Category Archives: Politics

Britain, Government, Health, Politics, Society

NHS at 70: The Health Service faces tough choices to survive

THE NATIONAL HEALTH SERVICE

Intro: The NHS is creaking under the strain of an ageing and unfit population

The natural lifespan of a human being was once viewed as being three score years and ten. But while a baby girl born in 1948 could reasonably look forward to a life that long, the life expectancy of a boy was less than 66.

How times have changed. Today, the respective figures for either gender are about 10 years longer, thanks in large part to the National Health Service which turned 70 on the 5 July.

Among its major achievements, the NHS has saved countless lives from infection or injury, eliminated horrific diseases like polio from the UK, introduced comprehensive vaccination programmes, and enabled the birth of the world’s first IVF baby. It has many other successes to its name.

NHS staff have become the heroes of modern-day Britain: nurses were last year voted the most trusted profession, with doctors a close second. Nurse Pauline Cafferkey, who contracted Ebola while working in Sierra Leone, recently told of how she was “astounded” by the level of care she received, with medical staff “putting their lives on hold and working round the clock” to save her.

And she is certainly not alone. The Commonwealth Fund, a US think tank, last year ranked the NHS as the best healthcare system in 11 leading countries, including the US, France, Germany and Australia.

The UK’s total spending on public and private healthcare is about 10 per cent of national income. This is lower than in the US (16%), as well as Japan, France and Germany (11%). The simple comparisons would suggest we are getting a top-class health service on the cheap; indeed, the NHS has been described in the British Medical Journal as the “world’s most cost-effective healthcare system.”

Yet, for all that, the NHS is clearly showing signs of decrepitude as it moves on from its 70th anniversary. Its success at enabling the average person to live an extra decade has created a vast amount of new work to keep the diseases of old age at bay. Meanwhile, poor trends of bad diets and physical inactivity have produced a surge in rates of obesity and associated illnesses, some of which are threatening to overwhelm the NHS.

While healthcare funding has been increased by both Labour and Conservative governments, the extra cash has failed to keep pace with the rise in demand, leaving doctors and nurses increasingly overworked and stressed as waiting times for treatment have increased.

However, whilst governments and health secretaries can change, we, the public, must share some of the blame. Most people bang the table to demand appointments and yet a staggering 1.7million, about 10 per cent, of them were missed over the last decade at a cost of some £200million. Many also insist on antibiotics when they are not needed.

If we wish the NHS to continue as part of the societal fabric of the UK, then some tough choices may need to be made. And, on this, the public may be more accepting of the need for change than politicians realise.

A recent poll found 75 per cent of respondents backed fining patients who repeatedly missed appointments. Plastic surgery for purely cosmetic reasons and other non-vital procedures may need to be cut or scrapped completely.

Laws that were enacted in applying a 5p charge for plastic bags resulted in an 80-90 per cent fall in their use. So, unless we can be persuaded to stop putting so much pressure on the NHS, perhaps the time has come to consider small charges for prescriptions and even GP appointments to make us all value them more.

For if the NHS is ever lost, we will rue the day we lost sight of just how worthwhile it is.

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China, Economic, European Union, Government, Politics, Society, United States

Trump’s trade war is a risk to the global economy

GLOBAL TRADE WAR

AN escalating trade war between China, the US and Europe could plunge the global economy into turmoil, international experts have warned.

The World Trade Organisation (WTO) said the battle of wills between President Donald Trump and rivals in China and the European Union has put “economic recovery in jeopardy”.

In a major report on the 20 largest economies – known as the G20 – WTO economists warn that angry rhetoric and rising tariffs on all sides are a severe threat.

The WTO said that G20 countries slapped £52.6billion of sanctions on trade between October and May. A total of 39 new restrictive measures were introduced to block goods from competitors – double the number in the previous report.

The WTO said: “The G20 economies must use all means at their disposal to de-escalate the situation and promote further trade recovery.”

President Trump vowed on the campaign trail to protect US jobs and industries from globalisation. He has imposed aluminium and steel tariffs on China and the EU, and hit the Chinese with extra duties on everything from bulldozers to touchscreens.

Beijing responded in kind, hitting key US exports such as its important soya bean trade. Meanwhile, Brussels has slapped tariffs on American goods, including motorcycles and bourbon whiskey.

The President is now threatening to act against Europe’s prized car manufacturers. Last week, he said: “The EU is possibly as bad as China, only smaller. They send a Mercedes in, we can’t send our cars in.”

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European Union, France, Germany, Government, Immigration, Italy, Politics

The desperate migrants’ route across Europe

EU IMMIGRATION

IN the freezing passes of the Italian Alps, migrants march slowly up an icy incline as they head for France.

The mountains have become an unlikely route for Africans looking for a new life across the border.

Thousands are thought to have tried to traverse the range over the last few months alone, wearing clothing that is unlikely to protect them from the extreme conditions.

Faced with the policies of Italy’s Right-wing government, asylum seekers who arrive by boat on the country’s Mediterranean shores have headed north instead to reach France.

From there they can move on to Germany, Spain, Belgium, Holland and – ultimately, for many – Britain.

The latest route used by desperate migrants is increasingly coming to the attention of populist Right-wing political groups that have risen to prominence on the back of Europe’s migrant crisis.

Already, Italy has swung heavily to the right, with interior minister Matteo Salvini turning migrant boats away from harbours. Hungary’s prime minister Viktor Orban has made stopping immigration a cornerstone of his philosophy, and young conservative Austrian chancellor Sebastian Kurz has called for an “axis of the willing” to strengthen borders. Anti-immigrant MEP Christelle Lechevalier – of the renamed French right-wing National Front, now National Rally – last week tried to make political capital out of African migrants crossing from Italy into France at the ski resort of Montgenevre.

Some 26 European nations are in the supposedly border-free Schengen zone, which makes it possible to cross between member states without border controls. But faced with the prospect of mass immigration, police at several border posts are increasingly turning away new arrivals and sending them back to Italy.

As a result, migrants are turning to mountain passes, ski resorts and hiking trails to avoid official checks.

Snow-free in the summer, the Alps are a far less dangerous hike. And even if migrants are caught and sent back to Italy, they can always try again.

Earlier this year there were reports of migrants using the Col de l’Echelle mountain pass into France through thick snowdrifts. At the end of their eight-mile journey, African migrants would simply knock on the first door they saw.

Up to half a million migrants are thought to be in Italy, despite the fall in the number arriving – usually from lawless Libya – in boats across the Mediterranean.

Widespread public reaction to Europe’s migrant crisis has prompted EU nations to belatedly close off entry points and movement routes (as well as proposed detention centres in the Med to process asylum applications). German chancellor Angela Merkel hailed the migrant summit agreement as a success, with its vague talk of promises of cash for Third World countries to help them control population flows and loosen proposals to tighten border controls within the EU.

But no European country, let alone any African one, has yet agreed to host a migration centre. Mrs Merkel’s firm grip on Germany, which she has led since 2005, has weakened in recent months. Interior minister Horst Seehofer, leader of the Bavarian CSU party, was so incensed with last week’s deal that Mrs Merkel’s governing alliance was in serious jeopardy of collapsing. There were fears he was on the verge of ordering German police to start turning new arrivals away (in direct defiance of Mrs Merkel’s wishes).

Last Friday’s summit agreement failed to nail down any firm agreements on exactly how migrants arriving in EU countries on the Mediterranean coast could be dispersed elsewhere.

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