Contest PKG

First Do No Harm video contest.
What if there was universal car care? The government could take your tax money to run and regulate all your automotive repair. People who couldn't afford to get their cars fixed could now be assured of equal care care quality. If you had done what it took to properly maintain your car, you would rarely need to burden the system but when you needed the best service the government would provide, they'd be there to see your car was as good as new and back on the road.... or not.

Category:

Comedy

Tags:

• health care
• universal health care
• car repair
• government run
• car care

[sbxxxii7]

Thanks! We're moths to a flame.

[sbxxxii7]

Thank you for your kind words. I don't actually think it's about health care at all. Nor is it about the environment. It's about power.

In his campaign, he openly said he wanted to transform the country and a small majority of an historically ignorant electorate thought that sounded cool. Here we go.

[bryanbarton]

This video was great!

The one thing that confused me was the beginning.

Because when I see a car repair shop I think privately owned. You should have had a establishing shot saying "Government car repair"

[sbxxxii7]

Thank you for your kind compliment.

The intention was to have the graphic up to establish that it was a year into "Universal Car Care" while having the engine cut and the car door slam. The minute and a half restriction caused me to drop a couple of lines I would have liked to use as well. Had to move things along and I wanted to use sound to help tell the story.

The sign would have required its being constructed. I also wanted to get in and out of the business that kindly allowed me to shoot.

[infalliblejon]

No, you have a choice with your private insurance. You can change companies or even just pay out of pocket if you like. Under universal health care, you don't have those options. In fact, you don't have any options.

[LeGioNoFZioN]

great video, take it from a Canuck, single payer ain't the way to go

[AnotherLuke]

@fubecabr We are not without sanctions for poor care, but I do agree that the NHS has become too centralised in recent times.

I didn't comment here to claim the NHS is perfect, but it is wrong to say that public healthcare equals poor medicine: doctors won't suddenly become uncaring like in the video! I hope Obamacare learns from the mistakes the NHS has made (and still makes). But most people in the UK get great care and noone misses out due to cost.  I'm proud of that. Good luck to you guys!

[fubecabr]

@AnotherLuke

Central planning always fails, even if the planners and participants are benevolent.

In the US, poor patient care means going out of business and being litigated to death.

[fubecabr]

@AnotherLuke

Except for emergency use, CT scanners are not used during nights and weekends in the US.

As for economies of scale, most hospitals and clinics in the US are independent operations. There's no national hospital or clinic chain. There's no economies of scale here either.

The city I live in has only 45,000 people.

[AnotherLuke]

@fubecabr You're quite right, there are shocking stories happening. A big problem actually stems from the "policing", because there's been a lot of threats from government that we must meet certain targets. The problem is that the targets don't equate to good health care (althought they're meant to) and so management is rewarded for meeting targets *in lieu* of decent care. And patients suffer. It's awful, but it's stupidity not "socialised healthcare" and we're fighting to change it!

[AnotherLuke]

@fubecabr I can't speak for Canana, but a big reason why there are waiting lists here involves economies of scale. Many hospitals shut their theatres and scanners overnight and weekends because there isn't the demand to staff them overnight- 1 person not wanting to wait until Monday is a waste. I work in the 2nd largest city in Scotland- population only 250,000! How big are your cities?

Also, our waiting lists are getting a lot better in recent years. Waiting for months is fortunately rare

[fubecabr]

@AnotherLuke

Another form of rationing that occurs in subsidized and government run systems is queuing. The demand always exceeds supply when the price is free, so people have to wait a long time for procedures and tests. I can schedule a ct scan for monday in the US. In Canada or the UK, it could take months.

[fubecabr]

@AnotherLuke

NHS suddenly saw the light? Then why the recent article from the Telegraph in 2009, "Ten NHS trusts have worse death rates than 'shocking' Mid Staffordshire

Ten health trusts have worse death rates than the hospital where at least 400 patients died needlessly because of shocking and appalling standards of care, the Sunday Telegraph can reveal."

You can endlessly post articles like this. This is because NHS is a monopoly and behaves as such. You always have to police it.

[AnotherLuke]

@fubecabr Yes, if I spend money on you I can't spend it on someone else. When people talk about rationing in the NHS they usually mean brand new drugs, and so we balance the actual benefit of the new drug (compared to what we already have) against the extra cost. Otherwise you might give the person with terminal kidney cancer an extra fortnight but at the cost of running a neonatal unit for a month.

The US instead rations in the sense that you can have anything, but only if you have money

[AnotherLuke]

@fubecabr Interesting. However: Firstly that study was from 2003, and both waiting lists times and number of ICU beds have greatly improved since then (rightly so!). You could argue that at least someone was listening.

Secondly, reading the paper itself I see it was actually aiming to compare a research tool, not study mortality directly, and the authors made their comparison about mortality rates as an post hoc conclusion. The paper actually states that more research is needed

[fubecabr]

@AnotherLuke

'Britain shamed by NHS death rates'

"Patients who have major surgery in Britain are four times more likely to die than those in America, according to a major new study.

The comparison of care, which reveals a sevenfold difference in mortality rates in one set of patients, concludes that hospital waiting lists, a shortage of specialists and competition for intensive care beds are to blame. "