RE: Belt And Road Initiative / Cascabel: A $12B development27 Jun 2025 06:16
Good morning bradlmi1 .
Margaret Thatcher introduced commissioning.
However most privatisation took place under labour.
Although a cut to dentistry under Margaret Thatcher happened it was Tony Blair's government that was the death of NHS dentistry, with underfunded settlements
Again while GP's were never fully paid for by the NHS, it was Blairs government that implemented the structure that GP's live under today. 2006 if I remember right.
One of the biggest parts of privatisation was PFI.
This was started under the conservative government.
However this was centrally managed and led to a large investment and was responsibly managed.
The huge scandal was under Blair's government that took away central management and gave it to local health authorities.
This is where the scandel lies, as although more hospitals were built, the maintenance costs are prohibited and 80 pounds to change a lightbulb would never have been signed under the conservative government.
It's largely a myth that any government wants to privatise the NHS.
They don't, but all governments want more private provision.
Look at Starmers announcements this year.
If he goes ahead, it will be the biggest outsourcing of the NHS to the private sector.
From my point of view, it doesn't matter as long as it remains free at the point of use, and is available to everyone.
However in saying all this, times have changed and we require a grown up debate about what the NHS will do in the future.
I don't think we can continue funding everything as eventually the NHS will take too big of a slice of taxation, with an aging population and an ever more expensive one, as technology increases and the kit is more expensive.
Hopefully technology will also lead to cost savings, where robots preform operations and AI creates new drugs and treatments.
However the rigorous testing regime and staged clinical trials will remain and quite rightly so.
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