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The Lurker

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About The Lurker

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  1. Time for a Manx Boston Tea Party?

    Whilst broadly I agree with your sentiment I’m afraid that these days with the improvement in healthcare over the last fifty years or so people are far less likely to just die young as my Grandfather did in his mid-fifties but live on as ‘cardiac cripples’ or surviving a stroke with chronic health problems that cost society a fortune. I agree that minimum pricing will be unlikely to have the desired effect but I await the results from Scotland with an open mind. We like booze too much; all that government restrictions will do will be to create illegal supply similar to that seen in the US during prohibition if legal alcohol is priced beyond the reach of the majority.
  2. Supertour 2018

    Is it not a role of Government to provide systems and infrastructure that supports private enterprise that generates income for individuals, companies and ultimately Government itself in the form of tax revenue? Your posts simply smack of envy that this event is clearly aimed at wealthy individuals who can afford expensive cars and to pay for the privilege of a drive and a closed road. Personally I’m indifferent; road closures aren’t really that much of an inconvenience; easily navigated with a bit of planning.
  3. Ballasalla Bypass

    Agreed; as things stand if traffic flow is eased in the South the ‘problem’ will only be moved to the bottlenecks further up the road; Fort North being the next in line; then the QB and Douglas Bridge. Congestion in Ballasalla is only really an issue for people who live in the two roundabouts and I’m afraid that’s too few people to justify spending millions. I would agree with measures to ensure that people stick to the 30 limit on the way up Glashen Hill though.
  4. Ballasalla Bypass

    It strikes me as a lot of money to alleviate a problem that only exists for an hour in the morning and an hour in the evening on weekdays, and actually isn’t that much of a problem. Perhaps government money would be better spent on encouraging the big employers (themselves?) to move out of Douglas to end the mass influx and exodus that causes what passes for a rush hour here.
  5. Public 'prepared' to pay for healthcare

    You can fire off as many unquoted statistics as you like; none of it corresponds with my direct experience of GP’s that I’m either married to; related to or acquainted with.
  6. Public 'prepared' to pay for healthcare

    My experience would suggest £1.5k a week for about 55 hours.
  7. Public 'prepared' to pay for healthcare

    It doesn't tally with waht I know from personal experience.
  8. Public 'prepared' to pay for healthcare

    I'm afraid you're just plain wrong on that one.
  9. Public 'prepared' to pay for healthcare

    You're spot on regarding recruitment; it's estimated (and I'm pulling figures from memory here) that about 70% of the GP's on the Island are due to retire within the next ten years with little chance of replacing them. This was pointed out to IOMG when they made the decision.
  10. Public 'prepared' to pay for healthcare

    Feel free to come round and explain that to my wife when she gets home at 8.30 tonight.
  11. Public 'prepared' to pay for healthcare

    *MASSIVE POST WARNING* I’m fortunate that through various family members I have a perspective on the NHS that stretches back almost to the very first days in 1948; admittedly mostly a UK perspective. My Great Uncle qualified as a Doctor in 1949 having taken a few years out to tour North Africa and Europe; he would be very quick to point out whenever the many NHS funding crises were on the news that it has always been underfunded and that the biggest mistake was made when it was initially set up allowing politicians too much influence over what should be clinical decisions; he always maintained that the NHS should have been a sort of Quango; funded by government but run by a non-political executive. He actually tried to develop an NHS management degree in the late sixties but was politely told to bugger off. It's a political ping pong ball that faces massive changes everytime the resident of number ten changes. I’m related to a couple of GP’s both here, in the UK and further afield. They are overworked to the point of breaking; the main cause of this being appointments for minor ailments that can be easily resolved by a visit to the Pharmacist or even just taking a few days off and riding it out. People are not prepared to be unwell these days; we have a ‘presentee’ culture where taking time off to get over a bug is frowned upon; employers have a responsibility to instil in their staff that it is OK to take a few days off if your ill. On top of this we are now pretty much at the point where the pre-NHS system of paying to see the Doctor is falling out of living memory and as many of my NHS working friends and relatives say, and it’s a sentiment I agree with; we live in a society that believes that that which has no cost has no value. As such people will book an appointment for the most minor things as it involves no cash outlay and no effort on their part. This blocks appointments for the genuinely unwell and results in GP’s and their staff working themselves into the ground. I am a full supporter of the welfare state and believe whole heartedly in free at the point of contact but have got to the point where I think a £5 charge to see the GP and £10 for a missed appointment is the only way to reduce the amount of ‘worried well’ appointment blockers that are the route of the problem in primary care. As another poster stated no medication that can be bought over the counter should be available on prescription regardless of whether you’re entitled to free prescriptions or not. The charges should be taken and retained by the individual practices to make up for the fact the IOM GP’s receive lower per head funding than their UK counterparts. Nobles is an unusual problem in that we don’t have the population to require full services and as such the per head cost of healthcare will be higher; we will never attract the highest calibre career driven staff as the opportunities elsewhere are far greater. This is not to say that I don’t believe that the majority of staff at Nobles are not first rate; I know many people move here for lifestyle choices as my wife and I did. I’m afraid we will just have to suck up the extra costs; although putting the staff back on the NHS pension would be a huge boost to recruitment and was the biggest, most short sighted, knowing the price of everything and the value of nothing mistake IOMG has made in regards to healthcare that I can recall. As an aside I do get a little sick of the ‘civil/public service gravy train rubbish’ I read here every day. I’ve worked in the private sector long enough to know that laziness and incompetence is universal and not dictated by who signs the cheques at the end of the month.
  12. Pedantic Manx police state strikes again

    I wouldn't risk it.
  13. Pedantic Manx police state strikes again

    I’m afraid that neither public or private sector could refuse employment on those grounds alone. It would be akin to not employing young women to avoid maternity leave.
  14. Pedantic Manx police state strikes again

    No one I know I'm afraid.
  15. Pedantic Manx police state strikes again

    That’s certainly not the case for any of the three NHS GP’s in my family. I distinctly recall it being a ball-ache trying to claim back flight and accommodation costs for my wife’s training weekend in London that had to be cancelled due to family bereavement. The RCGP (that organised the weekend) were very good though and allowed her to hold her fee over for the next one. I will concede that it’s all tax deductible though.