The NHS is a strange beast. Either you fit in to what its bureaucracy has decided, or you are sent off to die. There is no policy or mission within the NHS of trying to help people to live or be healthy. It is an organisation which exists purely to meet political and financial objectives, and the very last thing that matters is the death or health of one of its clients, except inasmuch as that contributes to the political equation.
Take the common experience that millions of people have when they go to see their doctor. ‘You’re depressed’ is often the opinion given by a busy doctor who has already checked the things he is required to by the rules of practice he operates under. Or ‘There’s nothing wrong with you’ is another sentence heard over and over again by people who know to themselves that they have an unsolved health problem.
The problem is that doctors are allowed only seven minutes to decide who will be diagnosed and who will not. That will in some cases be a decision as to who will live and who might die. Granted, nine out of ten patients dealt with do not have anything too serious, but for the one in ten, it would be far more helpful to tell them the truth.
The doctor should say ‘I’ve done the basic checks as I am required to do. These indicate nothing’s wrong with you. However they are very limited in their scope, and to be honest, our organisation is not willing to assist you further. You could do better to go to a non-NHS medical organisation’. This would no doubt cause a load of other questions to be asked, and a medical practice should then refer the patient to an information service about non-NHS treatments and services.
But instead of offering the broadest range of information possible to patients, vital information that could save lives is guarded as if it were gold. Every GP is a trained politician, a skilled representative of the organisation that employs him, and they are required to maintain the big lie.
The big lie is that the NHS can diagnose and treat any illness. It cannot. For example doctors are not permitted to test for Lyme’s Disease by NICE – the National Institute For Clinical Excellence, the quango which gives doctors their instructions. The NHS is not a comprehensive health service. But it has to pretend that it is.
No doctor would ever dare to tell you that he cannot even try to diagnose you as he is not allowed to do so, or spend any more time with you. They have to come up with a quick alternative such as saying,’there’s nothing wrong with you’ or ‘you’re depressed’. Many thousands of people who accept this diagnosis are then treated for depression, a disorder that NHS doctors are permitted to treat, when their problems could be from a whole range of other sources. These as a result are not dealt with, and a patient’s health is destined needlessly to decline.
Cancer patients are not able to be prescribed expensive drugs that would prolong their lives. Doctors will not tell them there are other drugs available than the ones they are offering, but that they cannot get them. They merely offer what they have. It might be fairer to the patient to tell them that there are better drugs available, and that might help them to live longer, but they don’t do that.
The patient assumes they will be told honestly what the situation is, and that their life and survival is the only priority in the doctor’s mind. But they are wrong. It is down to the patient to find out what alternatives are available, and the doctor will offer no help at all in providing further information. Before he is a doctor helping a patient, he is a politician trained to defend the organisation that employs him.
So overpowering is the political culture within the NHS that cancer patients who do find out that better drugs are available and get them themselves privately are now being punished by the NHS, by being refused any further treatment. See this article in the Telegraph which explains what is happening.
If the NHS wants to reform itself and become a respected institution once more, it should first of all decide that it must tell patients the truth – especially about the known limitations of the services they provide. Doctors should be allowed to say to patients ‘I have tested you with all I am allowed to do. If you feel you want further investigations, you’ll have to look beyond the NHS to get it.’
Once the NHS has admitted to the world that it is not a comprehensive health service, but a pseudo-comprehensive service with severe limitations, it will no longer have to tell continual lies to its clients. Before this is possible, the NHS mission statement should no longer be about money, being free at the point of delivery, but about patients. Something like ‘We are a health orgnaisation that does everything we can to help our clients, either by treating them with the resources at our disposal, or by giving them information’.
At the moment families are finding out themselves when their loved ones are sick or dying that the NHS has little to offer in many cases. It is then too late, when, had they been warned in time to look beyond the NHS, they might have had some Hope of Survival. The lies about being a comprehensive health service are told ultimately to protect politicians who have told the big lies about the NHS, and they in turn demand that the health professionals, who carry out the NHS’ work maintain the lies on a day-to-day basis. When it comes to health sevices, lying often kills, but when it does, there is usually little comeback. The dead tell few tales.
The founding of the NHS was another lie, the expropriation of hundreds of charities. See HERE.
See confirmation of the above post in a Telegraph article about the wrong values that pervade the health service HERE.
And The Daily Mail sees the Service as now being in terminal decline in its 60th year. See HERE.