Unhealthy Expectations?
Analysis30 Touko 2011

Unhealthy Expectations?

Is our NHS debate avoiding the key issue? The talk is of another reorganisation of the NHS and greater efficiencies enabling the NHS in England to face the future. But the overall challenge goes much deeper, and the politicians dare not address it. As well as the pressures of demography and inflation in health care costs, the health service faces what it has always faced - public expectation of ever better health care means an ever greater proportion of our national wealth has been spent on health. Now it is said that this must simply stop. But does this hope - one in a long history of so far unrealised hopes -simply obscure the more painful reality. One way or another, privately or publicly, our health care ambitions have to be paid for, and we are failing to decide how.

In 'Unhealthy Expectations' Michael Blastland looks at how this problem has loomed for years but never been faced - at least not in open political debate. He explores what the real choices are if constantly improved care is to be provided - and whether this must mean either much higher personal taxes or a population prepared to pay much directly for care. Or is there a realistic way of squaring the circle of rising demand within fixed budgets? If something has to give, then what? Will you give up your expectations?

Jaksot(389)

The low pay puzzle

The low pay puzzle

From April, 2.7 million workers will get one of the biggest pay rises in UK history as the National Living Wage rises to £11.44 an hour. But will they feel better off?It's 25 years since the National ...

25 Maalis 202429min

How real is the existential threat from AI?

How real is the existential threat from AI?

The existential threat caused by Artificial Intelligence is a popular theme in science fiction. But more recently it’s started to be taken seriously by governments around the world and the companies d...

18 Maalis 202429min

What would Isambard Kingdom Brunel have done?

What would Isambard Kingdom Brunel have done?

It's 2024, and the Manchester extension of HS2 has been cancelled. The leg to Leeds was cancelled in 2021. The remaining line to Birmingham is now less than half the initial planned route, and will co...

11 Maalis 202428min

Power Drive

Power Drive

It's widely believed that the Conservaives won the Uxbridge by-election because of motorists who were annoyed by the London mayor's ultra low emission zone. With a general election looming, both main ...

4 Maalis 202428min

How to cure the small town blues

How to cure the small town blues

Middlesbrough, in the north-east, is one of the most deprived towns in England. Once a steel and shipbuilding powerhouse, its fortunes changed when those industries closed down. Today, the town that G...

26 Helmi 202428min

How to Dismantle a Democracy

How to Dismantle a Democracy

Democracies do not die in military coups. They are dismantled slowly, by libel laws, through tax audits, and procedure. Democracies are dismantled by bureaucrats and judges, not by soldiers and heavy-...

19 Helmi 202428min

What is 'British culture'?

What is 'British culture'?

'What is "British Culture?” I was born in the UK and have lived here for 40 years, and yet, as a British Asian person, I am constantly told “we are not integrating”. Not integrating into what culture ...

12 Helmi 202428min

Has the family had its day?

Has the family had its day?

British politicians love to invoke the family, from John Major's "Back to Basics" campaign, to New Labour's "hardworking families" - and now a prominent strain of the Conservative right says parents s...

5 Helmi 202428min

Suosittua kategoriassa Politiikka ja uutiset

aikalisa
rss-ootsa-kuullut-tasta
tervo-halme
ootsa-kuullut-tasta-2
politiikan-puskaradio
rss-vaalirankkurit-podcast
viisupodi
rss-podme-livebox
otetaan-yhdet
et-sa-noin-voi-sanoo-esittaa
rss-asiastudio
the-ulkopolitist
mtv-uutiset-polloraati
rss-polikulaari-humanisti-vastaa-ja-muut-ts-podcastit
rss-kaikki-uusiksi
rss-hyvaa-huomenta-bryssel
rss-merja-mahkan-rahat
rss-kuka-mina-olen
rss-raha-talous-ja-politiikka
rss-tasta-on-kyse-ivan-puopolo-verkkouutiset