A general view of staff on a NHS hospital ward at Ealing Hospital in London
CAMPAIGNERS slammed the government for “not talking seriously” about health service funding today, after it emerged that the bill to fix crumbling NHS buildings has soared while patients and staff are left in harm’s way.
New figures show that the cost to eradicate NHS repairs in England jumped to £13.8 billion in 2023, up by a fifth compared to the previous year.
Costs amounting to £3bn were attributed to “high-risk” repairs, which could cause injury if left unaddressed.
NHS Providers deputy chief executive Saffron Cordery said: “Vital bits of the NHS are literally falling apart after years of underinvestment nationally.
“The safety of patients and staff is at risk.
“The list of essential repairs across the NHS waiting to be done keeps getting longer and the costs are rocketing.”
The spiralling maintenance backlog outstrips the cost of running the NHS estate itself, which also increased by 11 per cent to £13.6bn.
King’s Fund chief executive Sarah Woolnough said the backlog has grown due to the “repeated raiding” of capital budgets to shore up day-to-day running costs, coupled with “short-term sticking plaster solutions.”
Medical staffers tend to patients at a hospital in Houston, Texas on August 18, 2021. (Photo: Brandon Bell/Getty Images)
“Our private, profit-driven system means that we are paying more for less,” said one progressive activist.
A report out Thursday shows that the United States’ for-profit healthcare system still ranks dead last among peer nations on key metrics, including access to care and health outcomes such as life expectancy at birth.
The new analysis from the Commonwealth Fund is the latest indictment of a corporate-dominated system that leaves tens of millions of people uninsured or underinsured and unable to afford life-saving medications without rationing doses or going into debt.
“Despite spending a lot on healthcare, the United States is not meeting one of the principal obligations of a nation: to protect the health and welfare of its residents,” the report states. “Most of the countries we compared are providing this protection, even though each can learn a good deal from its peers. The U.S., in failing this ultimate test of a successful nation, remains an outlier.”
People in the U.S., which spends roughly twice as much per capita on healthcare as other rich nations, “live the shortest lives and have the most avoidable deaths,” Commonwealth noted, pointing to frequent “denials of services by insurance companies” and other systematic defects of the American system, including massive administrative costs.
Meanwhile, insurance giants and pharmaceutical companies are raking in huge profits, benefiting in particular from the growing privatization of Medicare. More than half of the Medicare-eligible population in the U.S. is currently on a privately run Medicare Advantage plan.
“Our private, profit-driven system means that we are paying more for less,” progressive activist Jonathan Cohn wrote in response to the Commonwealth report.
Americans live the shortest lives and have the most avoidable deaths.
Note: To normalize performance scores across countries, each score is the calculated standard deviation from a nine-country average that excludes the US. See “How We Conducted This Study” for more detail.
Data: Commonwealth Fund analysis.
Source: David Blumenthal et al., Mirror, Mirror 2024: A Portrait of the Failing U.S. Health System — Comparing Performance in 10 Nations (Commonwealth Fund, Sept. 2024). https://doi.org/10.26099/ta0g-zp66
The Commonwealth Fund’s findings bolster progressives’ case for transitioning to a Medicare for All system that would provide comprehensive coverage to everyone in the country for free at the point of service. Studies have repeatedly shown that such a program would cost less than the immensely wasteful for-profit system—which is set to drive national healthcare spending to $7.7 trillion per year by 2032—while saving lives.
Commonwealth observed Thursday that while affordability “is a pervasive problem” in the U.S., Australia “offers free care in all public hospitals, and the nation’s universal Medicare system provides all Australians with coverage for all or part of the cost of [general practitioners] and specialist consultations and diagnostic tests, with additional subsidies available for private hospital care.”
“The U.S. continues to be in a class by itself in the underperformance of its healthcare sector,” the report continues. “While the other nine countries differ in the details of their systems and in their performance on domains, unlike the U.S., they all have found a way to meet their residents’ most basic health care needs, including universal coverage.”
Americans face the most barriers to accessing and affording health care.
Note: To normalize performance scores across countries, each score is the calculated standard deviation from a nine-country average that excludes the US. See “How We Conducted This Study” for more detail.
Data: Commonwealth Fund analysis.
Source: David Blumenthal et al., Mirror, Mirror 2024: A Portrait of the Failing U.S. Health System — Comparing Performance in 10 Nations (Commonwealth Fund, Sept. 2024). https://doi.org/10.26099/ta0g-zp66
With the U.S. presidential election less than two months away, neither 2024 candidate for the two major parties has outlined a detailed healthcare proposal thus far.
Former President Donald Trump, the Republican nominee, said during last week’s debate in Philadelphia that he merely has “the concepts of a plan,” while Harris—who once co-sponsored Medicare for All legislation in the Senate—said she “absolutely” supports “private healthcare options” and wants to “maintain and grow the Affordable Care Act.”
Just days after the debate, Sen. JD Vance (R-Ohio)—Trump’s running mate—said the Republican nominee prefers a system in which “a young American” and a “65-year-old American with a chronic condition” are not placed in “the same risk pools,” suggesting a rollback of the ACA’s protections for people with preexisting conditions.
“You can’t really say people with preexisting conditions are protected if they are in a separate insurance risk pool and can be charged exorbitant premiums,” Larry Levitt, executive vice president for health policy at the research group KFF, wrote in response to Vance’s comments.
Campaigners, including many who are personally infected and affected by infected blood, gather in Westminster, London, July 26, 2024
CONTAMINATED blood victims expressed confusion and anger after the government announced changes to a multibillion-pound compensation plan today.
Paymaster General and Cabinet Office Minister Nick Thomas-Symonds said survivors of the biggest treatment disaster in NHS history will get life-long support with up to £15,000 extra for those subjected to “unethical” research.
Payouts under the scheme will start by the end of the year for survivors and by next year for affected people such as family members under a second set of regulations.
Mr Thomas-Symonds said the total estimate of the cost of scandal compensation will be set out in the Budget red book, with more than £1 billion had already been paid out.
“We know no amount of compensation can fully address the damage to people who suffered as a result of this scandal,” he said.
The £15,000 payout was, however, branded as “derisory and insulting” and a “kick in the teeth” by a victim who was infected with HIV and other viruses while subjected to unethical medical testing at a specialist school.
5/9/24 This content removed following DMCA takedown notices initiated from the Scotsman claiming copyright infringement. I disagree with them – i.e. I don’t accept that I’m infringing the Scotsman’s copyright – and they look to be produced by a simple automated routine without human supervision or intervention i.e. a stupid bot. I’m disappointed that my website host accepts these notices without question, has redirected some articles as a result and threatened further restrictions.
I have successfully defended one article that the Scotsman was claiming copyright to. That copyright is clearly owned by the letter’s authors. That’s the standard of competence I’m up against.
Original article by Vijay Prashad republished from peoples dispatch under a Creative Commons Attribution-ShareAlike 4.0 (CC BY-SA) license.
Dr. Adnan Al-Barsh giving an interview.
Israel has systematically attacked Gaza’s health system and killed over 700 health workers, a flagrant violation of international law
In the first week of June 2024, the Palestine office of the World Health Organization (WHO) released figures about the atrocious attacks on health care facilities and workers in Gaza since October 7, 2023. Thus far, according to the WHO, the Israelis have attacked 464 health care facilities, killed 727 health care workers, injured 933 health care workers, and damaged or destroyed 113 ambulances. “Health care,” the WHO’s Palestine office argues, “is not a target.” And yet, during the past seven months, health care workers have faced relentless attacks by the Israeli military. Each of the stories about the deaths is heartbreaking, the names of the dead are too long to list in any article (although a group called Healthcare Workers for Palestine did read the names of their dead colleagues as a protest against this war). But some of the stories are worth reflecting on because they tell us about the commitment of the workers and the great loss to humanity from their murder.
Dr. Iyad Rantisi, who was 53 years old, ran the Kamal Adwan Hospital in Beit Lahiya, which lies in the northern part of Gaza. There are many Rantisis in Gaza, but they are not native to that part of Palestine. Like many Palestinians who live in Gaza, they have roots in other parts of Palestine from which they had been expelled in the Nakba of 1948; the Rantisis come from the village of Rantis, northwest of Ramallah.
On November 11, 2023, during the Israeli military assault inside northern Gaza, Dr. Rantisi was taken into custody at an Israeli military checkpoint when he tried to leave northern Gaza for the south, following the orders of the Israeli military. Since then, his family had not heard anything about his whereabouts. Now, months later, the Israeli newspaper Haaretz reports that he was taken to the Shikma Investigation Center of the Shin Bet (Israel Security Agency), which is inside the Ashkelon Prison. Dr. Rantisi was tortured and then killed six days into his detention. His family was not informed of this until the Haaretz report. Then, Dr. Rantisi’s daughter Dima wrote of the death of her father, a social media post that she paired with photographs of him in medical scrubs performing surgery on a patient.
Dr. Adnan Al-Barsh, also 53, trained in Romania before he returned home to Gaza to head the orthopedic department at Al-Shifa Hospital. He has a reputation of being a very loved doctor, whose office was crowded with his diplomas (from Jordan, from Palestine, from the United Kingdom). When the Israeli military attacked al-Shifa, Dr. Al-Barsh was forced to leave his post, but he did not leave his work. He first went to Kamal Adwan Hospital, where Dr. Rantisi worked, and then to Al-Awda Hospital in the area east of the Jabaliya refugee camp in northern Gaza, which was also attacked several times by the Israelis. On December 18, 2023, the Israeli military raided Al-Awda and took Dr. Al-Barsh and other hospital personnel into custody. Included among those arrested was the manager of the hospital and another very popular doctor, Dr. Ahmed Muhanna. On October 15, 2023, Dr. Muhanna made a video—which went viral—in which he pleaded to the world for help and for an immediate ceasefire. It is now reported that on April 19, 2024, Dr. Al-Barsh was killed by the Israelis in Ofer Prison. Tlaleng Mofokeng, the UN Special Rapporteur on the right to health, said, “Dr. Adnan’s case raises serious concerns that he died following torture at the hands of Israeli authorities.”
Dr. Hammam Alloh, age 36, was killed when an Israeli missile struck his home near his ward in Al-Shifa Hospital on November 12, 2023. Trained in Yemen and Jordan, Dr. Alloh was Gaza’s only nephrologist, a kidney specialist. Concerned about his patients who were on dialysis, particularly with the lack of electricity and the constant attacks, Dr. Alloh—who was known as “The Legend” during his residency in Jordan—refused to leave the hospital. On October 31, Dr. Alloh was asked why he did not abandon his post and go to southern Gaza. “If I go,” he replied calmly, “who would treat my patients? We are not animals. We have the right to receive proper health care. You think I went to medical school and for my postgraduate degrees for a total of 14 years so I think only about my life and not my patients?” This was the caliber of Dr. Alloh. Less than two weeks later, when he left his post to have a rest at home with his parents, his wife (pregnant with a child), and his two children, the Israelis struck his home. He died alongside his father.
At the International Court of Justice in January 2024, the Irish lawyer Blinne Ní Ghrálaigh made the closing arguments for South Africa’s claim of genocide against Israel. In the course of her statement, Ní Ghrálaigh showed an image of a whiteboard with the following written on it: “Whoever stays until the end will tell the story. We did what we could. Remember us.” These lines had been written by 38-year-old Dr. Mahmoud Abu Najaila, who worked as a physician for Médecins Sans Frontières (MSF) at Al-Awda Hospital in northern Gaza. On November 21, 2023, the Israeli military bombed the third and fourth floors of the hospital, where Dr. Najaila worked with Dr. Ahmad Al-Sahar and Dr. Ziad Al-Tatari. All three of them were killed.
On her LinkedIn page, Reem Abu Lebdeh, a physiotherapist who was an associate trustee on the board of MSF’s UK branch, wrote, “Such a devastating loss for the medical community and humanity.” These doctors, whom she knew, she said, “were true embodiments of selfless service and humanitarian dedication, tirelessly saving lives in the most urgent conditions.” Then a few weeks later, sometime in December, the Israelis attacked a residential area in Khan Younis and killed Reem Abu Lebdeh, whose own messages of solidarity now sit on the web like Dr. Najaila’s whiteboard note: Remember us.
