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I don't think this thread is a great place to start a conversation about the National Health Service (don't want to detract from the actual conversation of the SCOTUS decision) but I'll quickly answer best I can.
Of course the people have a say, we are a democracy you know. The NHS has to conform to various targets which are always political issues and is constantly under review (we've just enacted a big reform to shake up the organisation again). I'm not too clued up on the runnings of the NHS myself though I have a friend who is somewhat of an expert, we've had many conversations about the endless peer-reviewed studies that come out about how to better allocate resources, what organisational methods should be employed etc and that's all before you actually get down to the medicine itself. "Locked down" would imply a static organisation which is very much not the case.ThinkToday said:Years ago, I worked with a doctor that was trained in Great Britain. He commented the health care for someone with and emergency condition is very good (heart attack, stroke, MVA), but care for more chronic conditions wasn't very good, unless you had some private paying option to be treated outside the government system. How are things now? You commented about the waiting times. Do the people have a say about their care, as far as quality and timeliness with the government? Does the government adequately respond to the concerns of patients, or has it become something people just have to live with? Do you see change in the future of medicine in England or is the system pretty well locked down?
That wouldn't happen here and I'm very surprised that happened in Canada (I'm not doubting you but that sounds like one of those freak cases that gets reported on the media as though it was a widespread thing). Here you might have to wait weeks to months for a consultation/test/operation on a non-emergency illness which isn't ideal at all and is an issue constantly being tackled but for an emergency you would get it right away.ThinkToday said:Is your health care like Canada? I had an acquaintance that worked for CP Railroad, and he had a brain tumor with an estimate of about 6-12 months to live, if untreated. They told him he had to wait 6 months to get an MRI to determine course of care! Apparently, there were very few MRI and they were booked. A friend of his is a US radiologist, and he flew him to the US and did a stat MRI on him to take back to his doctors in Canada. As a practical matter, what he had was going to kill him, treated or not, but not even scheduling critical tests ASAP is unheard of in the US health system. Perhaps he could have lived another 6-12 months, if treated early and aggressively.