finneh
Full Member
- Joined
- Jun 28, 2010
- Messages
- 7,330
Based on what exactly? Every Libertarian is convinced government is implicitly wasteful, yet in the main example we have, healthcare, the UK spends considerably less than the free market driven approach taken by America and with considerably better coverage and outcomes in most areas.
Do you know the reason that we have competition laws throughout the world that actively break up and discourage monopolies? It's because having one company who has an absolute captive market is bad for competition and awful for the consumer.
Imagine a theoretical scenario whereby Eon bought every other energy supplier in the UK. Then imagine over the next 30 years due to consistent managerial incompetency they end up with ridiculous overheads. However naturally as there is no other competition these overheads are covered annually by increasing the cost of electricity to the consumer. No-one would have a clue whether they were incredibly efficient or not, all we'd know is that the price of energy is going up every year, whilst the service levels were getting worse every year.
Now apply this example to the NHS. Imagine for one second it is a completely mismanaged. How would we know? Well first of all we'd probably see them requesting additional funds from the treasury every year just to keep their heads above water. Secondly whilst receiving these extra funds every single year we'd probably see the service level getting worse every year. Does this sound familiar at all? NHS targets being missed by greater and greater margins whilst spending on the NHS increases every single year.
Healthcare spending:
1985 - £40b or 4% of GDP
1995 - £60b or 5% of GDP
2005 - £110b or 6.5% of GDP
2015 - £145b or over 7.5% of GDP
See the picture? We are hugely increasing spending on healthcare not only in terms of spending but also in terms of spending as a proportion of GDP. At the same time we're seeing declining standards and people lambasting the current Government for "ruining or NHS", despite them throwing record levels of money at the problem both as a % of GDP, per capita, compared to inflation and in pounds and pennies.
Now imagine we kept the NHS exactly as it is but the Government agreed that any private company that matched the current Government costs for procedures, surgeries, checkups etc; they would pay this cost for them. The consumer would have absolute free reign to choose whether to visit a Government health centre or a private one.
I can guarantee the NHS would either become much more efficient as a result of a bit of healthy competition, or it would get closed down due to people preferring a much better private service for the same cost. What would happen to private competitors if they couldn't compete with the NHS? They'd close down.
I literally can see no downside to allowing this consumer freedom. If the NHS is incredibly efficient then it has absolutely nothing to worry about; private sector firms will open up but quickly close down due to an inability to compete and consumers preferring the NHS option. If the NHS isn't then the consumer gets a better service for the same cost.
The US is dreadful in terms of healthcare provision, for a plethora of reasons that aren't related to consumer choice.