Saturday, August 15, 2009

Say what you think, at your peril

Many of the lazier commentators in the press appear to have been tuned into the BBC News Channel recently, which is overly engaged with any story that potentially undermines the Tory party, even more so than usual - sensing perhaps that they might conceivably be spared their richly deserved evisceration by a Tory government - if only they can try and concentrate their small arms fire, and see if it can be combined into a sufficient force to hole Cameron below the water line.

But for many others it's a relief to see that political parties can still contain a range of opinions after 12 years of the command and control mentality of Alastair Campbell's dungeon lab.

Dissenters have always existed in all the main parties, and are generally regarded by the press and people as relief from the carefully spun monolithic wall of blather from Westminster. So why not celebrate them and their controversy rather more?

Tory MEP Daniel Hannan had a go at the NHS. Given that the NHS is easily the most expensive thing in the UK, this seems like fair game. Moreover, the experience of the NHS varies hugely. Just because you had your haemorrhoids sorted quickly and efficiently doesn't mean the largest employer employer in Europe and biggest financial black hole we presently support is all sweetness and light - because it isn't. Ask most of the medical staff if they think it could be run more efficiently and less wastefully.

Thanks to years of stupidity, new technology has barely touched the NHS. In fact, the numerous IT disasters have probably reduced the overall efficiency as the system has moved from being based on distributed locally responsible hospitals, to far fewer but much larger centres (of excellence?). But the expected slick "all-knowing" IT has not been delivered to cope with this transformation, and the new much larger units simply have much larger crises, where the inept can lose themselves rather more easily.

Most of us have experienced highs and lows of the medical care - but one thing is absolutely consistent - trying to complain about a bad NHS experience is futile. Sure the "customer service structures" exist, but you or you loved one would be long dead before anything actually happened. So the bureaucratic configuration of the NHS does need a complete overhaul, it was created from a basis of fairyland dogma rather than reality. The notion that no effort can be made to try and separate and prioritise time wasters and those with self-inflicted problems from the more urgent and deserving can be seen in any casualty unit pretty much any day of the week.

As for Alan Duncan, are all you lot now not only in favour of the surveillance state - but one that is covert and operates through subterfuge? Who amongst you has not said something "off the record" that you would not posted on youtube..? The world would be a much duller place without the Alan Duncans and Boris Johnsons.

Churchill could not possibly have survived trial by modern media,und Sie werden viel ├╝ber die Lesung dieser Die Welt -Website..

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