Thursday, October 09, 2008

Cant from Rant

According to Dr Rant [Google cache], his blog has had a mission from the start...
One of the things that Dr Rant started out to do was to rail against the pseudoreligeous cultist Free Market Nutjobs who were running around telling everyone that the reason the NHS was shit was not the chronic underfunding and constant revolving political reforms but the lack of a Free Market.
...

Perhaps everyone just being a selfish bastard who is out for themselves in an unregulated market wasn't the best way to run a civilization after all.

Which is odd, of course, because Team Rant's previous post [Google cache] contained these immortal lines...
Neither does it address the fact that GPs were both overworked AND underpaid in the past, and some redress was long overdue.

Ah, right: so, "everyone just being a selfish bastard who is out for themselves" is a bad thing unless you are a GP (like wot Dr Rant is).

And, of course, the market is a bad thing for patients, but a good thing as far as paying GPs is concerned. So, "shitty socialised medicine is a good thing, except where medicos' wages are concerned," says medico.

Who'd'a thunk it?

Hmmm, is that hypocrisy I smell?

I think it is...

Fucking hell, won't someone save us from the patronising arrogance of doctors?

11 comments:

Letters From A Tory said...

Unfortunately the incredibly badly negotiated GP contracts have driven any concept of getting-paid-what-they're-worth into the ground.

loves2spooj said...

C'mon, the NHS just needs a few more billion pumped into it and we'll all be living in a utopian paradise of free healthcare for all! Just plant those money trees and it wont cost a cent! Doctors will still be arrogant, overpaid, cum felching fuckwads however.

cookie said...

No, devil, they won't.

Only when treating any illness costs about the same as dealing with a problem with your car will the miracle you hope for take place.

"Everyone just being a selfish bastard who is out for themselves"
Like always, the above maxim applies equally to everyone. There is no special group of people to whom this does not apply. There are few medics in this country who would work for the national average wage who would not be capable of earning more in another profession, just as there are few nurses who are capable of earning more than the national average wage in another profession.

wonkotsane said...

Talking to a colleague of mine whose wife is a GP (yeah, I have no idea why he works when she's earning that kind of money either) about this latest whinging about GPs salaries. He basically said "Under the old contract, GPs were leaving practice so they gave them a better contract and now they're attracting loads. Cut their money and they'll all leave again."

He's got a point. You can't force someone trained to be a GP to be a GP so if we actually want enough GPs to go round and the only way to get them to do the job is to pay them over the odds then it doesn't look like we've got much choice does it?

I don't think I'd like a job where every decision I make could potentially be the difference between life and death for some poor sap, not even for £100k.

the a&e charge nurse said...

The anti-GP campaign is bubbling along nicely [an essential pre-requisite before privatisation].

But why have the public put up with a bunch of overpaid, golf addicted alcoholics for so long ?

Oh, that's right, it's because they have provided a fantastic service for decades, often at great personal cost to family life and their own health. One of the strands of the NHS that we can be really proud of.

Spend a busy morning clinic with a procession of specifically unwell children - the vast majority will be suffering with self limiting viral illnesses but one or two might have developed prodromol meningitis.
Or indigestion that turns out to be an MI.
Or back pain that turns out to be a leaking aneurysm.
Or cellulitis that proves to be early necrotising fasciitis, etc, etc.

Devil's Kitchen said...

"The anti-GP campaign is bubbling along nicely [an essential pre-requisite before privatisation]."

GPs are already private, didn't you know? They're just locked into one payer, but GPs surgeries are private companies anyway.

In fact, come the privatisation of the NHS, one of the few areas that will barely change is the set up of GPs' surgeries.

Except, of course, that if people have to pay a wee bit for consultations, they will be abused less (much like ambulances would be).

DK

cookie said...

Good to know that 'one of the strands of the NHS that we can be really proud of' is private. But what are the other strands of the NHS of which we can be proud?

Dr Mustard said...

If there was a 'market' for our labour in 2000 - we wouldn't have been getting £55k for a 90hour week would we?

Yes - we in short supply. No one was applying for advertised partnerships. It was a really shit time.

I've got more letters after my name than in it. That education wasn't free to me, and my years of experience, coupled with the fact that I actually give a shit about the outcome of my work meant that I was under paid AND over worked, and I had no other way of plying my valuable 'trade' than the NHS.

I think you'll find that the 'going rate' is closer to what we get now, and also that we work harder for it than simple surgery opening hours suggest.

Devil's Kitchen said...

My dear Dr Mustard,

You have just backed up all of my points, and reinforced my argument that a state near-monopoly in medicine, as in everything else, is a bad thing -- both for those who have to use the service and for those who work within it.

DK

Anonymous said...

As a Doctor I know that GP's regularly exaggerate the hours they work and whinge about the money they are paid.
What they are paid does not include the nice little earners such as charging for letters and signing documents which nets them hundreds in a year.
The usual excuse is to claim a solicitor would do the same, yet in the next breath claim they are unlike others being "professionals".


Most are only notable for their overwhelming self regard which is strange when you consider GP has been a dumping ground for those who could not make it for years.

Alicia said...

"What they are paid does not include the nice little earners such as charging for letters and signing documents which nets them hundreds in a year."
Those letters and documents are turned into medicolegal documents once a doctor's signature is on them. I know of doctors who have been disciplined or fined as a result of signing someone onto a benefit etc when the benefit crowd later deemed the person not to need it-they came after the GP. Easy to say it's their fault, but if you have an upset patient who swears they feel too unwell or are too debilitated to work and are awake every night worrying about money, most people with half a heart would sign them off.
Even sick notes can get GPs in trouble nowadays.
Your signature as a GP isn't just you signing your name the way laypeople think of signing something. You are accepting a result, sanctioning a course of action and taking responsibility for all that happens as a result of it. You are taking full legal responsibility for a person being out of work, or absent, or unable to drive, or restricted in some way. If anything happens as a result of you signing that piece of paper, you may well be financially out of pocket as well as in the poo.
Hence why wouldn't you charge for them? I bloody would.

"GP has been a dumping ground for those who could not make it for years."
Actually this is a preconception that people who know nothing of how medicine works usually trot out. GP usually requires a GP training scheme at hospital level, followed by a GP registrar year or sometimes two. The schemes have been quite competitive as more and more juniors are attracted to the specialty-in part due to the improved hours and remuneration-and hence the standards go up as with more and more applicants, the schemes can pick and choose the best. Think about it-you're an overworked poorly paid pissed off hospital junior doctor. You could apply to a scheme that lets you eventually work pretty much where you want and pays well. If they start requiring really high marks, excellent references, maybe some research etc to get on the scheme-you'll pull your thumb out and do what it takes to get on there. So will everyone else.
You see-the better you pay a given profession, the more competition you create and the higher that profession's standards become. That's the market in action. Or would be if you didn't have the fucking Government interfering with medical training now, on top of everything else.