- Nov 23, 2012
I agree with your basic point, butdo we actually know that the HSE model costs the taxpayer significantly less than the NHS does?It is actually very complex. For one thing the GFA would remain. Including its institutions. For another there are real questions about whether and how various services become integrated. For example does the NHS adopt the HSE model and do people in NI accept/know that. Or does the HSE accept the NHS model and how much money and time does that take.
That’s not an argument against unification but it’s an argument against the Farage-style insistence that something really complex is simple.
My impression is that the HSE system with its multiple exceptions and complex mixture of public/semiprivate/private coverage may pay administrators and perhaps some consultants better than the NHS does, but in terms of value for money for the taxpayer, the NHS is actually a terrific bargain.
Ireland tops EU table for percentage spent on health
There is an assumption that it is NI that would automatically lose out because the HSE system is so much less efficient - shouldn't the Republic adopt the better system in that case? It's not about costs, since the money is already being spent.