Natalie Solent |
|
Politics, news, libertarianism, Science Fiction, religion, sewing.
You got a problem, bud? I like sewing.
E-mail: nataliesolent-at-aol-dot-com (I assume it's OK to quote senders by name.) Back to main blog RSS thingy ![]() Jane's Blogosphere: blogtrack for Natalie Solent. ![]() Links ( 'Nother Solent is this blog's good twin. Same words, searchable archives, RSS feed. Provided by a benefactor, to whom thanks. I also sometimes write for Samizdata and Biased BBC.) The Old Comrades:
Archives
November 2001
December 2001
January 2002
February 2002
March 2002
April 2002
May 2002
June 2002
July 2002
August 2002
September 2002
October 2002
November 2002
December 2002
January 2003
February 2003
March 2003
April 2003
May 2003
June 2003
July 2003
August 2003
September 2003
October 2003
November 2003
December 2003
January 2004
February 2004
March 2004
April 2004
May 2004
June 2004
July 2004
August 2004
September 2004
October 2004
November 2004
December 2004
January 2005
February 2005
March 2005
April 2005
May 2005
June 2005
July 2005
August 2005
September 2005
October 2005
November 2005
December 2005
January 2006
February 2006
March 2006
April 2006
May 2006
June 2006
July 2006
August 2006
September 2006
October 2006
November 2006
December 2006
January 2007
February 2007
March 2007
April 2007
May 2007
June 2007
August 2007
October 2007
February 2008
April 2008
May 2008
June 2008
July 2008
September 2008
October 2008
November 2008
December 2008
January 2009
March 2009
May 2009
June 2009
July 2009
August 2009
October 2009
January 2010
March 2010
May 2010
June 2010
July 2010
August 2010
September 2010
October 2010
November 2010
December 2010
January 2011
February 2011
April 2011
June 2011
August 2011
September 2011
October 2011
November 2011
January 2012
February 2012
March 2012
April 2012
May 2012
June 2012
July 2012
August 2012
September 2012
October 2012
November 2012
December 2012
January 2013
February 2013
March 2013
April 2013
May 2013
June 2013
July 2013
August 2013
September 2013
October 2013
November 2013
![]() |
Wednesday, March 06, 2013
Despite? Healthy life expectancy is shorter in the UK than abroadEmphasis added. The report's authors, and the Guardian article from which I quote, are at pains to say that the problem is only in part to do with hospital care – much of it is about the way we live. Our diet, our drinking and continuing smoking habits all play a partIn other words, Britain's relatively poor average life expectancy partly is to do with NHS hospital care, but they would rather not say so. As for the remainder of the problem that is not caused directly by the failings of the NHS, I wonder if the report's authors have considered the possibility that the "despite" might be a "because"? Why do the British do worse than other nationalities of similar wealth when it comes to living an unhealthy lifestyle? It is no answer to just say "culture"; why is our culture as it is? Have we always been thus? We have a long tradition of getting drunk, I grant you, but my impression is that the British were not considered any fatter or any more drug-addled than comparable nations a few decades ago... before 1947, let us say for the purposes of discussion. It is often said that one of the great blessings of the NHS is that it has lessened the fear of illness. The fact that they do not have additional worries about costs or insurance does come to those already worried about illness as a huge relief, and NHS-sceptics like me have to engage with that, sometimes in our own lives. So let us do so. I submit the hypothesis that a certain amount of fear of getting ill is salutary - both in the general sense of producing a beneficial effect and in the more specific, and original, sense of promoting health. Naturally, I speak here of averages over a large population. Many illnesses cannot be avoided by human action; that is what insurance is for. When considering any one individual, I doubt that when making the many small bad decisions that have the cumulative effect of making him or her unhealthy, "hey, I don't have to worry about paying for healthcare" often comes consciously to mind. But, like the proverbial mills of God, the mills of incentives grind slow but they grind exceeding small. In some countries those many small decisions take place under the shadow of "I might end up with a bill for this". In Britain they do not. My hypothesis might go some way to explaining Britain's anomalously poor average health. Something must explain it. By the way, I shall take it as read that every human being has a perfect right to eat, drink, smoke and inject as he or she pleases. I shall also take it as read that the authors of the report and 95% of its readers wish to deny others that right. If the hypothesis above is correct, Britain has set up a system that, besides the inherent wrong of being based on coercion, removes one of the incentives for people to take care of their own health. How to solve that? More coercion, of course. |