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	<title>Tie Your Camel &#187; NHS</title>
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	<link>http://tieyourcamel.co.uk</link>
	<description>Remember... Always tie up your camel!</description>
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		<title>The trouble with popular political discourse in the US</title>
		<link>http://tieyourcamel.co.uk/politics/the-trouble-with-popular-political-discourse-in-the-us</link>
		<comments>http://tieyourcamel.co.uk/politics/the-trouble-with-popular-political-discourse-in-the-us#comments</comments>
		<pubDate>Wed, 19 Aug 2009 12:57:23 +0000</pubDate>
		<dc:creator>Camel</dc:creator>
				<category><![CDATA[Politics]]></category>
		<category><![CDATA[America]]></category>
		<category><![CDATA[health]]></category>
		<category><![CDATA[Nationalised healthcare]]></category>
		<category><![CDATA[NHS]]></category>
		<category><![CDATA[Obama]]></category>
		<category><![CDATA[Republican]]></category>
		<category><![CDATA[US]]></category>

		<guid isPermaLink="false">http://tieyourcamel.co.uk/?p=140</guid>
		<description><![CDATA[The trouble with popular political discourse in America. 


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			<content:encoded><![CDATA[<p>Video summary: Jewish man supports nationalised healthcare based on his experience in Israel (with a nationalised health system) and his personal experience in the US, where he was asked to pay $8,000 for a 2-hour stay in an American emergency room. He encounters a terrible and bigoted woman who opposes his opinions.</p>
<p>Look at what happens (the bit at the end is especially indicative):</p>
<p><a href="http://tieyourcamel.co.uk/politics/the-trouble-with-popular-political-discourse-in-the-us"><em>Click here to view the embedded video.</em></a></p>


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		<title>Hannan Again</title>
		<link>http://tieyourcamel.co.uk/politics/hannan-again</link>
		<comments>http://tieyourcamel.co.uk/politics/hannan-again#comments</comments>
		<pubDate>Sun, 16 Aug 2009 00:47:20 +0000</pubDate>
		<dc:creator>Camel</dc:creator>
				<category><![CDATA[Politics]]></category>
		<category><![CDATA[America]]></category>
		<category><![CDATA[Daniel Hannan]]></category>
		<category><![CDATA[Nationalisation]]></category>
		<category><![CDATA[NHS]]></category>
		<category><![CDATA[UK]]></category>
		<category><![CDATA[US]]></category>

		<guid isPermaLink="false">http://tieyourcamel.co.uk/?p=91</guid>
		<description><![CDATA[Hannan has issues a response (or a &#8216;final word&#8217;) on, surprise surprise, the Daily Telegraph&#8217;s website. You can read the whole article here.
It&#8217;s clear Hannan&#8217;s an intelligent fellow. I think it&#8217;s easy to assume that when he goes on US TV, he&#8217;s not being ambushed, but he knows exactly what sort of environment he is [...]


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			<content:encoded><![CDATA[<p>Hannan has issues a response (or a &#8216;final word&#8217;) on, surprise surprise, the Daily Telegraph&#8217;s website. You can read the whole article <a title="Dan Hannan" href="http://blogs.telegraph.co.uk/news/danielhannan/100006578/the-nhs-row-my-final-word/" target="_blank">here.</a></p>
<p>It&#8217;s clear Hannan&#8217;s an intelligent fellow. I think it&#8217;s easy to assume that when he goes on US TV, he&#8217;s not being ambushed, but he knows exactly what sort of environment he is getting into and exactly what sort of effect his comments may have. I am sure he is well aware of the current political circumstances in America. He seems to be a politican 2.0 sort, so no doubt he&#8217;s crawled through youtube looking at the same sort of videos anyone who&#8217;s interested in American politics will have seen.</p>
<p>So he does the rounds on Glenn Beck and Sean Hannity and is praised by the likes of cretinous Cavuto. His words are being used right now in the US to support the idea that the NHS is <strong>evil</strong> and <strong>Orwellian</strong>. They are being used to directly influence American domestic opinion and policy.</p>
<p>Meanwhile, the examples he provides are terrible. For example, from the Glenn Beck clip I posted in a previous blog post:</p>
<blockquote>
<p style="text-align: left; margin-top: 0px; margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1em; color: #000000; padding: 0px;">And he said, &#8220;Look, I&#8217;m in real pain, can I have some painkillers while I&#8217;m waiting.&#8221; And they said, &#8220;No, get to the back of the line.&#8221; He said, &#8220;Look, I&#8217;d buy them.&#8221; And they said, I think they became very aggressive, &#8220;What do you mean you&#8217;re going to buy them. This is the National Health Service, so we don&#8217;t have any provision for independent purchase of medicine.&#8221;</p>
<p style="text-align: left; margin-top: 0px; margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1em; color: #000000; padding: 0px;">So, that&#8217;s the — that&#8217;s the mentality.</p>
</blockquote>
<p style="text-align: left; margin-top: 0px; margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1em; color: #000000; padding: 0px;">Let&#8217;s give him the benefit of the doubt over the phrasing. There is a very good reason as to why receptionists don&#8217;t have the power to immediately hand out painkillers or any medicine. Firstly, they are not doctors and may not know what is appropraite. Secondly, they do not know if this person is some kind of drug addict. Thirdly, they don&#8217;t know if this guy is going to have an allergic reaction to painkillers or if he&#8217;s already taken the accepted dose. It isn&#8217;t their job to do it. If the pain was pretty bad, he should already have bought and taken over-the-counter drugs. If the pain was extremely bad, he should have emphasised its urgency (the example doesn&#8217;t sound too urgent). I&#8217;m sure that when you go to A&amp;E in the US, you get instant treatment and the receptionists hand out painkillers like candy (or maybe not).</p>
<blockquote>
<p style="text-align: left; margin-top: 0px; margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1em; color: #000000; padding: 0px;">We have 1.4 million people employed by the National Health Service. It is the third biggest employer in the world after the Red Army in China and the Indian National Railways. Most of those 1.4 million people are administrators, that the managers outnumber the doctors and nurses. And that is the electoral bloc that makes it almost impossible to get rid of.</p>
</blockquote>
<p style="text-align: left; margin-top: 0px; margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1em; color: #000000; padding: 0px;">This is a mix of a massive fallacy and an outright lie. Firstly, about 3% of the NHS workforce is managerial and about 40% are doctors and nurses, while a further 40%-odd are directly involved in patient care. Secondly, Wal-Mart employs about 1.8 million. Thirdly, the fact that it is &#8216;one of the biggest employers in the world&#8217; really isn&#8217;t relevant. It is here considered a single, massive organisation, that is not broken down into chunks. If private healthcare in this country had the capabilities of the NHS, it would need similar staff levels. Places like Germany do not have a single health employment umbrella and so several organisations involved in patient care. So, for example, in the US, about 12 million people are involved in healthcare. Yes that&#8217;s right. To cater for a population about 5 times the size of the UK&#8217;s,<a title="BLS" href="ftp://ftp.bls.gov/pub/suppl/empsit.ceseeb12.txt" target="_blank"> the US has </a><strong><a title="BLS" href="ftp://ftp.bls.gov/pub/suppl/empsit.ceseeb12.txt" target="_blank">10 times the number of people involved</a></strong><a title="BLS" href="ftp://ftp.bls.gov/pub/suppl/empsit.ceseeb12.txt" target="_blank">.</a> This does not indicate that the NHS is bloated. In comparison to the US it is positively anaemic.  Even if you accept that this workforce shouldn&#8217;t be employed by the state, <strong>the workforce involved would probably need to be at least at the level it is at the moment</strong>. Oh-oh.</p>
<p style="text-align: left; margin-top: 0px; margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1em; color: #000000; padding: 0px;">So what&#8217;s the problem with Hannan again? His erroneous consideration of the NHS is being used as an example to manipulate American domestic opinion and block what might be one of the biggest and best changes to hit America in the last few decades. It is horrific and I hope his political career suffers as a result.</p>


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