BELFAST, Northern Ireland -- Regardless of how the Supreme Court rules on the "Patient Protection and Affordable Care Act" (this was written before the decision), the Obama administration has indicated it will move forward with those parts of the unpopular law it can impose on the country.
Guidebooks are helpful when going on vacation. The U.K.'s National Health Service (NHS) is the best guidebook for Americans concerned where a nationalized health system might take us.
For years throughout the U.K. there have been horror stories about declining health-care services. Last week, NHS doctors threatened a strike over a plan to raise their retirement age and pension contributions. A majority of doctors decided at the last minute not to strike after negative public reaction.
Rationing has arrived, with more than 90 percent of English health trusts restricting "non-urgent" surgeries, which include hip and knee replacements and cataract surgery. It took a freedom of information request by the media to pry this fact from the NHS.
Long waiting periods for routine surgeries are increasingly the norm here. People are amazed when an American tells them we still have fast access to our primary care physicians. In the U.K., one must often wait weeks for an appointment and then additional weeks and sometimes months for treatment, depending on the procedure.
Cost-cutting, not improving the quality of care, now seems to be the major concern of the NHS. The London Daily Telegraph last week carried a story about a 71-year-old man who had been removed from treatment for pneumonia and epilepsy because he was deemed to be too old and too sick. Professor Patrick Pullicino, a senior consultant at East Kent Hospitals, told the Royal Society of Medicine of his personal intervention to save the man. He said he encountered "significant resistance" from hospital staff. When Pullicino persuaded them to resume treatment, the man recovered and was discharged.
The story contained this scary sentence: "NHS hospitals are using end-of-life care to help elderly patients die because they are difficult to look after and take up valuable beds." First the elderly, and then who? When cost becomes primary, what's next? Suddenly "death panels" don't seem so far-fetched.
NHS "looks like a supertanker heading for an iceberg," said Mike Farrar, chief executive of the confederation that represents organizations providing NHS services. Farrar told the Telegraph, "Despite huge efforts to maintain standards of patient care in the current financial year, health-care leaders are deeply concerned about the storm clouds that are gathering around the NHS."