Comparing wages is only useful if you also compare the average cost of living, any additional benefits either from the employer or from the state and the work (responsibilities etc).
I know nothing about the work of nurses in France (for example), but do they have an equivalent to Health Care Assistants, who in the UK do much of the work nurses used to do but are paid significantly less?
I think you would also have to compare the number of Doctors, Nurses, Health Care Assistants, Cleaners and Administrators (for example) employed.
The NHS is funded by tax payers but is used by everyone...
Compares Apples to Cucumbers.
Other OECD countries have completely different systems to the NHS, many of them funded privately by insurance. Those schemes that are funded through taxation, e.g. the NHS, directly affect the nation's GDP, the amount of money spent in the nation. The more money spent by government, e.g. on the NHS, the bigger the GDP. This effect skews the percentage and IS NOT a reliable indicator of, well, anything.
Any measurement needs to be standardised, e.g. typical hospital budgets against outcomes. Comparing disparate systems will not provide enough commonality to be useful.
By not distinguishing between public and private spending you have greatly diminished the usefulness of this analysis
Clearly it's underfunded and, in accountancy bottom line terms, it's "efficient".
I’ve lived in France for the last eight years and feel infintely more comfortable in the French health system than I ever did in the NHS.
My wife suffered a severe gash to her leg a year ago which because of not being treated quickly enough (our fault!) eventually meant 10 days in hospital followed by nearly a month of hospitalisation à domicile with a drain in the leg, daily visits from the “district nurse” and equipment supplied by prescription, all at no charge.
I was recently diagnosed with early stage prostate cancer and immediately transferred to the AFD (affection de longue durée - long-term illness) system which by-passes the usual 2:1 split of costs for treatment.
All treatments connected with this will be paid for by the state, including the cost of transport to/from the hospital for the radiotherapy that starts next month. And all this is controlled through the patient’s carte vitale, a system which appears to be near-foolproof while the NHS seems incapable of operating any sort of efficient workable computer system.
And there is no political falling out over the health system here. It is not seen s macho to decry or to support it or seek to change it except where it can be improved for the patient. It is literally not of any political significance. It just is!
And the longesr I have ever had to wait for an appointment was four weeks for an MRI scan — some specialists are obsessed with the things! — and that included Christmas and New Year!
Very right wing government ? Hardly . We are the only country with a “ National Health Service “ funded by taxes . Nearly all the rest of Europe uses an insurance based system , funded in many varieties of ways . Whenever any discussion arises , the N H S lobby points to the American system as if that’s what is being planned . We need to raise our lowly ranking on the WHO efficiency table of 18 th . France ranks number one with both Spain and Portugal ranking above the U K . Interestingly , the Americans have virtually the same sacred cow status in their privately insured system . I’ve lived there and never found an American who wanted to copy our system , and that included Democrat voters . Even President Obama dare not mess too much with it , just disallowing higher premiums for pre existing conditions and introducing fines for not having a “ plan “ This did achieve a jump from 85% to 91% of Americans with a plan but many young people are still winging it as they don’t think they will get ill .For the avoidance of doubt as the lawyers say , I am not advocating the U S system . I just thought i’d throw that in out of interest as I lived there for five years In my opinion we need to look at the best performing countries on that table and try to learn some lessons . I’m not holding my breath though !
It would be interesting to know how much money is spent by our nhs avoiding treating patients. Clinics run by physios or nurses whose role it is to prevent a patient (where scans etc have already been done) from obtaining a surgeons opinion for example. Ways of avoiding targets for treatment times such as patients who suffer a complication but are already in the system, who don't count for targets. Clinic and surgery appts that they have no intention of keeping and cancel at short notice.
The statistics also do not include the number of people who are no longer economically active due to delays in nhs treatment. Many conditions if treated swiftly will mean the patient remains in work and paying taxes. The time wasted jumping through hoops before treatment starts can mean they end up on benefits and will struggle to get new employment after treatment finally commences. There are far too many people in the nhs whose job is making it look like people are receiving some sort of attention,but if instead, the money was spent on treatment, that would speed recovery and the saving to both nhs and state would be huge
It would be interested to see the relative number of admin staff as I fear that one of the reasons we have no doctors, nurses or equipment is because we have no IT and an army of admin and non medical management staff
Thank you for the great and informative article. Maybe it is a very hard to understand but thank you for the important details you shared.