Dr. Tim Evans has some interesting views regarding the reality of what many people ostensibly on the ‘left’ really think about healthcare
On 11 September 2001, Daniel Kruger, of the Centre for Policy Studies wrote a major feature article in the Daily Telegraph entitled Why half the members of trade unions have private health care. Kruger correctly pointed out whilst many members of the Trades Union Congress (T.U.C) continue to publicly attack Tony Blair’s efforts to establish an ever closer relationship between the National Health Service and British and French private hospitals, the trade union movement are themselves massively involved in a range of private healthcare schemes. Today, more than 3.5 million trade unionists have various forms of private health cover – which is more than half the T.U.C’s 6.8 million membership.
In his article, Kruger points to a trade union web site that spills all the beans called Trade Unions and Not-For-Profit Private Healthcare. It makes for remarkable reading and exposes the hypocrisy of many trade union leaders when it comes to private healthcare. This site quite rightly points out that the history of British independent health and social care is deeply rooted in the not-for-profit traditions of the friendly societies, mutuals, co-operatives and charities from whence the trade unions originally came in the early part of the nineteenth century. Today, for instance, BUPA is a mutual, Nuffield Hospitals are a charity, and people like the Salvation Army, Methodist Care Homes and Jewish Care all provide high quality health and social care services on a not-for-profit basis. There are literally dozens of other organisations underlining this deeply libertarian tradition.
Today, 7 million people have private medical insurance. Another 7 million people have private health cash plans such as H.S.A. (Hospital Saving Association), health cash schemes – as separate from private medical insurance invariably offer cash towards a range of services that were once covered by the NHS. For example, dentistry, ophthalmology, physiotherapy, chiropody, maternity services, allergy testing, hospital in-patient stays, convalescence, home help, and in some cases the use of an ambulance.
Another 1.2 million people have private dental insurance, whilst more than 20 million people pay directly for private dentistry with no insurance at all. 1.4 million people now have critical illness and permanent health insurance whilst 8.5 million will go private in 2002 for complimentary medicines such as osteopathy and chiropractics. Millions of these people will be trade unionists.
Perhaps, as the political scientist Dr. Nigel Ashford pointed out in 1997, it is under the historic and voluntaristic rubrics of mutuality and co-operation that Tony Blair might just continue with his Plan to Privatise UK Health and Welfare(1)
Come to think of it, perhaps that is why Labour’s ministers are beginning to talk about giving the best “three star” NHS hospitals “Independent Foundation Hospital” status and are endlessly obsessing about giving them “earned autonomy”. Strange bedfellows – funny old world!
(1)= (link requires Adobe Acrobat Reader which can be downloaded for free)
