|
Post by baggins on Nov 12, 2019 12:57:00 GMT
Germany spends more money per capita, has a higher ratio of beds and a higher ratio of doctors.
Spending per person (2017):
Germany: $5,280 UK: $4,246
Doctors per 1,000 people:
Germany: 4.1 UK: 2.8
Hospital Beds per 1,000 people (2015):
Germany: 8.13
UK: 2.61
Precisely. Watch it get worse.
|
|
Deleted
Deleted Member
Posts: 0
|
Post by Deleted on Nov 12, 2019 17:46:40 GMT
As I keep saying, but it appears some are not willing to listen. In Germany, wages are generally higher than in the UK. The amount you pay towards your health insurance is a percentage of your pay, so, the total amount spent by each person on healthcare in Germany WOULD be higher than in the UK. Germany has more Doctor's per 1,000 people than the UK. All Doctor's Germany are private. Germany has more hospital beds per 1,000 than the UK. All German hospital's are private. So, it does seem as though the private sector handles things better than a National Health Service funded by the Government ? I keep saying it. It's not the amount of money that is thrown at the NHS, it's how that money is spent. Everyone criticizes the government over NHS funding, but nobody ever questions the Health Trusts and how they spend that money.
|
|
stuart1974
Proper Gas
Posts: 12,550
Member is Online
|
Post by stuart1974 on Nov 12, 2019 18:13:46 GMT
As I keep saying, but it appears some are not willing to listen. In Germany, wages are generally higher than in the UK. The amount you pay towards your health insurance is a percentage of your pay, so, the total amount spent by each person on healthcare in Germany WOULD be higher than in the UK. Germany has more Doctor's per 1,000 people than the UK. All Doctor's Germany are private. Germany has more hospital beds per 1,000 than the UK. All German hospital's are private. So, it does seem as though the private sector handles things better than a National Health Service funded by the Government ? I keep saying it. It's not the amount of money that is thrown at the NHS, it's how that money is spent. Everyone criticizes the government over NHS funding, but nobody ever questions the Health Trusts and how they spend that money. The figures are per capita, regardless of how it is funded or whether it is private or not.
|
|
Deleted
Deleted Member
Posts: 0
|
Post by Deleted on Nov 12, 2019 18:41:47 GMT
As I keep saying, but it appears some are not willing to listen. In Germany, wages are generally higher than in the UK. The amount you pay towards your health insurance is a percentage of your pay, so, the total amount spent by each person on healthcare in Germany WOULD be higher than in the UK. Germany has more Doctor's per 1,000 people than the UK. All Doctor's Germany are private. Germany has more hospital beds per 1,000 than the UK. All German hospital's are private. So, it does seem as though the private sector handles things better than a National Health Service funded by the Government ? I keep saying it. It's not the amount of money that is thrown at the NHS, it's how that money is spent. Everyone criticizes the government over NHS funding, but nobody ever questions the Health Trusts and how they spend that money. The figures are per capita, regardless of how it is funded or whether it is private or not. It doesn't say per capita. Also, IF Germany spend approx. 20% more on Health Care that doesn't explain why they have more than 20% Doctor's or hospital beds compared to the UK. The bottom line is that even using these figures, it is obvious the Germans get more 'bang for their bucks', so the question is still the same. Is Private Health Care the way to move forward? Here is something else for people to consider. If in Germany you are being taken to hospital in an Ambulance, and you have your wits about you (or a family member, friend etc) you can actually tell the Ambulance crew which hospital you want to be taken to. This has a number of implications, but the main one is this. Over time, and from talk amongst people, press reports etc etc, hospitals build up a reputation, either good or bad. As hospital's are private, and depend on patients going to that hospital so they get paid, it's important not to have a bad reputation. This also provides competition between hospital's, so they actively work hard to maintain a good reputation. It's business after all, but the main winner in this is the patient as the hospital's constantly strive to improve.
|
|
Deleted
Deleted Member
Posts: 0
|
Post by Deleted on Nov 12, 2019 19:41:21 GMT
As I keep saying, but it appears some are not willing to listen. In Germany, wages are generally higher than in the UK. The amount you pay towards your health insurance is a percentage of your pay, so, the total amount spent by each person on healthcare in Germany WOULD be higher than in the UK. Germany has more Doctor's per 1,000 people than the UK. All Doctor's Germany are private. Germany has more hospital beds per 1,000 than the UK. All German hospital's are private. So, it does seem as though the private sector handles things better than a National Health Service funded by the Government ? I keep saying it. It's not the amount of money that is thrown at the NHS, it's how that money is spent. Everyone criticizes the government over NHS funding, but nobody ever questions the Health Trusts and how they spend that money. The figures are per capita, regardless of how it is funded or whether it is private or not. I am afraid basic math is list on those with a blinkered ideological prejudice. Either way its played, spend per capita, total spend related to gdp, the Germans spend around £30,000,000,000 (based on our gdp, not theirs) than we do, per annum. That's why the service provision differs.
|
|
Deleted
Deleted Member
Posts: 0
|
Post by Deleted on Nov 12, 2019 20:03:29 GMT
The figures are per capita, regardless of how it is funded or whether it is private or not. It doesn't say per capita. Also, IF Germany spend approx. 20% more on Health Care that doesn't explain why they have more than 20% Doctor's or hospital beds compared to the UK. The bottom line is that even using these figures, it is obvious the Germans get more 'bang for their bucks', so the question is still the same. Is Private Health Care the way to move forward? Here is something else for people to consider. If in Germany you are being taken to hospital in an Ambulance, and you have your wits about you (or a family member, friend etc) you can actually tell the Ambulance crew which hospital you want to be taken to. This has a number of implications, but the main one is this. Over time, and from talk amongst people, press reports etc etc, hospitals build up a reputation, either good or bad. As hospital's are private, and depend on patients going to that hospital so they get paid, it's important not to have a bad reputation. This also provides competition between hospital's, so they actively work hard to maintain a good reputation. It's business after all, but the main winner in this is the patient as the hospital's constantly strive to improve. Any health tourism issues in Germany?
|
|
stuart1974
Proper Gas
Posts: 12,550
Member is Online
|
Post by stuart1974 on Nov 12, 2019 20:12:26 GMT
It doesn't say per capita. Also, IF Germany spend approx. 20% more on Health Care that doesn't explain why they have more than 20% Doctor's or hospital beds compared to the UK. The bottom line is that even using these figures, it is obvious the Germans get more 'bang for their bucks', so the question is still the same. Is Private Health Care the way to move forward? Here is something else for people to consider. If in Germany you are being taken to hospital in an Ambulance, and you have your wits about you (or a family member, friend etc) you can actually tell the Ambulance crew which hospital you want to be taken to. This has a number of implications, but the main one is this. Over time, and from talk amongst people, press reports etc etc, hospitals build up a reputation, either good or bad. As hospital's are private, and depend on patients going to that hospital so they get paid, it's important not to have a bad reputation. This also provides competition between hospital's, so they actively work hard to maintain a good reputation. It's business after all, but the main winner in this is the patient as the hospital's constantly strive to improve. Any health tourism issues in Germany? What is your definition of health tourism and how much do you think it costs?
|
|
Deleted
Deleted Member
Posts: 0
|
Post by Deleted on Nov 12, 2019 20:21:01 GMT
It doesn't say per capita. Also, IF Germany spend approx. 20% more on Health Care that doesn't explain why they have more than 20% Doctor's or hospital beds compared to the UK. The bottom line is that even using these figures, it is obvious the Germans get more 'bang for their bucks', so the question is still the same. Is Private Health Care the way to move forward? Here is something else for people to consider. If in Germany you are being taken to hospital in an Ambulance, and you have your wits about you (or a family member, friend etc) you can actually tell the Ambulance crew which hospital you want to be taken to. This has a number of implications, but the main one is this. Over time, and from talk amongst people, press reports etc etc, hospitals build up a reputation, either good or bad. As hospital's are private, and depend on patients going to that hospital so they get paid, it's important not to have a bad reputation. This also provides competition between hospital's, so they actively work hard to maintain a good reputation. It's business after all, but the main winner in this is the patient as the hospital's constantly strive to improve. Any health tourism issues in Germany? Not that I'm aware of. Obviously hospital's don't turn people away if they have no insurance but to be honest I don't really have much knowledge as to what happens if they have no insurance.
|
|
Deleted
Deleted Member
Posts: 0
|
Post by Deleted on Nov 12, 2019 20:25:27 GMT
Any health tourism issues in Germany? What is your definition of health tourism and how much do you think it costs? With Germany having a private system I guess they do not have the same problem as the UK - presumably Germany would not be high on the list of countries to visit for treatment? I’ve heard NHS doctors say they are clinicians, there to help people and that they are not tax collectors so millions of £’s never gets recovered. Since a high proportion of NHS Dr’s also have a private practice I wonder how many take the same moral stance if someone walks into their private consulting rooms with no money? I could google the amount health tourism costs but does it really matter? I’m sure it’s in the tens of millions but when we are discussing how stretched the NHS is and much talk of diminishing levels of care can we be so frivolous as to waste a single penny? We also need to clamp down those ambulance chasing leeches called solicitors looking for people to sue the NHS when they don’t have a perfect outcome from their treatment.
|
|
stuart1974
Proper Gas
Posts: 12,550
Member is Online
|
Post by stuart1974 on Nov 12, 2019 20:33:24 GMT
What is your definition of health tourism and how much do you think it costs? With Germany having a private system I guess they do not have the same problem as the UK - presumably Germany would not be high on the list of countries to visit for treatment? I’ve heard NHS doctors say they are clinicians, there to help people and that they are not tax collectors so millions of £’s never gets recovered. Since a high proportion of NHS Dr’s also have a private practice I wonder how many take the same moral stance if someone walks into their private consulting rooms with no money? I could google the amount health tourism costs but does it really matter? I’m sure it’s in the tens of millions but when we are discussing how stretched the NHS is and much talk of diminishing levels of care can we be so frivolous as to waste a single penny? We also need to clamp down those ambulance chasing leeches called solicitors looking for people to sue the NHS when they don’t have a perfect outcome from their treatment. Just wondered if you counted expats coming back for treatment. The cost is about 2 years worth of Steve Lansdown tax breaks from what I can see Perhaps priority should be elsewhere.
|
|
Deleted
Deleted Member
Posts: 0
|
Post by Deleted on Nov 12, 2019 20:36:58 GMT
What is your definition of health tourism and how much do you think it costs? With Germany having a private system I guess they do not have the same problem as the UK - presumably Germany would not be high on the list of countries to visit for treatment? I’ve heard NHS doctors say they are clinicians, there to help people and that they are not tax collectors so millions of £’s never gets recovered. Since a high proportion of NHS Dr’s also have a private practice I wonder how many take the same moral stance if someone walks into their private consulting rooms with no money? I could google the amount health tourism costs but does it really matter? I’m sure it’s in the tens of millions but when we are discussing how stretched the NHS is and much talk of diminishing levels of care can we be so frivolous as to waste a single penny? We also need to clamp down those ambulance chasing leeches called solicitors looking for people to sue the NHS when they don’t have a perfect outcome from their treatment. The cost seems to be quoted at anything from 100m to 350m, but it's not just the money. Treating the 'health tourists' takes time. When the doctor's and nurses are treating them, 'other' patients may find their treatment/operation delayed or cancelled. Hospital beds get taken up, where once again 'other' patients may find their treatment/operation cancelled. You also have to look at these knock on effects. It's not just all about the money.
|
|
Deleted
Deleted Member
Posts: 0
|
Post by Deleted on Nov 12, 2019 20:44:28 GMT
Health Tourism in just two London hospital's. Interesting article. The interesting part is where if a patient is not called a 'Health Tourist' the hospital can charge the taxpayer for the treatment. If they are classified as 'health tourists' then the hospital cannot claim. Therefore, there is not much emphasis placed on identifying health tourists. Telegraph
|
|
Deleted
Deleted Member
Posts: 0
|
Post by Deleted on Nov 12, 2019 20:45:29 GMT
With Germany having a private system I guess they do not have the same problem as the UK - presumably Germany would not be high on the list of countries to visit for treatment? I’ve heard NHS doctors say they are clinicians, there to help people and that they are not tax collectors so millions of £’s never gets recovered. Since a high proportion of NHS Dr’s also have a private practice I wonder how many take the same moral stance if someone walks into their private consulting rooms with no money? I could google the amount health tourism costs but does it really matter? I’m sure it’s in the tens of millions but when we are discussing how stretched the NHS is and much talk of diminishing levels of care can we be so frivolous as to waste a single penny? We also need to clamp down those ambulance chasing leeches called solicitors looking for people to sue the NHS when they don’t have a perfect outcome from their treatment. The cost seems to be quoted at anything from 100m to 350m, but it's not just the money. Treating the 'health tourists' takes time. When the doctor's and nurses are treating them, 'other' patients may find their treatment/operation delayed or cancelled. Hospital beds get taken up, where once again 'other' patients may find their treatment/operation cancelled. You also have to look at these knock on effects. It's not just all about the money. Just think what could be done with that money and like you say the time re-available to Dr’s! I don’t understand why there is a rabid witch hunt when a celeb or tycoon moves to a tax haven but there is an acceptance of the NHS being abused when it is already struggling.
|
|
Deleted
Deleted Member
Posts: 0
|
Post by Deleted on Nov 13, 2019 8:13:18 GMT
The cost seems to be quoted at anything from 100m to 350m, but it's not just the money. Treating the 'health tourists' takes time. When the doctor's and nurses are treating them, 'other' patients may find their treatment/operation delayed or cancelled. Hospital beds get taken up, where once again 'other' patients may find their treatment/operation cancelled. You also have to look at these knock on effects. It's not just all about the money. Just think what could be done with that money and like you say the time re-available to Dr’s! I don’t understand why there is a rabid witch hunt when a celeb or tycoon moves to a tax haven but there is an acceptance of the NHS being abused when it is already struggling. Ahh, the old tactic. I cannot argue the numbers, so let's blame foreigners. Typical populist crap.
|
|
Deleted
Deleted Member
Posts: 0
|
Post by Deleted on Nov 13, 2019 8:24:57 GMT
Just think what could be done with that money and like you say the time re-available to Dr’s! I don’t understand why there is a rabid witch hunt when a celeb or tycoon moves to a tax haven but there is an acceptance of the NHS being abused when it is already struggling. Ahh, the old tactic. I cannot argues the numbers, so let's blame foreigners. Typical populist crap. I think your argument is the simplistic one, and is designed to shut down debate. Is it impossible for you discuss the system and how it could be improved? Or maybe you can explain why in your opinion, the NHS is as good as it gets?
|
|
stuart1974
Proper Gas
Posts: 12,550
Member is Online
|
Post by stuart1974 on Nov 13, 2019 8:45:02 GMT
Ahh, the old tactic. I cannot argues the numbers, so let's blame foreigners. Typical populist crap. I think your argument is the simplistic one, and is designed to shut down debate. Is it impossible for you discuss the system and how it could be improved? Or maybe you can explain why in your opinion, the NHS is as good as it gets? As opposed to deflection. The question was the cost and whether expats were included. The cost is very nominal in terms of overall NHS cost and accurate figures are difficult to obtain. I would be interested in the Good Officer's opinion and the BMA seem to think it isn't helping when discussing health tourism against the NHS problems. When I pointed out that the tax exiles take more money from the UK it was described as "a rabid witchhunt". Then further deflection by saying it takes bed spaces.
|
|
Deleted
Deleted Member
Posts: 0
|
Post by Deleted on Nov 13, 2019 9:44:49 GMT
I think your argument is the simplistic one, and is designed to shut down debate. Is it impossible for you discuss the system and how it could be improved? Or maybe you can explain why in your opinion, the NHS is as good as it gets? As opposed to deflection. The question was the cost and whether expats were included. The cost is very nominal in terms of overall NHS cost and accurate figures are difficult to obtain. I would be interested in the Good Officer's opinion and the BMA seem to think it isn't helping when discussing health tourism against the NHS problems. When I pointed out that the tax exiles take more money from the UK it was described as "a rabid witchhunt". Then further deflection by saying it takes bed spaces. Exactly. And yes Nobby we all need to discuss the most efficient way of utilising our hard earned taxes in the NHS, but we need to start with a realistic funding base, otherwise we will be just chasing our tails. Invoking so called "Health Tourism" (albeit a frustrating fact) is just a deflection as Stuart says. The real debate is "Right, what's the max we can afford and need to spend, what cant we cover" Starter for ten. 1. watered up blokes on a weekend. They can pay.
|
|
Deleted
Deleted Member
Posts: 0
|
Post by Deleted on Nov 13, 2019 15:06:37 GMT
I think your argument is the simplistic one, and is designed to shut down debate. Is it impossible for you discuss the system and how it could be improved? Or maybe you can explain why in your opinion, the NHS is as good as it gets? As opposed to deflection. The question was the cost and whether expats were included. The cost is very nominal in terms of overall NHS cost and accurate figures are difficult to obtain. I would be interested in the Good Officer's opinion and the BMA seem to think it isn't helping when discussing health tourism against the NHS problems. When I pointed out that the tax exiles take more money from the UK it was described as "a rabid witchhunt". Then further deflection by saying it takes bed spaces. The question first put by the officer was should the NHS be privatised. The health tourism part is just a small example of where savings can be made. Also, if you read that article from the Telegraph you'll see that health tourism is not some made-up problem. It costs the NHS money and the resources of medical staff and beds. If you want to ignore something that a very rough judgement says costs 350 million quid, then what else are you prepared to ignore?
|
|
Deleted
Deleted Member
Posts: 0
|
Post by Deleted on Nov 13, 2019 15:15:50 GMT
As opposed to deflection. The question was the cost and whether expats were included. The cost is very nominal in terms of overall NHS cost and accurate figures are difficult to obtain. I would be interested in the Good Officer's opinion and the BMA seem to think it isn't helping when discussing health tourism against the NHS problems. When I pointed out that the tax exiles take more money from the UK it was described as "a rabid witchhunt". Then further deflection by saying it takes bed spaces. Exactly. And yes Nobby we all need to discuss the most efficient way of utilising our hard earned taxes in the NHS, but we need to start with a realistic funding base, otherwise we will be just chasing our tails. Invoking so called "Health Tourism" (albeit a frustrating fact) is just a deflection as Stuart says. The real debate is "Right, what's the max we can afford and need to spend, what cant we cover" Starter for ten. 1. watered up blokes on a weekend. They can pay. As usual, you don't think things through do you. You want some watered up bloke to pay. I assume you are thinking it's because whatever the problem our watered up bloke has, it's his own fault. Does that also apply to the bloke who hurts himself doing DIY? Should he have employed a professional? What about the bloke who breaks his leg playing football on a Saturday afternoon? Is it his fault as he didn't really need to be playing football, especially with the risk of injury playing sports bring? The same for Rugby, Cricket etc? What if you make a mistake resulting in a car crash where you get injured? Is that your fault, do you have to pay? You step out into the road and get hit by a car, is that your fault and do you have to pay? The list is endless isn't it? "The real debate is "Right, what's the max we can afford and need to spend, what cant we cover" - With the NHS, the taxpayer in the UK has no idea as to how much they pay towards it, so working out how much 'we can afford' will never work. Once again I'll ask, why does nobody question the NHS Trusts as to how they spend the money? THEY are the ones who should be in the public eye answering questions. In defence of politicians (and I never thought I'd write that!) they basically just stump up the cash. How it is allocated and spent is down to the Trusts in reality.
|
|
Deleted
Deleted Member
Posts: 0
|
Post by Deleted on Nov 13, 2019 15:36:51 GMT
Exactly. And yes Nobby we all need to discuss the most efficient way of utilising our hard earned taxes in the NHS, but we need to start with a realistic funding base, otherwise we will be just chasing our tails. Invoking so called "Health Tourism" (albeit a frustrating fact) is just a deflection as Stuart says. The real debate is "Right, what's the max we can afford and need to spend, what cant we cover" Starter for ten. 1. watered up blokes on a weekend. They can pay. As usual, you don't think things through do you. You want some watered up bloke to pay. I assume you are thinking it's because whatever the problem our watered up bloke has, it's his own fault. Does that also apply to the bloke who hurts himself doing DIY? Should he have employed a professional? What about the bloke who breaks his leg playing football on a Saturday afternoon? Is it his fault as he didn't really need to be playing football, especially with the risk of injury playing sports bring? The same for Rugby, Cricket etc? What if you make a mistake resulting in a car crash where you get injured? Is that your fault, do you have to pay? You step out into the road and get hit by a car, is that your fault and do you have to pay? The list is endless isn't it? "The real debate is "Right, what's the max we can afford and need to spend, what cant we cover" - With the NHS, the taxpayer in the UK has no idea as to how much they pay towards it, so working out how much 'we can afford' will never work. Once again I'll ask, why does nobody question the NHS Trusts as to how they spend the money? THEY are the ones who should be in the public eye answering questions. In defence of politicians (and I never thought I'd write that!) they basically just stump up the cash. How it is allocated and spent is down to the Trusts in reality. Thought it through. A watered up bloke who gets hurt or I'll because he is a prat for doing that, yes make the prat pay. DIY, it's an accident. As for the trusts, most of them are in deficit, and not because of nefarious intent. No the issue is the NHS is underfunded.
|
|