturday morning I shored up at my usual voluntary gig, and on going to unlock the front door of the shared building, couldn't help but notice that someone had kicked the glass of it right the gently caress in. Our company is ethical and sound, but it shares a building with a work programme providor, so you can probably guess what happened on Friday night.

It was a weird mix of emotions, being totally on the side of whoever did it, but having what I'd hoped would be an easy morning extended by staying late to sort out the repair of the thing. If they'd have let me known about their project I'd have let them in so they could boot in specific offices.

Kegluneq
Feb 18, 2011

Mr President, the physical reality of Prime Minister Corbyn is beyond your range of apprehension. If you'll just put on these PINKOVISION glasses...

We just got our Conservative European election leaflets through the door.

The one addressed to my wife had the BNP one folded inside it. :smith:

Edit: Sample quote

quote:

The others are faceless nobodies - NICK is a high profile celebrity and international statesman!

Kegluneq fucked around with this message at 22:47 on May 6, 2014

Ms Adequate
Oct 30, 2011

Baby even when I'm dead and gone
You will always be my only one, my only one
When the night is calling
No matter who I become
You will always be my only one, my only one, my only one
When the night is calling



SybilVimes posted:

Terrible, their health care is not only expensive, but it's terrible for any price, and only made worse because it's terrible.

They have some 'decent' surgeons, not the best for most fields, but decent, but anything below that? piss poor.

There were 2 things really horrible about the time I stepped on a rusty nail in the US...

1) Their 'care' was putting my foot in a bowl of iodine for 20 minutes.
2) Said 'care' cost $700 (granted, it was ER, but I got myself there under my own power).

3) Ok... AMONG the things wrong with that incident... 3) The attitude I got from everywhere except the ER - 'gently caress off, we're busy' (my regular doctor had a game of golf that day, and the next day he was planning on evacuating for the hurricane for which I was nailing boards over the window for).

Their dentists aren't much better, either.

Well yeah, I was sort of assuming that the shift from paying insurance companies to providing healthcare would help improve things.

JFairfax
Oct 23, 2008

by FactsAreUseless
That's not really what they're doing, the affordable healthcare provision is really just a government insurance plan. Not strictly state provision of the services.

I am going to learn a lot more about it when I speak with the insurance team of our business services provider. I get the feeling I am going to be the one running point on setting up our company's healthcare plan here.

Uninsured in New York it cost me about 360 bucks to see a doc and get a prescription for antibiotics to treat my strep throat. The ENT doc charged about 50 bucks for removing ear wax during my visit. Without telling me the charge before he did it.

Lol seriously, gently caress being uninsured in America.

anyway, this isn't really UK chat. but end of the day, the NHS is seriously cool people.

Metrication
Dec 12, 2010

Raskin had one problem: Jobs regarded him as an insufferable theorist or, to use Jobs's own more precise terminology, "a shithead who sucks".

goddamnedtwisto posted:

That A11/A12/A13 corridor only really turned into the Essex we know and hate in the eighties. Tebbit's "Basildon Man" theory really was the Tories Southern Strategy, playing up on racist fears particularly among those who participated in the massive White Flight in the eighties under Right to Buy, as well as of course convincing every jobbing plumber and chippy that they too were now a Captain Of Industry.

You see this most particularly in the areas between the North Circular and the M25 (which I know isn't technically Essex) where the BNP and EDL are well-supported by people absolutely terrified by the fact the Brown Hordes they thought they'd escaped when they flipped their council flat on Vallance Road suddenly started getting enough money to move out to Barking and Rainham.

Out of interest how big an effect is the influx of white middle class professionals into poor ethnic minority areas like Peckham having on demographics? Is it possible inner London is going to end up as a rich white ghetto, like many European cities?

HortonNash
Oct 10, 2012

JFairfax posted:

Uninsured in New York it cost me about 360 bucks to see a doc and get a prescription for antibiotics to treat my strep throat.

My brother had a similar experience when he was living in New York. The doctor wrote a prescription for a brand name antibiotic, it was only when he mentioned it to the pharmacist that he was offered the equivalent generic for about a third of the price. A ridiculous system, if he didn't know that there was a perfectly good generic he would have been out a ridiculous amount of money.

goddamnedtwisto
Dec 31, 2004

If you ask me about the mole people in the London Underground, I WILL be forced to kill you
Fun Shoe

Metrication posted:

Out of interest how big an effect is the influx of white middle class professionals into poor ethnic minority areas like Peckham having on demographics? Is it possible inner London is going to end up as a rich white ghetto, like many European cities?

*Inner* inner London, basically anything bordering the City or Westminster (Tower Hamlets excluded for now at least) already are. Gentrification isn't a new thing after all - when Booth drew his poverty maps at the turn of the century some of the poorest areas were places like Soho, Pimlico, and even Holborn and Bloomsbury.

I don't know about the situation in Peckham but in Tower Hamlets the three-fronted gentrifcation - hipsters to the north and north-west, bankers invading from both the City and Canary Wharf - is having surprisingly little effect on the politics. Part of this is because the arrivistes aren't voting (either not bothering to register or too scared of the brown people to leave their gated communities) and part of it is because the existing communities are becoming more politically-aware and are voting in larger numbers (for both good and ill, we can blame this phenomenon for the Lutfur Rahman catastrofuck and George Galloway taking time off from licking dictator's arses to pretend to be a politician again).

Thrasophius
Oct 27, 2013

Spangly A posted:

There really weren't many healthcare providers in the entire world better than the NHS and I can think of precisely none that were free bar prescription. It was also 4th-6th most efficient fairly consistently.

And then we hired a guy to lend "international expertise" who previously worked in the country that ranked below Serbia and one place above Iran in the WHO tables.

HortonNash posted:

The NHS is amazing, I'd be dead and my family bankrupt without it, but in trying to save it the last government let the management classes in, and they don't care about public sector work ethics.

The NHS is without a doubt amazing, I'd be dead from appendicitis and my mother from a brain heamorrhage, or at the very least bankrupt from paying for treatment so it is literally a service to which I and many of my family owe their lives.

It really does make me sick watching it begin to ail like it is when it is preventable. It's all well and good the government saying "austerity" when they no doubt have private healthcare themselves but it royally fucks over the average Joe. As mentioned by you guys the sheer waste of resources and bad descisions is ridiculous.


Spangly A posted:

The French spend more than anyone, though. Their system is about getting the absolute best care possible as opposed to ours, which is high-functioning high-efficiency. Was, anyway.

e; I think it's the second most expensive in the world behind (obviously) America.

Yeh the French go for absolute best care no matter the price and I'm sure ours is still on the high-efficiency rather than best possible what with that cancer drug deemed "too expensive" recently. I mean hell I'd be disgusted if I was denied that drug when it meant another 6 months with my family.

baka kaba
Jul 19, 2003

PLEASE ASK ME, THE SELF-PROFESSED NO #1 PAUL CATTERMOLE FAN IN THE SOMETHING AWFUL S-CLUB 7 MEGATHREAD, TO NAME A SINGLE SONG BY HIS EXCELLENT NU-METAL SIDE PROJECT, SKUA, AND IF I CAN'T PLEASE TELL ME TO
EAT SHIT

Thrasophius posted:

It really does make me sick watching it begin to ail like it is when it is preventable. It's all well and good the government saying "austerity" when they no doubt have private healthcare themselves but it royally fucks over the average Joe. As mentioned by you guys the sheer waste of resources and bad descisions is ridiculous.

Not only do they have private healthcare, many of them own private healthcare companies, or at least have financial and business links to them.

This is the thing, those 'bad decisions' are actually good decisions if your interests are aligned with the erosion of the NHS, and replacing as much of it as possible with private providers. It's not incompetence at work here, there's a concerted effort to roll back all of the effort building a public, state healthcare institution, just like with privatising everything else in the name of small government and private-sector efficiency.

You can give the benefit of the doubt and say that people truly do believe the free market will make things better, in the face of all historical evidence to the contrary - and some will, even if many others stand to directly profit from it. But either way, the common thread is that they're both pushing for this to happen. They want the NHS dismantled and replaced. There's a lot that could be done better in the NHS as it is, but cutting funding and vaguely saying 'better find some way to make that money stretch further' is not safeguarding and improving the NHS by any measure - it's starving the beast, until the day they look sad and say 'looks like we've gotta put it down :('

Seaside Loafer
Feb 7, 2012

Waiting for a train, I needed a shit. You won't bee-lieve what happened next

I cant sleep (cos my loving girlfriends snoring again) so I was listening to business matters on bbc world service it usually just annoys the gently caress out of me but they had an interview with the guy who just released the book about how capitlism doesnt work and a big debate afterwards. Was interesting, will prolly be on iPlayer.

baka kaba
Jul 19, 2003

PLEASE ASK ME, THE SELF-PROFESSED NO #1 PAUL CATTERMOLE FAN IN THE SOMETHING AWFUL S-CLUB 7 MEGATHREAD, TO NAME A SINGLE SONG BY HIS EXCELLENT NU-METAL SIDE PROJECT, SKUA, AND IF I CAN'T PLEASE TELL ME TO
EAT SHIT

Ohhhhh, so 2 AM is when all the balance/extreme leftist bias occurs

mrpwase
Apr 21, 2010

I HAVE GREAT AVATAR IDEAS
For the Many, Not the Few


baka kaba posted:

Ohhhhh, so 2 AM is when all the balance/extreme leftist bias occurs

Those lefties probably don't work anyway, they're all up in the small hours making placards or something :arghfist::britain:

Rogue0071
Dec 8, 2009

Grey Hunter's next target.

Mister Adequate posted:

Well yeah, I was sort of assuming that the shift from paying insurance companies to providing healthcare would help improve things.

PPACA doesn't do this at all, if anything, it reinforces the private insurers by giving them guaranteed sales paid for by government subsidies It's also not going to lead to single payer in the US anytime soon (Vermont aside). Britain is in very little risk of having its health care system eclipsed by that of the US, although the moves towards NHS privatization are terrible.

Rude Dude With Tude
Apr 19, 2007

Your President approves this text.

baka kaba posted:

Ohhhhh, so 2 AM is when all the balance/extreme leftist bias occurs

Here you go http://www.bbc.co.uk/programmes/p01y76ws

BBC posted:

Wealth Inequality: The Growing Gap Between Rich And Poor
Duration: 55 minutes | First broadcast: Wednesday 07 May 2014
Today we're devoting half of the program to a discussion on wealth inequality and whether a growing gap between rich and poor is the inevitable outcome of the capitalist system left to find its own way. In his new book, 'Capital ...' the French economist Thomas Picketty says that is most definitely the case and he argues that higher taxes are the only way to fix it. In our Washington bureau, two eminent economists: Professor Peter Morici from the University of Maryland, and Mark Weisbrot, co-Director of the Centre for Economic and Policy Research. They fight over whether Piketty is right or wrong.

Also in the programme: Obama tackles climate change; is South Africa's economy too skewed towards big business?; Rahul Tandon on the Indian election trail in Shantiniketan, West Bengal.

Oh, and Lucy Kellaway of the Financial Times has a few top tips for those seeking world domination.

QuantumCrayons
Apr 11, 2010

baka kaba posted:

Ohhhhh, so 2 AM is when all the balance/extreme leftist bias occurs

Depends. Sometimes you get people like that who discuss how capitalism leads to inevitable inequality and sometimes you get people talking about how wonderful the free market is and asking why people don't work as hard as they used to.

Microplastics
Jul 6, 2007

:discourse:
It's what's for dinner.

QuantumCrayons posted:

people talking about how wonderful the free market is and asking why people don't work as hard as they used to.

What a bizarre thing to ask. Surely one of the things that the Holy Free Market deemed us worthy enough to benefit from was the sacred Efficiency that would free us from hard work?

CountButtula
Jan 5, 2014

KKKlean Energy posted:

What a bizarre thing to ask. Surely one of the things that the Holy Free Market deemed us worthy enough to benefit from was the sacred Efficiency that would free us from hard work?

My dad frequently assures me that I'm lazy and don't work as hard as him. I've had 25 jobs in my life; he's had 3. Indeed, we are the lazy generation.

tithin
Nov 14, 2003


[Grandmaster Tactician]




I just stole this for the AUMT, because no one had posted it there. Thanks chum :3:

Zephro
Nov 23, 2000

I suppose I could part with one and still be feared...

CountButtula posted:

My dad frequently assures me that I'm lazy and don't work as hard as him. I've had 25 jobs in my life; he's had 3. Indeed, we are the lazy generation.
We'll know that civilisation is on the right path when every generation works 15% longer than its parents did. Once we need to work 80 hours a week to afford some mouldy bread and the rent on a corner of a room in some Neo-Victorian cyberpunk rookery, that will truly be the promised land.

LemonDrizzle
Mar 28, 2012

neoliberal shithead
In just over two weeks' time, GPs will be voting on a proposal stating that it will be necessary to charge patients for appointments and that free at the point of delivery healthcare is unsustainable, at least for general practice.

Here's the text of the proposition:

http://bma.org.uk/-/media/files/pdf...ith%20cover.pdf

quote:

27 AGENDA COMMITTEE to be proposed by WILTSHIRE That conference:
(i) believes that general practice is unsustainable in its current format
(ii) believes that it is no longer viable for general practice to provide all patients with all NHS services free at the
point of delivery

(iii) urges the UK governments to define the services that can and cannot be accessed in the NHS
(iv) calls on GPC to consider alternative funding mechanisms for general practice
(v) calls on GPC to explore national charging for general practice services with the UK governments.

27a WILTSHIRE That conference believes the time is right for a fee for service for general practice.
27b AVON That conference calls on GPC to explore with the Department of Health the alternatives to a completely free at the point
of access system.
27c GLOUCESTERSHIRE That conference believes the time has come to impose a national charge for consultations as part of a
strategy of demand management.
27d KINGSTON AND RICHMOND That conference believes that alternative funding mechanisms for general practice must be explored
in order to preserve universal general practice.
27e GLOUCESTERSHIRE That conference requires the GPC to consider a fundamental change to the contract, such as an alternative
system of funding, as for instance that used in Guernsey.
27f MID MERSEY That conference believes as with dentistry and ophthalmology services, it is no longer viable for general practice to
provide all NHS services free at the point of delivery for all patients.

This isn't the only funding-related proposal that will be addressed during the conference - there are several arguing for more central government funding in general and additional support for GPs in rural/disadvantaged communities in particular - but it's interesting that there seems to be at least a sizeable minority of GPs who are quite gung ho about killing off free care.

Rude Dude With Tude
Apr 19, 2007

Your President approves this text.
The vote won't pass, the greedy bastards will be too busy off playing golf to turn up.

haakman
May 5, 2011
What happens if you can't pay the 25 quid?

SybilVimes
Oct 29, 2011

haakman posted:

What happens if you can't pay the 25 quid?

You die.

e: this pretty much guarentees that i can't afford to keep treating my diabetes, so in essence, I die, that's life I guess.

Dear tory voters, please feel free to put out 'vote tory twat' signs this coming year, it'll help identify whose skulls to smash in with a mallet - if I'm gonna die, I'm taking as many of you as I can with me. :unsmigghh:

Pissflaps
Oct 20, 2002

by VideoGames
I expect there would continue to be similar criteria for free consultation as you get with those entitled to free dental care and free prescriptions so I wouldn't panic too much.

Though it would ensure that somebody like me who is lucky enough to be earning and generally healthy is less likely to get that nasty cough or suspicious mole checked out. C'est la vie.

Chocolate Teapot
May 8, 2009

Pissflaps posted:

I expect there would continue to be similar criteria for free consultation as you get with those entitled to free dental care and free prescriptions so I wouldn't panic too much.

"Want the same service that you've been used to all your life? You can still get, but not before navigating through all these pointless loops and barriers."

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Pesmerga
Aug 1, 2005

So nice to eat you
So, uh, if anyone was following the Strangecoin thread, do you know either a) what happened or b) why it's disappeared?

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