The NHS and the Peril of Pay-Per-Service: A Satirical Take on Britain’s Beloved Institution

Marcus Blakumen
Salubri
Published in
3 min readJul 16, 2023

‍“But isn’t healthcare supposed to be free?”, the British public collectively gasped as recent polls suggest that the beloved National Health Service (NHS) might introduce charges in the near future. The Birth of NHS: A Blast from the Past

The NHS, born in 1948, was a beacon of hope for a nation recovering from the Second World War. The vision was simple — healthcare should be a right, not a privilege. The NHS website proudly proclaims its founding principles: healthcare for all, free at the point of delivery, funded by taxes.

The Public Opinion: A Storm is Brewing

A recent survey conducted by the Health Foundation painted a rather grim picture of the future of NHS. A whopping 71% of the public believe that the NHS’s founding principles are under threat. The survey also revealed that 51% anticipate charges for some services within the next decade.

The Rise of the Zombies: Charging for GP Appointments and A&E Visits

Amidst all this, there have been faint whispers (or rather loud calls) for radical changes like charging for GP appointments and A&E visits.

These seemingly resurrected ideas have been backed by prominent politicians. However, critics dismiss them as “zombie” ideas. Because nothing says progressive healthcare like bringing back outdated concepts from the dead, right?

The NHS at a Crossroads: Striking Doctors and Long Waiting Lists

The NHS is currently in the throes of a crisis. Staff shortages, a backlog in waiting lists and looming strikes by junior doctors and consultants are some of the challenges it faces.

Amanda Pritchard, the chief executive of NHS England, urged the government and health unions to settle their disputes. She warned that strikes must not become “business as usual” for the NHS.

The BMA’s Appeal: Mediated Talks to Break the Deadlock

While the conflict continues, the British Medical Association (BMA) has requested the government to enter mediated talks to find a solution. On the other hand, the government accuses the junior doctors of walking out of talks.

The Public Stands with the Healthcare Workers

Despite the disruption, the public seems to be firmly on the side of the healthcare workers. Separate polling from Ipsos shows that most Britons support healthcare workers in their wave of strikes over pay and conditions this year.

The Future of NHS: A Political Battle Royale

The future of NHS has become a political rallying cry. Wes Streeting, the shadow health secretary, warns against abandoning the founding principles of NHS. He vows that the Labour would “never let this happen”.

The Liberal Democrat’s Stance: An NHS Fit for the 21st Century

Daisy Cooper, the deputy Liberal Democrat leader, promises to ensure that the NHS remains free at the point of use. She criticises the current government for soaring waiting lists and staff sick days.

A New Contract: Healthy Living Partnership

Some propose a new contract between the government and the public. This contract aims to promote healthy living and fight disease, rather than just promising free access.

The NHS’s 75th Anniversary: Celebration Amidst Crisis

As the NHS gears up to celebrate its 75th anniversary, a senior Tory source reaffirms the government’s commitment to the founding principles of the NHS. They also warn against Labour’s plan for a £28bn annual spending spree fuelled by uncontrolled borrowing.

The Public’s Verdict: More Funding for the NHS

About 80% of those surveyed think the NHS needs an increase in funding. The public also shows support for a dedicated NHS tax, an increase in national insurance or an increase in income tax.

Conclusion: A Future in Flux

As the NHS navigates these turbulent waters, the public’s faith in politicians’ promises seems to be dwindling. Despite this, the NHS still ranks highest as people’s first choice when asked what makes them most proud to be British.

The NHS may be facing a future of uncertainty, but one thing is clear — the British public holds this institution close to their hearts. Charges or no charges, the NHS is here to stay.

And as we wait for the dust to settle, we are left with one lingering question — “But isn’t healthcare supposed to be free?”

--

--