reply to post by ImaginaryReality1984
The doctors and nurses have their wages set byt the NHs and they sign a contract for them. If they don't like the wages they can leave anytime
and do private work or they can mix private work and NHS treatment.
That brings up another question: what private work is available? If everyone is covered under NHS for 'free', then why would anyone pay for services
form a private entity?
$78K sounds like a good wage at first glance, but when I think things over, that may be lower than the starting income of our doctors. Based on a
40-hour workweek, that comes to about $39 per hour. A machinist or welder can typically start out at $20 an hour. That's about half of the doctor's
starting pay, but considering the difference in education requirements (4 years college + 4 years med school + minimum 2 year internship vs. around 2
years training in a trade) it sounds pretty pathetic to me.
Now I am no expert by any means on the subject of doctor's pay, so if someone wishes to enlighten me, it would be greatly appreciated. Perhaps the
starting pay for a doctor here is higher, or perhaps the advancement is much faster than that of a tradesman; I simply would expect such an initial
sacrifice to be well-rewarded.
The USa is a larger country and therefore has a larger research budget. It should also be noted the many of these breakthroughs came from
military funding. If this funding were channeled into healthcare then the breakthroughs would be equally impressive.
I must agree that the US is a larger country and would therefore have more funded researchers. Can you provide me some examples of UK breakthroughs
that have happened since the innovation of the NHS? Also, is the funding for this research provided directly by the NHS, or is medical research left
to Capitalistic influences? I would assume there would be some
connection with the NHS, since the NHS would be the singular customer
domestically for any breakthroughs that occur.
My concern here is that there is enough incentive to attract the best and brightest minds into the field.
As for military innovations, that has always been the case. Military advances are usually the norm simply because governments have the funding
available to pursue new technologies and in the interest of National Security, that funding may easily be seen as practical where private interests
would consider it excessive. Because of this, I personally doubt direct research money into the medical field would provide much if any improvement
over and above what the military has always provided.
The NHS is paid for by income tax.
What percentage do you pay for this income tax? That may not be a viable option in the USA. As you mention, we have many many more taxes than just the
income tax. In the first place, most states also require payment of an income tax over and above the federal tax, and even some cities have their own
income tax as well. Now add in luxury taxes, use taxes, fuel taxes, excise taxes, 'sin' taxes, fees, permits for almost every activity you can
imagine, mandatory requirements for insurance, waste disposal, and other services that cannot be refused and we are already taxed well beyond the 50%
mark, even for those living below the poverty level.
Taxation must stop at 100%. You cannot tax more than a person makes. That is self-evident. Even at 100%, that leaves nothing for people to use for
food, housing, transportation, clothing, or disposable income to drive the economy. Do we have room for a tax on the level you employ for socialized
If malpractice occurs it is the same as your system. The family sues, end of story.
I wonder if malpractice awards are on par with ours... I also wonder how we could compare accurately between the two systems.
You asked respectfully and with an apparent genuine open mind, therefore your questions are very welcome.
Thank you. I have no interest or stake in denigrating the NHS. I have no connection with the NHS. Therefore it would be illogical for me to attack
them without just cause, and even more illogical to attack them over rumor and innuendo.
Please note, however, that just as in our previous exchanges I am not one to sugar-coat a position I hold. Some of my questions may become pointed; do
not take that as aggression, but as honest debate.
[edit on 9/18/2009 by TheRedneck]