Why a state service is the healthier option
But the State could - it simply won’t.
The assumption is that competition arising from privatisation automatically results in a better service, but success at competing is different from success as a service provider.
A state-run service, by virtue of scale, centralisation and buying power, can be a lot more efficient than a fragmented and duplicated privatised service where costs are swallowed up in advertising and window dressing, such as the huge ornate reception area shown in your photo.
Americans spend four times more per capita on their privatised healthcare than Britain, but the state of their health is worse.
In a system geared for profit, the number of unnecessary tests and interventions inevitably will be higher, and consequently there will be more iatrogenic and prescription drug-related illness. This is less likely with the cash-strapped, state-run British national health service.
Buying healthcare is not like buying a television; it is not easy for the punter lacking expert knowledge to make choices in medical matters.
No one wants to be ill; no one goes to the doctor or into hospital for fun. A free system does not generate demand.
On the other hand, having to pay €40 does put people off going to see the doctor, in addition to their natural fears.
A problem that might have been cured early may end up costing more and result in a more serious disease or even the death of the patient.
People may not take medication because of the high cost. Ironically, the e40 doctor’s fee would pay for a cheap flight to Britain where treatment is free.
When people are too ill to work, the state loses thrice: loss of production, loss of income taxes and benefit payments. A health system paid for out of taxation which is free at point of use makes good economic sense while also benefiting the wellbeing of the people of Ireland, and it does not generate extra demand.
What sort of crazy ideology drives a government to makes roads free at point of use, generating demand and leading to higher expenditure and indirect costs, but will not apply this philosophy to healthcare, education, sports facilities, libraries, etc, thereby investing in the people of Ireland?
Michael Job
Rossnagreana
Glengarrif
Co Cork
