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uro_who

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  1. This is exactly the plan. The NHS is (amazingly I know) falling behind the spending needed in other countries to keep healthcare afloat. I have been in healthcare now for for 30 years. There is no doubt that we are a much fatter nation with multiple illnesses that make treatment more complex. In the old days patients were routinely denied treatment for being too fat or smoking. Outcomes were worse and the illness was not life threatening. We used to make value judgements about peoples quality of life and whether we ought to strive to hard to save them if it was very poor. Now nearly everyone gets all of the stops pulled out (ITU/ICU, major surgery) no matter what. The sort of ops that they are probably talking about postponing are the knee endoscopic checks on morbidly obese people. This is a common procedure. The question is why is the knee painful. Oddly enough usually because the person attached to it is literally three times heavier than the joint was designed to take. The whole 'don't deserve treatment' thing is a cul de sac however. I'm not overweight, I don't smoke but I do like skiing. Should I have to pay my own costs if I break my leg pursuing a dangerous sport? Overall the NHS is being set up to fail, tariff (the amount paid to hospitals) is falling every year whatever the politicians tell us. There are 30% less beds than there were. Social care is on its knees. We are being softened up for partial privatisation and partial insurance model. The US management consultants that have benefited from this over the years in the states are all over the government and NHS at the moment. If you doubt my conspiracy theory you simply need to check out the career of the man who is currently the CEO of the NHS https://en.wikipedia.org/wiki/Simon_Stevens_(NHS_England)
  2. Except the BMA have no control over the number of doctors trained at all. It's simply the government. In fact the BMA regularly point out in consultations that more doctors (specifically GP's) are needed and that the UK is under doctored compared with many EU nations. Training numbers have recently been increased (as they have been repeatedly over the years). Even with the introduction of the decidedly dodgy 'private medical schools'. This year, as medicine is becoming a less popular career there were actually medicine places available on clearing.
  3. I do agree though I'm not a fan of in work tax credits. Seems like a subsidy to business owners rather than anything else.
  4. Last time I looked public sector pensions where 1.8% of GDP and due to fall to 1.4% of GDP over next few years. And that was before my pension value was decreased by a couple of £100k;-) Oh yeah and I do fund my pension, its not my fault they don't save/invest the money. Welfare and state pension is a different matter, they do cost a lot but it depends on what kind of country you want to live in and how young and healthy you are now as to whether you think they are a good idea or not. The only way to become richer as a nation is to make more goods and services I'd have thought. So policies which stimulate that are a good idea. They will however have a long payback time, something which as a country we are rubbish at managing (quick sell up to a US/Chinese/Indian/Japanese firm) on both a private/corporate and governmental level. Anyway I've drifted off topic - this is bonds, apologies. I'm a listener on that topic as I don't understand as much as I'd like to.
  5. You've lost me. Are those really the best way to stimulate growth?
  6. There is no pay rise its a slow motion paycut dressed in political bullishit. Back on topic those Foxtons and Countrywide graphs are quite spectacular.
  7. Except they don't IPSA decides what their pay should be and they don't get a vote at all. Personally I wish they were paid more and not allowed to have any kind of other employment other than their own business. When MPs make more out of directorships than MP salary you have to wonder who they work for. And as for the revolving door of ex ministers immediately turning up in industry again, pay them proper severance and ban them from paid employment of any sort related to their portfolio for 2-3 years post loss of seat.
  8. I know this is a macro discussion but boy do I feel this graph. I work as a hospital doctor and my real terms take home is down 15% since 2008 and 30% since 2003. Obviously I'm quite some way off the poverty line but it certainly feels different in the Who household. Unfortunately (for me rather than the tax payer) I cannot see any chance of an up swing in the foreseable future unless I follow many of my colleagues to Australia to double my wage or the middle east to multiply it by 5 not including the tax free benefit.
  9. Oh, I thought that she knew there was a boiler but didn't know it had been disconnected due to being faulty (while being managed by the agents). So I stand corrected. The tenant was clearly mental.
  10. I rent from one of the ancient estates owned by one of those Normans that came over with Bill the conqueror. We don't need land reform obviously. Never had a boiler inspection. They are not amateurs as they have multiple houses and farms. In this case the landlord has a house with a boiler. The landlord should know that by law it needs an annual check. The landlord has sacked the agent and taken responsibility and duty of care for the property and tenant (to provide a safe environment). The landlord failed to provide that safe care and the tenant died. This is manslaughter. Compare this with Mr Sellu, a previously well respected general surgeon in London who was asked to see a patient with abdominal pain. He organised a CT scan which reported the following day in the morning. Sellu decided that he would operate at the end of the day rather than immediately (as he had a list and clinic already booked). By the end of the day the patient was too sick for surgery and needed resuscitation. Despite this he never recovered and went on to die. Sellu had a duty of care which he was seen to have failed due to his choices. He did not directly kill the patient but his inactivity did. Sellu was sent to prison for 2.5 years for manslaughter. This cases are in some ways very similar. If we send doctors to prison for making the wrong choice (and they make 20-30 decisions like this every day) then why does a landlords neglect which leads to a death not get the same treatment? I do not buy it that the landlord did not know the law. It is their responsibility to understand the risks of their choices in the same why that it seems it was Sellu's. Or does professional duty only count for some?
  11. I totally agree. I think that one way to recreate this is to allow zoned development at cross roads and t junctions. I live in rural Derbyshire and there is simply tons of potential for developing in this way. Most villages derived from hamlets and most hamlets started at road junctions. My guess is that you could allow the initial development of 6 houses per x road and 4 per t, with further planning permission at regular 5 year periods or so. The rules would be pp given over to individuals rather than builders, no single builder/architect to build more than one house at each site, each house must be individual. Obviously there would be nimby uproar but oddly enough not all of us want to live on a site vacated by a factory in a grim bit of town, with no scope for growing veg in the garden and living on top of each other in a virtually detached house. [declaration of interest: my mother in law was a town planner and I live near Derby, a town destroyed by town planners in the 60s. A whole Georgian square bulldozed for a centre of town dual carriageway]
  12. A bit like the war on terror? You have to comply with your loss of liberty and increased monitoring for your own benefit.
  13. Gosh that sounds awful. What happened there (don't answer if you can't face it).
  14. None of the above (well not quite). HMG announced a paycap of 1% for public sector workers. This time of year all of the stakeholders regarding public sector pay increases provide submissions to the pay bodies (arms length quangos setup and appointed by HMG) The unions ask for inflation based pay rises. The employers say no pay rise. the government has submitted no pay award at all unless automatic increments go. Medical staff have not had automatic increments since 2003. But I don't think anyone in government or the Treasury has bothered to read the contract!
  15. Technical analysis in terms of candlesticks, supports resistances etc has some basis of fact as its a measure of crowd psychology. It's most powerful effect however is that 75% of market participants use it, meaning it's a self fulfilling prophecy. Not all patterns are created equal however, some chart/candlestick patterns have 80% predictive power others hardly any. Even with those that predict well, if you are nervous in taking profits and don't close losing positions at the correct point when losses come then you will still lose money! It's all a difficult mix of macroeconomics, crowd and personal psychology. All wrapt up in a zero sum game.
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