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John Gordon

@Schouten_B @finner @kDelta @QasimRashid The problem with healthcare is there is usually a marginal benefit.

Consider shoulder injury. Say 50% heal, 50% complete tear. We can wait 8w of PT and they sort out for the few who do PT. Or we do MRI and operate on half.

5 comments
John Gordon replied to John

@Schouten_B @finner @kDelta @QasimRashid If MRI were cheap we would just do MRI on all. But it is not cheap now. Probably one day.

In single payer costs are limited by the MRI queue. In US by all kinds of kludgy things.

Bas Schouten replied to John

@jgordon @finner @kDelta @QasimRashid Yeah, some single payer systems (like the UK) are notorious for their lengthy queues, not great either.

replied to Bas

@Schouten_B @jgordon @finner @QasimRashid Again, you are mixing up two different heath systems, NHS England has half out sourced and sold off itself, and queues down there are longer and services worse than NHS Scotland where the people have insisted in maintaining public ownership. Regardless nobody England or Scotland would ever want to give up this system for the US system.

Bas Schouten replied to

@kDelta @jgordon @finner @QasimRashid Do you have sources for that in the UK the queues are correlated with things being outsources or sold off? Overall for-profit medical imaging resources have shorter queues than public medical imaging resources. But the UK could be different here somehow (and one could imagine different reasons for that)?

replied to Bas

@Schouten_B @jgordon @finner @QasimRashid Not specifically right now and I'd rather you both opt me out of this conversation now. (I'm just too busy, but nothing wrong with it). Here however is an over all link to the over all performance of wait times etc... on the NHS England / Scotland along with Wales and Northern Ireland too. You can see Scotlands wait times were far lower and the rise after COVID not even as big a jump, though it did obviously affect all. fullfact.org/health/nhs-perfor

@Schouten_B @jgordon @finner @QasimRashid Not specifically right now and I'd rather you both opt me out of this conversation now. (I'm just too busy, but nothing wrong with it). Here however is an over all link to the over all performance of wait times etc... on the NHS England / Scotland along with Wales and Northern Ireland too. You can see Scotlands wait times were far lower and the rise after COVID not even as big a jump, though it did obviously affect all. fullfact.org/health/nhs-perfor

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