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Teddy Eagle 14 May 23 9.41pm | |
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Originally posted by Wisbech Eagle
I hadn't considered charging those who contract STDs for their lifestyle choice, but the same general principle applies. Although an exception would probably be made because of the negative impact on self-referral, which would not be in our common interest. Anyone who has a genetic predisposition to obesity hasn't made a lifestyle choice, so would be excluded. They deserve help. I am unaware of a hereditary disposition to alcohol. If true, which seems unlikely, so too would they be as would the low IQ and mentally ill. I thought I made that clear, but perhaps you missed it. The intention is entirely to put pressure on those who can but don't, to think again because it directly impacts them. I agree it's unlikely to ever be enacted, but not because it isn't sensible. Only because it would be politically unpopular. I hope I am wrong and a variable rate of NI is introduced at some time in the future based on the information held by the NHS. It need not be dramatic. Just sufficient to make people think and change. Tax those over 80 who are going to increasingly burden the system with their insistence on living for another 30 years and move them into compounds to free up some housing.
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footythoughts Beckenham 14 May 23 10.34pm | |
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Originally posted by Wisbech Eagle
I hadn't considered charging those who contract STDs for their lifestyle choice, but the same general principle applies. Although an exception would probably be made because of the negative impact on self-referral, which would not be in our common interest. Anyone who has a genetic predisposition to obesity hasn't made a lifestyle choice, so would be excluded. They deserve help. I am unaware of a hereditary disposition to alcohol. If true, which seems unlikely, so too would they be as would the low IQ and mentally ill. I thought I made that clear, but perhaps you missed it. The intention is entirely to put pressure on those who can but don't, to think again because it directly impacts them. I agree it's unlikely to ever be enacted, but not because it isn't sensible. Only because it would be politically unpopular. I hope I am wrong and a variable rate of NI is introduced at some time in the future based on the information held by the NHS. It need not be dramatic. Just sufficient to make people think and change. A healthcare system is a pot we all put into (well most), and while it's tempting to see some as more deserving than others you do have to ask yourself where some things end? Few are some kind of lifelong fitness freaks and it does get a bit nanny state and political football if we're going to start weighing people or judging them for going into a boozer and basing decisions on that. Systems should be as straight forward as possible and factor in that not everyone is going to be the pinnacle of where we could reach health wise. Moving away from that becomes unworkable and a bit of a pandoras box in terms of how its used. Social credit system-like. Nobody's perfect, and I certainly approve of initiatives that encourage healthy living, but think we should leave it at that. Teddy's point was clearly a bit tongue in cheek, but I can see what he's getting at. As in if we're going to open the door to such approaches, we ourselves may eventually fall foul of them.
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Wisbech Eagle Truro Cornwall 14 May 23 10.47pm | |
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Originally posted by Stirlingsays
You can't on the one hand promote a socially liberal lifestyle as all choices are equal in worth and then later on say actually catching those STDs is going to cost you. No, the reason it wouldn't be enacted is because you have just excluded the vast number of people from it....for half valid reasons I might add. Even so the investigative process involved in finding that out would end up costing more with the result that very few people would actually be denied treatment and the ones that did would die sooner....So, you end up costing more and killing a very small number sooner. Social Darwinism much? Anymore silly ideas? I recognise the administration would demand input and appeal processes but the way data collection is going we may well already have enough on record. The only problem is writing a programme to retrieve and process it. Self-certification could be used to cancel it, flagged up on the system and double-checked each time the person involved interacts with the NHS. The idea is to encourage an understanding that self-inflicted bad health is unnecessary and creates costs that can be avoided. I am not suggesting anyone be denied treatment, only that they be billed for it via increased NI, which ceases on retirement anyway. You think it's silly! It's certainly unusual. Whether such an idea will ever be proposed we will have to wait and see.
For the avoidance of doubt any comments in response to a previous post are directed to its ideas and not at any, or all, posters personally. |
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Stirlingsays 14 May 23 10.49pm | |
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Originally posted by Wisbech Eagle
I recognise the administration would demand input and appeal processes but the way data collection is going we may well already have enough on record. The only problem is writing a programme to retrieve and process it. Self-certification could be used to cancel it, flagged up on the system and double-checked each time the person involved interacts with the NHS. The idea is to encourage an understanding that self-inflicted bad health is unnecessary and creates costs that can be avoided. I am not suggesting anyone be denied treatment, only that they be billed for it via increased NI, which ceases on retirement anyway. You think it's silly! It's certainly unusual. Whether such an idea will ever be proposed we will have to wait and see. Don't hold your breath.
'Who are you and how did you get in here? I'm a locksmith. And, I'm a locksmith.' (Leslie Nielsen) |
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Wisbech Eagle Truro Cornwall 14 May 23 10.50pm | |
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Originally posted by Teddy Eagle
Tax those over 80 who are going to increasingly burden the system with their insistence on living for another 30 years and move them into compounds to free up some housing. When some seriously think everyone over eighty are a burden on the working and ought to be euthanised, this isn't funny.
For the avoidance of doubt any comments in response to a previous post are directed to its ideas and not at any, or all, posters personally. |
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footythoughts Beckenham 14 May 23 10.53pm | |
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Originally posted by Wisbech Eagle
When some seriously think everyone over eighty are a burden on the working and ought to be euthanised, this isn't funny. I don't think it was something he's seriously proposing. It was more a take on a health system that would seek to be very 'efficient' and be more judgemental of ill health in certain scenarios. A careful what you wsih for..
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footythoughts Beckenham 14 May 23 10.56pm | |
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In any case, whatever approach was taken during this pandemic, it was going to be a massively crap outcome, because it was a significant society disruptor. With whatever course of action was taken where was going to be told you so types on various points from all over the political spectrum. Certainly, people have reason to be angry on various fronts, especially young people I;d say, and those with family members in homes, but most of the discussions taking place now are academic as we're at the point of picking up the pieces. Edited by footythoughts (15 May 2023 1.07am)
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Teddy Eagle 14 May 23 11.04pm | |
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Originally posted by footythoughts
I don't think it was something he's seriously proposing. It was more a take on a health system that would seek to be very 'efficient' and be more judgemental of ill health in certain scenarios. A careful what you wsih for.. You're right, of course it wasn't a serious suggestion But...it's only right that those keen on taxing others in order to support the NHS might be only too glad to pay up themselves by donating their homes to the state.
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Wisbech Eagle Truro Cornwall 14 May 23 11.06pm | |
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Originally posted by footythoughts
A healthcare system is a pot we all put into (well most), and while it's tempting to see some as more deserving than others you do have to ask yourself where some things end? Few are some kind of lifelong fitness freaks and it does get a bit nanny state and political football if we're going to start weighing people or judging them for going into a boozer and basing decisions on that. Systems should be as straight forward as possible and factor in that not everyone is going to be the pinnacle of where we could reach health wise. Moving away from that becomes unworkable and a bit of a pandoras box in terms of how its used. Social credit system-like. Nobody's perfect, and I certainly approve of initiatives that encourage healthy living, but think we should leave it at that. Teddy's point was clearly a bit tongue in cheek, but I can see what he's getting at. As in if we're going to open the door to such approaches, we ourselves may eventually fall foul of them. I fully recognise my suggestions are not likely to command much support and are put forward with my tongue firmly in my cheek. Much though I would like to see it happen, I don't think it will. They are an attempt to get the fact that doing anything deliberately that costs the NHS more than is necessary ought to be paid for by the individuals concerned. That's the way insurance works. Higher risks, higher premiums. If we as a society decide not to do that then we need to make those who benefit are fully aware of the generosity shown to them by the rest of us. At the moment they seem to think it's their right to behave selfishly, without consequences. That mindset needs to change. At the moment we rely only on education to persuade but it's not enough. We need to make people feel ashamed of themselves and offered pathways to remove that shame. Telling what the costs are is part of that.
For the avoidance of doubt any comments in response to a previous post are directed to its ideas and not at any, or all, posters personally. |
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footythoughts Beckenham 14 May 23 11.08pm | |
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Originally posted by Teddy Eagle
You're right, of course it wasn't a serious suggestion But...it's only right that those keen on taxing others in order to support the NHS might be only too glad to pay up themselves by donating their homes to the state. Yes, I know it's easy to become strident or to double down on a stance, but people have to consider that governments of various perspectives come and go and you never quite know what they're going to do when they have their hands on the levers. As such there is something to be said for the public having a steadfast, and very straight forward view of say the NHS and its purpose that is consistent in the face of parties trying to contort it this direction or that.
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Wisbech Eagle Truro Cornwall 14 May 23 11.09pm | |
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Originally posted by Teddy Eagle
You're right, of course it wasn't a serious suggestion But...it's only right that those keen on taxing others in order to support the NHS might be only too glad to pay up themselves by donating their homes to the state. I fail to see any logic there. I am not talking about taxing anyone. I am talking about the cost of insurance, which is assessed on risk.
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Wisbech Eagle Truro Cornwall 14 May 23 11.15pm | |
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Originally posted by Stirlingsays
What statistics and what conclusions? Are you serious? You want me to go through the video and transcribe all the points being made? Watch the frigging video! It's all there. Or are you too scared it will pour water all over your prejudices?
For the avoidance of doubt any comments in response to a previous post are directed to its ideas and not at any, or all, posters personally. |
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