Stephen Pollard
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Ah, the 1970s; suddenly, it seems as if that most reviled and least-missed decade is repeating itself. The price of oil is leaping. Stagflation is rearing its head. And the unions are back. Yes, those wretched doctors, and their “sod the public” bloody-mindedness.
Doctors? When we think of bloody-minded unions, it's the likes of Jack Jones and Bob Crow that usually spring to mind. But when it comes to feather-bedding, screwing the public and a rigidly focused protection of its members' interest at the expense of everyone else, no other union comes close to the the British Medical Association.
Yesterday Hamish Meldrum, the BMA's chairman, added another string to its bow: cruelty. Speaking about the current rules governing co-payment - patients forced to pay privately for drugs denied by the NHS are then deemed non-people and refused any further NHS treatment - Dr Meldrum said the NHS should not treat patients who have paid for drugs themselves: “My gut instinct is that this goes against the sort of NHS I believe in, which is free at the point of use, fair and equitable to all.” And which, he didn't add, would let patients die rather than use a drug their health authority will not supply. Equity it may be; but it can be the equity of death.
But no one should be surprised at the sheer callousness of Dr Meldrum's position. The notion that an organisation which represents doctors ought somehow to have the patient's interest in mind is attractive. But it is also naive. When it comes to the public, the BMA sees us as little more than a cash cow.
Take its most recent campaign against polyclinics. The union's claim that it seeks only to protect the supposedly wonderful relationship between GPs and their patients is pure sophistry. All it wants to protect is the income its members receive. The BMA stiffed the incompetent Health Secretary, Patricia Hewitt, in the negotiations over the GP contract. Doctors were given the chance to stop all evening and weekend work in return for a 6 per cent pay cut. Then they were offered vast sums to hit a series of basic targets, so that today GP pay averages more than £100,000, even though the basic agreed sum is £55,000.
When Alan Johnson, Hewitt's successor as Health Secretary, made the reasonable suggestion that GPs might consider changing their opening hours to accommodate their patients' working hours, Dr Meldrum responded by demanding yet more money for his members.
Ken Clarke had it right when, as Health Secretary, he spoke to the BMA: “Every time I mention the word reform, you reach for your wallet.”
Stephen Pollard is President of the Centre for the New Europe
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It is easy to get around co-payments. Just have two GPs , one private , one NHS. The private one will not disclose history to NHS GP if forbidden to do so. Or a day trip across the channel pick up the drugs and return to the NHS.
Peter MacCann, Edinburgh,
I am astonished by this editorial and the attack on the honourable Dr Meldrum and the BMA. Anyone attending today's Annual Meeting of the BMA would see that doctors genuinely make the care of their patients their first concern, and this is evident from the debates which set the BMA's policies.
Dr Tom Dolphin (BMA member), London, UK
We need an independent body to oversee the medical profession. They do an appalling job of it on their own. Think yourself lucky if you get out of hospital alive these days and don't think your family will have any redress from them if you don't.
Don't forget that they bury their mistakes.
Jim, London, UK
How is the Centre for the New Europe funded? Does it receive money from private healthcare providers? Without this information, your words are worth less than Hamish Meldrum's and we should probably think twice before taking your advice to bin the principle of equitable healthcare for all.
Jack, Bury,
To compare cancer care to a restaurant meal is simply flippant access to effective cancer treatment should not depend on ability to pay. Stephen Pollard himself sees co-payments as 'sparking a real revolution in the NHS', opening the door to 'part-private, part-public funding of healthcare '
Dr Martin Breach, Haydock, UK
Dr Breach, how is paying for extra changing the free at point of delivery system. If a drug is not available at the point of delivery then cost doen't come into it, rather like having the table d'hote menu and adding an extra sweet.
David Leslie, Perth, Scotland
The BMA is one organisation that is prepared to stand up and defend the principles of universal health care, free at the point of delivery. These are the principals that the vast majority of the British public support, not the callous self-interest of the loony liberationist right
Dr Martin Breach, Haydock, UK
"Isn't it odd how this group -- the abortionists trade union - Roger Pearse, Ipswich"
Yaaaaawn...
Homer, London,
Isn't it odd how this group -- the abortionists trade union -- is one that we increasingly associate with truly hateful attitudes to us all?
Roger Pearse, Ipswich,
If people being treated by the the NHS shdn't be allowed to pay for drugs prescription charges shd be dropped & ALL drugs be funded by the NHS. Otherwise those who pay are subsidising those who don't - hardly equitable! Meldrum should refuse to treat people who have had to pay towards prescriptions.
Donna Walker, Effingham, England
Perhaps doctors can have a new Hippocratic Oath which says :-
We will do our best to save all human life especially if you believe in socialist/communist principles, but if you want to spend your own very hard earned money on trying to save your own life, then we will adopt strict communist principles and you can die.
This will only apply to the not so well of as people with large sums of money will pay and dont care what this dictator says.
james, Brighton, uk
No, this is actually a very good thing. It is better for Unions to be intransigent in full view of the public. Unions have been seen as "mostly harmless" for too long. A couple of god Union-inflicted crises and the public will remember what they are really like.
jon livesey, Sunnyvale, CA/USA
doctors are no more or no less than most professionals, but they behave as they are.
i think they should remember their roots and put a striped pole out-side their offices. and perhaps offer a hair-cut.
james, doncaster, uk