>>I note you stop short, just, of moral disapproval
Not really a moral point, more one of economic good sense.
If pay and/or conditions became bad enough when compared to elsewhere I'd consider moving away, but I'm very proud of what the NHS has done and what it can still offer when compared to other systems around the world.
Push people's goodwill too far and you get the bare minimum, which I feel is significantly less than is currently supplied.
Politician's don't care, as No FM2R regularly states: they are making decisions that they believe in and also that they believe will keep them in office/a job.
Managing health care is a very complex issue, and once targets become the be-all and end-all of performance, management understandably often neglect some areas to hit targets elsewhere - eg. get more A&E consultants to hit the '4 hour target' when you will be waiting 6 months to see a rheumatologist with disabling arthritis - not a target thus not a priority.
I don't believe giving GPs the reins will make a huge difference either, but it certainly gives the govt of the day a new scapegoat to point at when things go mams-up.
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