An Open Letter To An Unapproachable Prime Minister.

Dear Mr. Cameron, 

I hope that you will take the time to read this, that it finds its way into your hands. You see, I’d like just three questions answered, and if you can answer them to my satisfaction, I’ll really might consider a ‘No’ vote.

My first question concerns the currency bit. You see, the media, much of whom I believe you effectively control (well, your lot in Westminster did ‘reserve’ broadcasting after all) are pounding on about this currency thing. Now, allowing broadcasting is reserved to you, they are delivering your message, which makes me curious. 

My question specifically about the currency bit is, well, why should I care?

Now, let me tell you why I'm asking that. You see, for me to care about something, it has to have some sort of value and since about 1930, under Westminster’s stewardship, the pound has steadily devalued to the point where it’s not really worth much at all, not any more. It was $5 to the pound back in 1930. Mind you, the dollar’s devalued too, but the pound’s gone downhill at twice that rate, which isn’t very good testimony to Westminster’s handling of the currency in my pocket. 

With the best predictor of future behaviour being the proven record of the past, you might have to work hard to convince me you won’t keep up that stealth tax called Inflation. We all know inflation is just a way of hiding mismanaged economies. So, to be clear, do you, or do you not want me to vote for ongoing economic mismanagement?

In view of the last three centuries, I’d love to hear your plans for fixing things as we go forward. Don’t worry, I know I can’t hold you to any promise, but I’d like to hear anyway?

That brings me to my second question; it’s about management too. Most specifically, of your responsibilities to those who elect you. Let’s look at the NHS in England for a minute. 

In 2012 you passed a law effectively repealing the 1947 act which Bevin brought forward, guaranteeing universal medical care, free at the point of service. There wasn't a referendum, there was no vote, it wasn't in a manifesto, but your coalition just did it anyway. 

To all intents and purposes, my family and friends in England don’t have the right to be seen by a physician. I know you say they do, but the legal right to receive care has been removed with much of the privatisation that’s going on down there.

I'm fairly certain you know that most folk aren't aware of the changes, mostly because of your stealth privatisation we are now at the point where global companies currently run much of what was England’s NHS. I say “what was”, because although they still look like the NHS staff to the patients, with NHS badges and all, we really know who they work for, and it’s not the NHS. So, this question is a ‘two-parter’ on health care.

The first part is, why did you remove the government’s statutory requirement to provide care?

The second part of the question is, in the event of a "No" vote will Scotland still be in a position to keep her NHS in its current format or will your austerity program force changes there too and allow private health-care companies take over our hospitals and GP surgeries?

Oops! There’s me crossing back to my first question; managing, or mismanaging the money. Thinking about the NHS, perhaps if you had cared (really cared) about Sterling, maybe the money would have been available to maintain England’s public health-care system? But you promised in your manifesto the "NHS Was Safe In Conservative Hands"! Seems we should have tried to force you to keep your word.

Keeping your word, sort of leads into my third question. You see, I know you can lie; your Coalition can even sign pledges to get votes and then blame it on the ‘bad boy’s down at the swings’ while you go off and do the exact opposite, e.g. Student Loans.

Personally, I think that’s because we don't have a written constitution and this is an area where we are virtually alone amongst developed nations. There is nothing guaranteeing anyone any rights, except Parliamentarians, and it seems to me like they’re pretty much always ‘all right’.

Now, you've said we don’t need a constitution down London way. Really? While you quietly privatise, demonise, demoralise and devalue much of what "The British" way of life was. 

Nevertheless, I have to disagree and ask you for a constitution. 

I fully understand I'm getting the offer to have my say in the referendum. Now, if my rights are enshrined and then protected for the future generations then "my say" won’t stop after the referendum. I don't know if you noticed, but we have been promised a written constitution following a "Yes" vote. That means we can (if we wish) petition to have public healthcare as a right or to have our own mail service or even recall bad governments and outlaw lobbying. 
I don't expect we'd get all of our desires, but the American’s (whom you apparently greatly admire) have a fabulous saying you may have heard; "no taxation without representation". They get to vote on almost everything. I would like that, but I know I can’t ever get it under the present Westminster system. Tell me why you won’t enshrine our rights. Unless the reality is that we truly haven’t got any; just what London deigns to allow on any given day. 

Will you promise to clarify and then enshrine our rights?

So, there you go, my three questions. Sadly, I'm expecting if you do read this, you’ll just say ‘No Thanks’ to answering any of them, since nobody can force you, even though you’re officially employed by each and every one of us. In fact, you and your fellow parliamentarians seem to prefer to keep a system where you’re better together; it’s one where London meddling seems to know no borders either. 

I'm just about finished but simply out of devilment, I’ll sneak in a last question. Why is it that when everybody agreed this referendum was for the Scots alone to decide, is one side funded almost entirely by donations appearing from Tory millionaires living outwith Scotland. Oh, sorry about that - sort of slipped my mind a bit; nobody has the power to enforce you to keep your word - or answer our questions, do they?

Now, please, convince me why I should vote for you, because, after all, that’s what a "No" vote is, isn’t it? It’s nothing less than a vote for the current unrepresentative system and the current leader; and that’d be yourself Mr. Cameron - and your likes.

Yours Sincerely,

Hazel Lewry.

Is there pact to destroy the NHS?

I've had the opportunity to live in both the UK and US. In a previous life I spent a career in healthcare. Consequently, I have always kept an eye on this subject as I'm interested in it, and have watched England’s steady march to Privatisation for a decade and more.
The first issue is; why privatise?

No, really, why bother?

The universal government line is that it is:

1) ‘Necessary’

2) ‘Reduces costs’

3) ‘Fosters competition’.

The first two are obviously hokum; the last is probably undesirable in a health care scenario, unless folk just get the opportunity to go elsewhere, which could be satisfied by simply electing to go to another health board. It would be easy to make a statute to cover a right to change health boards. The cost would be no more than some legislation.

Let’s look at the first two for a minute, the hokum claims.

Well, I would deal with ‘Necessary’ first, except I've come up against an immediate issue; nobody is telling me Why it’s necessary, unless it circles around points two or three, in which case it’s irrelevant fluff; and fluff we should also be able to agree is hokum.

So, if reason one for privatisation is self evident ‘padding’ of hokum, and reason three can be fixed by statute that leaves reason two.

Reason two says it ‘reduces costs’, which is smoke and mirrors. Let’s say the State, and we’ll make it the entire UK as well as use easy numbers, has a hundred billion for health care. We’ll make it simple by abbreviating scenarios and not adjusting for inflation.

In 1973 the nation had a hundred billion to spend on health care. We were taxed a hundred billion to support it, we spent a hundred billion on it. We got what we paid for, more or less directly returned.

Now, fast forward forty years. At this point about a third, twenty to fifty percent depending on how you work the numbers, of that service is effectively privatised, from PPI to PFI contracts to farming out of services and people.

So, now we've got a hundred billion of our money going in and about sixty five billion returned directly in ‘services’

What has happened to the other thirty five billion? Well, ‘The City’ and ‘Wall Street’ like to see profits of thirty to forty percent; we’ll call it a third on average. Executive salaries in the private sector are generally higher, hourly wages generally lower, but about ten percent of company revenue is usually kept to repay banks and shareholders as well.

Of that thirty five billion, we’ll be generous; about twenty billion might come back in services which have been included as part of PFI/PPI agreements, e.g. laundry, security, some aspects of direct care services, building maintenance etc.

So, in 2013, we still put in a hundred billion, but we lost fifteen of it to the ‘privateers’ padding their treasure chests. Now you know how a lot of those new yachts I see every day get paid for. Luxury lifestyles being financed while your children or your grandparents go on waiting lists. In fact, at the time of writing, our £19,000 floating home is next to a $7,000,000 yacht – financed by the insurance side of the US health care industry. And let’s be clear, it is an Industry.

So, what inspired this blog, and why now?

The NHS has just announced it expects a thirty billion funding gap by 2020.

To meet that, Lady Williams is advocating charging for visits to doctor’s surgeries. They’re also proposing having pensioners pay. So-called “wealthier” pensioners, just because they might have worked all their lives and saved like crazy and have a pension other than the State’s, now get to buy that executive or banker’s new yacht. Yet, had those elderly squandered their money instead of saving, they’d be off the hook for the time being - until the financial threshold is eliminated.

Of interest are the comments made by NHS England’s information director, Tim Kelsey.

Here is the gist of what Mr. Kelsey said:

"We are about to run out of cash in a very serious fashion."

Followed by a revealing statement:

‘... the UK and US governments were currently working on a common standard of certification for health companies to make it easier for them to access both markets”.

As the Guardian article pointed out, critics of the government's health reforms say they were conceived as a "necessary prelude" to a trade agreement with the US.

He further stated:

"one of the things that we agreed with the US government which will be hopefully signing at the G8 meeting in November is that we want to make it as easy as possible for small businesses to get access to both the US and the UK market places” .

“To do that we want to have some common standards. We will be working on a standard of certification so that you can be in the digital hospital marketplace or the apps marketplace and you only need to sign up to one certification scheme."

Based upon his statement and those of others, US healthcare companies, in return for their millions poured into US election campaigns, want a return on those millions. They need fresh markets and fresh profits. The government and those who manage the NHS appear to be on the brink of devising a system which would enable the simple, painless integration of NHS services into private US health care systems. This is a very accomplished system that charges ever-increasing amounts of money in the form of monthly insurance payments from its users i.e. Patients.

The fundamental interpretation here is that these US companies have lobbied their ‘bought’ representatives to make access to the UK market a prerequisite of any future trade deal. Very quietly, the US is telling Westminster, ‘Privatise Your Healthcare’, and Westminster, London, like the subservient poodle it is, is agreeing.

The only way they (health care companies based in North America) can get that access, and therefore additional opportunities for profit, is through increased privatisation of the NHS. If that privatisation doesn't happen, then they’re only fighting for a bit of that existing thirty percent. They will then undercut each other, services will suffer, bankruptcies will follow, and our people will get hurt by both poorer care and unpaid bills.

Remember just because Blue Cross UK goes belly-up and leaves a medical wasteland in its wake, it doesn't mean Blue Cross USA has to pay. That’s the “beauty” of independent subsidiary companies.

Therefore, feel free to vote “NO” in 2014. Just be aware there is every likelihood one of the many things you’ll be voting “NO” to is the NHS. You have to remember, reduced public spending in England will result in a claw-back of our meagre pocket money under the Barnett Formula. The outcome of which can only mean reduced spending in Scotland.

The current cost of a quality ‘family healthcare plan, i.e. the kind of health care we currently take for granted, in the USA is creeping towards a thousand pounds per month. Can you afford that?

Furthermore, from personal experience, I know that even “comprehensive” cover doesn't truly ensure care in every eventuality that may become a health imperative in your life. Like many in the US, we were forced to sell everything we owned - from our home to my guitars - to pay for brain-scans and tests following a serious industrial accident.

As the UK will be copying the US health care model over the next several years, with both Labour and Conservative members pledging to ‘continue these reforms’, what you’re looking at is a return to the nineteen thirties. If you have any doubts about this, just check the list of Registered Members Interest in both Houses and see how many are intertwined with private healthcare companies. We need only look as far as Ms. Cherie Blair to find one very well-known example.

Then again if you do vote no, perhaps next time I break down on the ocean, maybe one of these new multi-million pound yachts will stop and help me. If it does, I’ll thank you for that ‘No’ vote. In reality, I’d expect it to do what the last one did when emergency struck. I’d expect it to ignore us, to keep on sailing, and pretend it didn't see the distress flare’s being let off or it didn't hear our anxious calls on the emergency radio channels.



You see, like us, if you don’t have health insurance in several years time, you’ll be able to expect that hospital ship to just maintain its current course and keep sailing on by.