DanaC |
11-08-2007 05:47 AM |
Quote:
while there are some people motivated to work just for the hell of it, i would think greater efficiency and new innovation are found on the path to greater profits.
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And that's where we disagree I think. The path to greater profit leads, in my experience, to rationalisation of the workforce, cutting corners and buried safety reports, less service for greater cost and inequity of access. If you're talking about selling televisions or a financial package then yes, the path to greater profit can drive a better service (although the subprime fiasco suggests even thenn it can lead to a great deal of inappropriate sales). If you're talking about medical care I believe the drive to greater profit reduces the level of service available to the whole whilst increasing the level of service available to the few. If you are attempting to change a universal healthcare system, paid for by general taxation and national insurance, attempts to crowbar in elements of a profit based system just leads to diverting those taxes away from the primary care givers/receivers and into the pockets of business and shareholders. Instead of, as has always been the case in the NHS, the money that is invested going straight into service provision, it is syphoned off to feed a third tier of the system.
Teachers generally work for a wage, they don't work to drive up profits. Nurses generally work for a wage, they don't work to drive up profits. Teachers and nurses work hard for a fixed wage, why would doctors be any different? Why are nurses, who deliver care, motivated by the needs of their job and a wage to cover their living costs and yet we only expect Doctors, as caregivers, to be motivated by the ability to increase their earnings through the business model?
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