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Cake day: February 16th, 2025

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  • It was founded on lies and lobbying. Remember “taxation without representation”? Americans were on a 90% tax discount compared to the British. America was founded off the back of the particularly idiotic, greedy and gullible, and they’ve continued on that path to present. And some fool gave them weapons.










  • You’re unfortunately very mistaken there. That fundamental was shattered in 1993 when social care was separated from the NHS (free at point of use) and instead given to local government (means tested pricing at point of use). Ever in search of savings for their limited budgets, local governments promptly privatised and outsourced their services. We went from 65% of care home spaces being publicly funded at the end of the 1970s to 6% a decade ago. At-home care went from being 95% publicly funded in 1993 to 11% in 2012.

    This sector of healthcare is beyond breaking point, with over 100,000 unfilled staff vacancies in care homes alone. This creates a backlog as NHS hospitals can’t discharge patients who need residential care that doesn’t exist.

    If you’re expecting a free-at-point-of-use care home later in life, think again. That is gone. Unless you have a large accumulation of savings to burn through things don’t look rosy.


  • The NHS has already largely been privatised. GPs were always private contractors but now GP groups have been increasingly bought by US companies, with the largest GP group in England, The Practice (half a million patients), being completely US owned

    NHS Logistics was privatised 2006-2019 (part of DHL, later Unipart) before becoming a government owned company.

    NHS internal operation capacity has essentially frozen since 2014, with the increase coming from the private sector. Over a third of “NHS” hip and knee operations, 60% of cataract operations, and a fifth of operations overall are contracted out to private companies.

    In terms of “internal” structure the service has been broken up into more than 500 legally distinct “Public Benefit Corporations” who can set up commercial subsidiaries and bid for provision contracts between themselves, as well as entering into commercial partnership with foreign companies such as the Mayo Clinic’s involvement in Oxford’s NHS provider.

    Social care has been almost totally privatised at this point.

    The current health secretary, Wes Streeting, is in favour of increased private involvement in the NHS so expect the trend to continue.