Message from @Jes

Discord ID: 679639775376179210


2020-02-19 10:41:05 UTC  

Yeah most OAPs have private in the usa

2020-02-19 10:41:27 UTC  

Sorry, most sensible oaps

2020-02-19 10:41:55 UTC  

You can negotiate that into your employment package and 401k (pension)

2020-02-19 10:41:56 UTC  

and most people in the UK have private too... through work or just private (although I dont think that many take up just private on their own)

2020-02-19 10:42:14 UTC  

and theres people like my mother who had private and just hardly ever used it

2020-02-19 10:42:32 UTC  

cos theres an excess and the treatment isnt much different

2020-02-19 10:42:40 UTC  

Through work stuff in the UK is actually a terrible system.
It encourages doctors to flee the NHS after we paid 100% of their tuition

2020-02-19 10:42:41 UTC  

> most people

2020-02-19 10:42:44 UTC  

don't say that

2020-02-19 10:43:39 UTC  

If the doc paid for his education he should go wherever he wants, if the state did I want to see a loyalty cause in the contract

2020-02-19 10:43:57 UTC  

@Jes i've advocated in the past for us putting a binding term on doctors, they work for the NHS for 10 or 20 year mandetory before they can leave, and the state swallows the education burden

2020-02-19 10:44:09 UTC  

We already do it for teachers

2020-02-19 10:44:27 UTC  

Certain subjects at least

2020-02-19 10:44:28 UTC  

but we stagger the "pay-back" of the tuition in such a way that after x years a % is paid back, so that people can choose to leave early and own the cost personally

2020-02-19 10:44:51 UTC  

to be fair, i wouldnt expect that in other areas... like if british people got a grant for IT courses...

2020-02-19 10:44:59 UTC  

so for example, say we go with 20 years for free education: after the 10th year each additional year brings your debt 10% down

2020-02-19 10:45:20 UTC  

I'm down with that.
Say it's 1 mil in education. You leave before year 20 it's 50k a year you owe

2020-02-19 10:45:27 UTC  

Now there is a down side

2020-02-19 10:45:30 UTC  

@wacka this is talking to make it free

2020-02-19 10:45:37 UTC  

so society prioritises doctors

2020-02-19 10:45:49 UTC  

Doctors are already a free course in the uk

2020-02-19 10:45:59 UTC  

sweeping reform

2020-02-19 10:45:59 UTC  

The doctorate part at least

2020-02-19 10:46:14 UTC  

it would be politically painful

2020-02-19 10:46:27 UTC  

but we need to sort out the incentives here

2020-02-19 10:46:28 UTC  

is that still the case though? I thought brown ended education grants... or might have been DC

2020-02-19 10:46:34 UTC  

Abolish the GP system, it's a quasi-private system

2020-02-19 10:46:48 UTC  

i'm ok with a mixture of public and private

2020-02-19 10:47:02 UTC  

what's the argument that this implamentation is bad?

2020-02-19 10:47:12 UTC  

I'm okay with it if it's planned - not if it's a hold back from 70 years ago

2020-02-19 10:47:28 UTC  

Docs get paid per seen patient

2020-02-19 10:47:30 UTC  

right, so is it a remaining part of pre-nhs?

2020-02-19 10:47:35 UTC  

Yeah

2020-02-19 10:47:43 UTC  

ok, then yeah, it needs to be reconsidered

2020-02-19 10:47:53 UTC  

Hence why a go practice is officially a 'private practice'

2020-02-19 10:48:01 UTC  

Go is gp lol

2020-02-19 10:48:03 UTC  

again, i'm fine with private practices

2020-02-19 10:48:18 UTC  

even if they provide NHS service

2020-02-19 10:48:19 UTC  

hmm apparently the average wait time for a knee replacement is longer under private insurance than NHS

2020-02-19 10:48:31 UTC  

@wacka here in the UK?

2020-02-19 10:48:35 UTC  

yeah