Max Faulkner: an introductory sketch of the NHS

An Introductory Sketch; Where we have been and where we are now.

It would seem that 70 years after the induction of the National Health Service its unique position as a public service that is almost entirely taken for granted is unwavering. Indeed people seem blissfully unaware or they think it beyond the realms of possibility that the NHS could ever be dismantled by a combination of capitalist incentives and de-funding. Recent figures suggest that inflation alone will reduce the amount of spending per person by 9 percent. Whilst Hugh Gaitskill‘s neo-liberal proposition that the NHS should charge for spectacles has been extended into a multiplicity of different forms.

And yes, the NHS should not be taken for granted. It is a product of the left and somewhat anomalous in its historical context. Bevan described it in the 40’s as a ‘real piece of socialism’. There aren’t very many ‘real pieces of socialism’ anywhere in the world at the moment. To enter into a debate about the NHS requires understanding that it had to be fought for by the Atlee cabinet, and that the battle was conducted during a period of austerity. It requires an understanding of the ideological parameters of Conservatism and that whatever Cameron, Lansley and now Hunt might like to tell you, they are fundamentally at odds with the universal distribution of health.

I couldn’t help but notice that Jeremy Hunt was wearing an NHS badge during Prime Ministers questions on wednesday. This seeming contradiction needs explication. I am prepared to believe that Hunt really does want to see the NHS survive. Yet he would rather see it destroyed than have its original premises maintained. What Hunt wants is a neo-liberal Health Service. One in which private prescribing is a minor facet of a Corporate driven Health cartel. Where profit reigns supreme over potentially vulnerable patients.

It would behoove the ideologues of the Tory party to examine the possiblities of freedom of choice within these conditions. After all, they are nobly pursuing a smaller state with fewer regulations and restrictions, where the emphasis is on choice and the consumer. Where autocracy is impossible. These speculative assumptions render comment largely superfluous. However it is worth doing away with them briefly. To do that we simply have to compare private concentrations of power with concentrations of power in a liberal democratic state. The fundamental difference is that private concentrations of power are unelected and therefore unaccountable. Private concentrations of power do away with the pretense of public service.

Meanwhile, the 75 MPs with apparent direct financial entanglement in the private health care industry makes a mockery of what is left of Parliamentary democracy, amidst the dark mutterings of harmonization, and ever closer union.  Lansley’s wife (Sally Low) runs a company (Lowassociates) whose stated selling point is ‘the connection between the public and private sectors’. The politics of chutzpah doesn’t work if people know about it. 

Which brings me to the media, the BBC and other court flatterers. So deeply immersed in the Commissar culture that they are seemingly unable to raise awareness of this issue. Lansley’s conflicts of interest, which extend beyond his wife’s inconveniently scandalous positioning, include his submission to hedge fund king John Nash, Conservative party donor and health care magnate have been highlighted by the BBC once. This is all in spite of the blatantly illegitimate spectacle of 61 Conservative MPS voting on the Health and Social care act whilst lining their pockets and amending their fiscal predictions.

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max faulkner


  • Herren Max, don't you think you can achieve what the NHS is meant to by simply using the efficiency of the private sector? This is what the Tories refer to as the Swedish Model, which has underpinned their education reforms.

  • Max, or Herren Max, how do you think MPs should deal with their conflicts? Compared to their contemporaries in the private sector they are not paid very well. Can I suggest we may them a lot more so that they don't need to earn money from consultancies or be tempted to put their snouts in the trough.

  • Is the NHS truly socialistic when seeing a consultant in the private sector almost guarantees you of jumping the NHS queue. People with money always game the system and find a way of getting what they want. Socialism is philosophical construct that is virtually impossible to implement in practice; the NHS is a good example of this.

  • Re: "Lansley's conflicts of interest, which extend beyond his wife’s inconveniently scandalous positioning, include his submission to hedge fund king John Nash."

    Surely as long as he has declared his conflicts it is okay? Most people in positions of influence have conflicts, that is how they got into their position in the first place. Any bright ideas how to deal with conflicts of interest? This is a hot potato that most democracies don't know what to do with. Just take a look at Prof G's conflicts on this blog; having them gives him insider information and makes his posts and interpretations of the machinations of Pharma so much more interesting to read.

    I am all for transparency, but we need people in the know to advise us.

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