the flying pig wrote:Yeah, i'm not such a massive fan, all told. Am reasonably close to some of the upper(ish) echelons of various parts of the NHS, there is an awful lot to find fault with in terms of, well, waste, basically. Pouring untold billions into state-run enterprises does tend to have that effect... Whatever you think of market mechanisms they are good at lots of efficiency type things, anything run by the state has the potential to be a big of a nightmare basically . My experiences as a patient & relative of patients have been fairly mixed.
No doubt that an organisation the size of the NHS is going to suffer from fair degree of waste, inefficiency and duplication, it's pretty well inevitable, sadly.
Not sure if the private sector is a whole lot better though. I work with a few biggish companies and honestly I don't see them being massively more efficient tbh. There are plenty of clock watchers, place holders and bullshit peddlers wan dering the corridors at the top of Banco Santander for example. They spend untold amounts on consultants, lawyers and snake oil salesmen, all on unbelievable daily rates, and the amount they spend on "hospitality" is eye watering.
the flying pig wrote:This all said I'm under no illusions as to the shortcomings of many of the alternatives, and am slightly baffled at the way these reasonably meaty changes have snuck in without, seemingly, anyone voting for them. It's weird - if you look at thatcher's 1979 manifesto privatisation wasn't something she planned to major on at all, rather it was something she kind of stumbled upon as a 'concept' whilst basically selling stuff to raise cash. But this new form of privatisation won't even bring in an up-front windfall... Just lots of contracts for various companies... Is the the main job of government now, to find opportunities for such firms?
Thatcher herself sort of "stumbled on" privatisation as a way of making a quick fiver, true. But the people behind her (supply-side voodoo conomists) held it as the central tenet of their world view.
When it became obvious just how much money the corporate sector could make out of it then it became a fundamental part of the political system, with the multinationals spending vast amounts on lobbyists and schmoozing civil servants and politicians who are now largely in the pockets of the corporate lobbyists.
Dwight Eisenhower warnned about the military industrial complex, it has been extended to the miiltary/industrial/ corporate complex.
Governmnent as Project Manager for the corporate sector.
Mirrors and copulation are abominable, since they both multiply the numbers of men.