The purpose of posting this is not to claim that this will happen in the US under M4A as proposed, but rather to point out that everything is connected and actions have consequences.
Making health care appear free to patients, and eliminating any restraints on obtaining care creates demand and strains resources. Strained resources whether monetary or personnel adversely affects patients. Relying on global budgets means constraints on services directly or indirectly by cutting reimbursement levels and thus putting more pressure on resources. Tax policy too can have its insidious impact.
The promises being made for Medicare for All as proposed by Warren and Sanders simply cannot be achieved without consequences that many Americans will find undesirable. What is being suggested is that we can have the proverbial cake and eat it too … that is simply impossible.
A&E departments are also feeling the strain as backed-up hospital beds make it harder for them to find places to put new patients, so leave them waiting on temporary beds known as ‘trolleys’.
Official figures show there were a total of 119,320 trolley waits of more than four hours in May and June this year.
The figure is almost treble that from four years ago.
New rules mean GPs and consultants are among those hit with tax rates of up to 90 per cent on their total pension value if they earn more than £110,000 a year.
Yesterday the British Medical Association wrote to Conservative leadership candidates Jeremy Hunt and Boris Johnson calling for a reform on the current pension taxation immediately.
They warned they are ‘deeply concerned about significant reductions in capacity within the NHS’ citing the ‘worrying evidence’ of its impact on the health service NHS.