We are developing the social individualist meta-context for the future. From the very serious to the extremely frivolous... lets see what is on the mind of the Samizdata people.
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Today’s post about the NHS killing several hundred people is quite different from yesterday’s and should not be confused with it. They have nothing in common except both being about times when the NHS killed several hundred people.
The Guardian reports,
Fresh criminal inquiry launched over Gosport hospital deaths
Police have launched a fresh inquiry into how 450 patients died over 14 years after being given dangerously high doses of painkillers at an NHS hospital that showed “a disregard for human life”.
Relatives of the victims hope the investigation – the fourth into one of the biggest scandals in NHS history – will finally lead to criminal charges being brought against staff involved in administering the drugs unnecessarily.
An independent inquiry last year into events at Gosport War Memorial hospital in Hampshire found 456 patients had their lives shortened as a result of being given opioids without medical reason between 1987 and 2001. Their deaths are the focus of the new police investigation.
Another 200 people “probably” received excessive doses of painkillers at the hospital between 1989 and 2000, it added.
However the Guardian does not report a little detail that the Times does:
A hospital doctor faces a new police investigation into the deaths of 456 patients who were given “dangerous” levels of powerful painkillers.
Last year an official inquiry concluded that Jane Barton, who was known as Dr Opiate, headed an “institutionalised regime” of prescribing the drugs without medical justification at Gosport War Memorial Hospital.
Patients considered a “nuisance” were allegedly given drugs on syringe drivers filled with opiates which killed them within days of their arrival at the hospital in Hampshire.
(An earlier post on Gosport can be found here: “If a nurse didn’t like you, you were a goner”.)
The error was bad enough…
Hospital infected teenager with HIV then kept diagnosis secret
An NHS hospital kept a teenager’s HIV diagnosis secret from him after accidentally infecting him with the virus and testing for it without his knowledge.
Martin Beard, now 50, wants answers from the Infected Blood Inquiry, which begins examining what has been called the “worst treatment disaster in the history of the NHS” tomorrow. More than 2,400 NHS patients were killed and as many as 25,000 were infected by blood products contaminated with HIV and hepatitis C in the 1970s and 80s.
Mr Beard was among thousands of haemophiliacs treated with Factor VIII, hailed as a “miracle drug” to aid clotting. It emerged years later that almost all those treated were infected with HIV, hepatitis C or both.
The drug was made by “pooling” plasma from thousands of blood donors, including prisoners and drug addicts in the US who were paid. If even one donor was infected, the whole batch was contaminated.
Mr Beard, from Burton-on-Trent, was treated from infancy at Birmingham Children’s Hospital (BCH), but transferred to North Staffordshire Hospital aged 17, where he first attended with his mother in September 1986. “We opened the doctor’s door,” Mr Beard said. “He didn’t even say ‘hello’ or ‘sit down’. His first words were, ‘I see you’re HIV positive.’ ”
…but in a way the attempt to conceal what they had done was more shocking.
The Times article by Kaya Burgess continues:
A year earlier Mr Beard had been treated at Leicester Royal Infirmary. The Times has seen a letter sent by a consultant in Leicester to a registrar at BCH [Birmingham Children’s Hospital]. Dated October 1985, 11 months before Mr Beard learnt of his illness, it states: “We note that he is HTLV 3 [HIV] antibody positive, but is not aware of this and that you do not wish this to be divulged to him. We shall make every effort to comply with your wishes.”
Medical errors will always happen. Some “cures” that seem wonderful at first will always turn out to have long term side effects, or, as in this case, to be worse than the disease. We can try to minimize such things but we can never eradicate them because they arise from the nature of discovery. If we knew in advance what worked and what did not we would not need research, we would just apply the wonder treatment the angels had told us about.
But for doctors to conceal from the victim of their own mistake the terrible harm they had done, and for no better reason other than to cover themselves… words fail me. Although Mr Beard was eventually made aware of his condition in the most brutal fashion, apparently more because someone did not get the memo to keep it secret rather than from any desire for honesty, other haemophiliacs who were not told of their diagnosis unknowingly infected their sexual partners who went on to die.
Consider those words in the consultant’s letter “We note that he is HTLV 3 [HIV] antibody positive, but is not aware of this and that you do not wish this to be divulged to him. We shall make every effort to comply with your wishes.” A senior doctor who had attained the exalted status of consultant could not possibly have been unaware of the potential dire consequences of hiding from this boy (as Mr Beard then was) the fact that he was HIV positive. Yet this consultant blithely promised to “make every effort” to comply with the wishes of his or her fellow doctors to perpetuate the conspiracy of silence, as if that were the honourable course of action.
Consider that the behaviour of that consultant was widely replicated throughout the NHS. It seemed normal. It was just what you did.
The Times reports,
Son travels 170 miles and beats ambulance to injured mother
In a race between a man travelling 170 miles by public transport and an ambulance starting ten minutes’ drive away, most people would have backed the ambulance.
Mark Clements assumed as much when he left his home in London to help his injured mother in Devon, but when he arrived after four hours she was still on the floor and the ambulance had not yet arrived.
Mr Clements caught a bus, the London Underground and two trains from London to Exmouth on Saturday after his mother fell and broke her hip. The first 999 call was made at 9am but paramedics did not arrive until seven hours later.
“Look around any developed country and it is obvious that there are a lot of people who eat too much. But there is another affliction of modern societies that too often gets overlooked: the greed for attention. If members of the Lancet Commission on Obesity had a taste for food as great as their appetite for hyperbole, their bellies would prevent them getting near a dinner table.”
– Ross Clark, Daily Telegraph, 29 January (£).
Thou shalt rise up before the hoary head, and honour the face of the old man, says the Book of Leviticus, alongside other injunctions about such matters as how to sprinkle of the blood of the sin offering upon the side of the altar that even Leave voters might concede do not go so well on an inspirational poster.
For a while after the EU referendum result was announced there was a trend among some particularly enraged Remain voters to be about as willing to honour the face of one of those senile, bigoted, gammony, UKIP-voting coffin-dodgers as to bring a young bullock without blemish to the door of the tabernacle and kill it before the LORD. I lost count of the number of times I read young activists claiming that “their future had been stolen from them” and arguing that since the old had fewer years of life left their votes should not count.
This trend has now receded, either because it finally dawned on them that in the coming Brexitocalypse we will all be counted old at thirty or because the United Nations Independent Expert told them to can it.
That must have hurt. The United Nations telling them, who had thought themselves free from blemish, that though they wist it not, yet are they ist. Yeah verily, they are guilty of an ism, and shall bear their iniquity.
And now everyone’s at it. Out: “We should ban old people from voting”. In: “Age is a protected characteristic”.
The UK is “completely and institutionally ageist”, according to the chief executive of Care England, the largest representative body for independent social care services in the UK.
Prof Martin Green, also the chair of the International Longevity Centre, said ageism in the UK was “a national scandal” that should be challenged in the courts.
The Equality and Human Rights Commission (EHRC) should, he added, “hang their heads in shame” over its failure to pursue as many ageism cases through the courts as other protected characteristics, such as racism or homophobia.
The people of the past thought that the old should be treated with respect because they could be presumed to have gained wisdom through experience. The only lens strong enough to let modern Britain see the elderly as worth being treated with respect is that “old age” has joined the official list of “protected characteristics”. Better than nothing, I suppose, but the image of how to treat old people as seen through the “anti-discrimination” lens is one that most of the old people I know would say is distorted. For instance Professor Green indignantly writes,
If you just flip the categories, you see how unacceptable ageism is. You hear those in the NHS say: ‘That person is too old for an operation’ but they’d never say they are ‘too black’ or ‘too gay’ for treatment.”
I have known many people who have had lifesaving operations in old age. Though I do not share in the national worship of the NHS, I am grateful that the skill of its doctors and surgeons has allowed friends and family of mine to enjoy more good years of life. But if you are going to have a taxpayer-funded health service, then, yes, at some point the NHS must say, as it does say, “That person is too old for an operation”. Eventually the law of diminishing returns cuts in. The amount that could conceivably be spent on medical treatment to give a very old person a few more months of life is almost infinite. Fine if they are paying from their own purse – though even then a time comes when a honest doctor would advise against further treatment – but not if they are competing for NHS resources against a three year old child needing an urgent operation.
Today, it was announced that a Chinese research institution had edited the genomes of human embryos that had subsequently been implanted and led to healthy births.
By wondrous coincidence, Ilya Somin of the Volokh Conspiracy posted a great essay defending such gene editing only two weeks ago, and it makes good reading at this time.
Madeline Grant of the Institute of Economic Affairs has a guest spot in the Times. Presumably when they invited her they had an inkling of what sort of guest she would be. You really ought to buy a copy of the Times or electronic equivalent to read the whole article, but I hope that the following excerpts will give the general picture. She is metaphorically sitting with her boots on the coffee table, fag in one hand, her host’s vintage port in the other, keeping the party both appalled and entertained:
Let’s stop kidding ourselves about the NHS
… our public services are on track to become a Leviathan health provider, with only a few other minor functions attached. You might argue that this cycle of increased spending simply reflects Britain’s ageing population, but it hides some growing dangers.
Voltaire quipped in the 18th century that “where some states possess an army, the Prussian Army possesses a state”. Like Prussian military might, the NHS has embedded itself in our national psyche, consistently topping opinion polls of Britain’s best-loved institutions. Its cult status is spread on social media by people sharing personal tales and using hashtags such as #TheNHSsavedmylife, as if a publicly-funded service doing its job was somehow remarkable. Then there was the bizarre worship of the NHS at the 2012 London Olympics opening ceremony. Foreign visitors here, often with far superior health systems at home, regard our NHS mania with bemusement.
…
We could learn a lot from other countries. Australia offers free health cover for everyone but encourages citizens to top up these costs wherever possible. Most Australians are covered for all in-patient care and about three-quarters of GP care. The majority buy “top-up” insurance to meet the shortfall, while the state subsidises insurance premiums. Though public spending on health accounts for 9.3 per cent of Australian GDP compared to Britain’s 9.8 per cent, it outperforms us on almost every measure, including, most importantly, patient outcomes.
Sadly, given our worship of the NHS, it will be politically difficult to incorporate cost-sharing elements. But let’s at least admit that our centralised model is an international outlier and not, as is often claimed, the “envy of the world”. Even in Sweden, which the left regards as a socialist Valhalla, personal spending accounts for 16 per cent of total health expenditure, compared with 9 per cent in Britain.
Increased funding for the NHS must go hand in hand with reform of a system which favours bureaucrats over frontline staff. Despite a growing shortage of nurses, the number of managers on the payroll had risen by almost a quarter in four years. Our health service lags behind others in the uptake of new technologies — a report last year revealed it was “the world’s largest purchaser of fax machines”.
There are facts and figures a-plenty in the article, but long after they are forgotten I will remember that line about the fax machines. Sometimes a single dramatic example that encapsulates an issue can do more to change opinion than a page of statistics.
Niels Högel: German ex-nurse admits killing 100 patients
A hundred victims, and it is not even the BBC’s top story.
Towards the end of the last century I visited a very nice elderly couple, the husband of whom was a retired doctor. I noticed a flyer or newsletter sitting on their kitchen table with a heading something like “Doctors against gun violence”. At that time Dr Harold Shipman had fairly recently been arrested and the sheer number of his victims – more than two hundred – was beginning to emerge. I could not help thinking that, given that the number of people Shipman had killed by medical means exceeded by a great margin the death toll of the two largest shooting mass murders that had then occurred in the UK, Dunblane and Hungerford, maybe there was scope for a rival pamphlet called “Gun owners against medical violence”. The thought remained unspoken, of course, and a good thing too. I was not usually so flippant about mass murder even in thought: after the Dunblane massacre of primary schoolchildren I had thought about Thomas Hamilton’s victims almost every day for two years or more. Shipman’s victims did not haunt me to nearly the same extent. The same seems true of the general public. No doubt much of that was because Shipman killed the old not the young. It is not that people do not care about elderly victims, but the instinct to protect children and thus to consider the murder of a child the worst of crimes is bred in the bone. But that does not entirely explain it. Another British medical serial killer, the nurse Beverley Allitt, did target babies and children, by giving them overdoses of insulin and potassium. She murdered four children between the ages of seven weeks and eleven years and attempted to murder several others. One of those she failed to kill, Katie Phillips, was left permanently brain damaged by her attentions. This was after Katie’s twin sister Becky had already been murdered by Allitt. Yet her deeds seem almost forgotten now.
Maybe it is time for that long unspoken thought to get an airing, and for better reasons than to keep score in competitive shroud-waving. I have come away from Wikipedia shocked at how many such“angels of death” there have been, how long they have got away with it, and how high their number of victims has been. Almost more chilling than the death counts is their uncertainty: Donald Harvey, United States, 57-87. Arnfinn Nesset, Norway, 27-138+. Charles Cullen, United States 35-400+. There are plenty more on that list. And it can be practically certain that there are yet more who appear on no list, because they are still killing now.
It wouldn’t kill us to give credit where credit’s due:
Canada becomes second country to legalise recreational cannabis, reports the BBC.
I expect crime to fall – and the sky not to.
I also expect that some Canadians have already got over-excited and done some stupid things over the last couple of days, and more will follow.
One of the many bad effects of prohibition of cannabis and related drugs was that it led users to wrongly deduce that because these substances are not nearly as harmful as was claimed in order to justify the ban on them, then they must not be harmful at all. One of the saddest experiences of my stint as a teacher was to watch a colleague use soft drugs to slowly paddle himself towards dementia in his mid-thirties.
Prohibition of drugs did not stop him getting them, did it? When something does not work it is good to stop doing it as America did in 1933 and Canada has now. Let us rejoice at an outburst of sanity.
While we follow the soap operas at Westminster, Brussels and Washington other things happen in the world. Some of them will have effects that may still reverberate when the names “May” or “Merkel” or “Trump” have become no more than answers to pub quiz questions. Harry Phibbs, writing in CapX, has depressing news:
Anti-scientific EU rules are hindering work to save millions of lives
Let us consider another EU imposition. It is a rule that inhibits our contribution to the fight against malaria. According to UNICEF this disease is “the largest killer of children” on the planet. That agency estimates that malaria kills one child every 30 seconds, about a million a year. Most of those children are under five years of age, with 90 per cent of cases occurring in sub-Saharan Africa. Research suggests that while the number of deaths has fallen since 2010, in the last couple of years progress has stalled.
The good news is that a gene editing application has been developed which could eradicate malaria. It is called CRISPR — Clustered Regularly Interspaced Short Palindromic Repeats — and is considered “cheaper, faster, and less error-prone than any gene editing technology that came before it”. It could help preserve endangered species, improve welfare for farm animals — and save the lives of millions of children. The idea is to make mosquitoes immune to the disease.
But
In July, the BBC reported that the “European Court of Justice ruled that altering living things using the relatively new technique of genome editing counts as genetic engineering.” It added that “scientists who work in the areas of gene editing and genetic modification warned that the ruling would hold back cutting-edge research and innovation.”
Denis Murphy, professor of biotechnology at the University of South Wales, said the EU rules would “potentially impose highly onerous burdens on the use of genome editing both in agriculture and even in medicine, where the method has recently shown great promise for improving human health and well being.”
I must be honest here. As I read that article, mixed in with the genuine sadness and anger I felt about the way the EU’s restrictions look likely to hinder the development of a technique that could have alleviated large amounts of human suffering, I also felt a certain ignoble exhilaration. The European Union is being as bad as I always said it was. I had found a devastating answer to “Name me one bad thing the EU does, then!” It is possible that partisan passion is blinding me to the good reasons the ECJ might have had for caution. Ecosystems are complicated. Messing about with them has a habit of going wrong. Think of the introduction of rabbits to Australia or Mao’s attempt to eradicate sparrows from China.
One of the skipped-over paragraphs from Mr Phibbs’ article that I covered with the word “But” is this one:
“The team began with just two edited males, designated mosquitoes 10.1 and 10.2, into which the drive was inserted. After two generations of cross-breeding with hundreds of wild-type mosquitoes — and in mosquitoes, two generations can pass in less than a month — they produced 3,894 third-generation mosquitoes, of which 3,869 (99.5 percent) had the resistance gene. Just two mosquitoes were able to spread the trait to thousands of progeny — and malaria resistance along with it.”
The speed of that geometric progression scares me. Once started, the spread of these gene-edited mosquitoes could not be easily reversed.
But maybe it does not scare you, and you know more of genome editing than I do. My knowledge of biology is that of an attentive reader of pop science. Can any of you tell me more about this subject? Is the EU being as bad as I always said it was?
I am told that one of the ways Libertarians irritate normal people is by their attitude that there is a simple answer for so many of the political dilemmas that vex society.
Suck it up, normies, there is. There is certainly a simple answer for the political dilemma about which the Times is asking in this Readers’ poll: “Should everyone who identifies as female have access to women-only spaces?” The rubric says,
The government is consulting on a reform of the Gender Recognition Act. Currently the law allows people to gain legal recognition for a change of gender, but some transgender groups say the process is bureaucratic and intrusive and are pushing for a change that will allow anyone to freely choose their gender.
This is opposed by a number of women’s rights groups, which say the change would give men access to female-only spaces such as lavatories and changing rooms, putting women in danger.
The equalities minister, Penny Mordaunt, will consider whether to reform the law after the consultation ends on October 19 — but as The Sunday Times reports, many Conservative MPs are opposed to any change.
What’s your view?
You doubtless want to hear the result of the poll. I will tell you by and by, but for now I will exercise my freedom to irritate, and reiterate that the simple answer to the political dilemma is to take politics, in the sense of laws voted into existence by MPs like Penny Mordaunt and then enforced by the police and the Equalities Commission and suchlike, entirely out of the equation. Freedom of association for all! But what about bad people? What about Nazis? Yes, them too. If Nazis own or legitimately hire a space to do their Nazi stuff in, leave them to it. Don’t want to hire your hall to Nazis? Then don’t. Want to boycott any premises that lets Nazis in – or any that keeps Nazis out? Then do so.
Between groups of people who are not bad but among whom there are differences of opinion, try negotiation. It doesn’t have to be a million separate negotiations for every individual village hall or public lavatory, or for every women’s sporting competition or Brownie pack; there are such things as organisations and organisational policies. Not that there is anything wrong with having a great many separate local deals. This is called “subsidarity”.
Many fear that this radical strategy would give free rein to the worst instincts of the people. I don’t get it. To get into the habit of settling disputes by meeting the other party and peacefully trying to reach a compromise sounds a great deal more likely to give free rein to the best instincts of the people. Humans are nicer when not being threatened. Conversely when they suspect that in their relations with another group that, as the saying goes, “if you give them an inch they’ll take a mile” – then they won’t give an inch.
The other day I read this post from Econlog entitled “Tradeoffs Between Immigration and Reduced Freedom of Association”. Key quote:
The more that people’s freedom not to associate with others is reined in, especially when those others are people of different races, the less likely they are to favor immigration and, even if they never favored immigration, the more likely they are to be outspoken opponents of immigration.
Race is not the only category this applies to. Have you noticed how people who five years ago would have thought a transwoman was a lady from Transylvania now see transsexuals and/or transgender people as a threat? Have you also noticed how discussion of this issue is another pot beginning to boil over to use the metaphor of my earlier post. So far the lid is being held down. One word out of place on this topic can get you into trouble. But the pressure keeps rattling the pot, with jets of steam coming from such unlikely members of the Vast Right Wing Conspiracy as users of Mumsnet, members of the Labour party and Lesbians at a Pride march.
I voted “No” in that Times poll. As so often with me and polls I did not agree with the premises of the question. Other people freely choosing the gender is none of my business. I do not support or oppose a change in the criteria for legal recognition for a change of gender; I support tearing up all the laws on this subject and setting them on fire. Still my answer to the question “Should everyone who identifies as female have access to women-only spaces?” was closer to “No” than “Yes”.
5,068 votes have been cast so far in the poll. 97% of them were “No”. Of course it is a self-selecting sample from readers of one newspaper. Do not read too much into it. But you probably should read something into it. That is a strikingly high level of disapproval of a Conservative government’s proposed policy from the readers of a Conservative-leaning newspaper.
We’ve a new little report, piece of scientific research, telling us that cheese and red meat are good for us. This in entire opposition to everything governments have been telling us about diet for decades now. This telling us that government is a seriously bad way of doing anything.
Sure, of course, humans are wrong, most humans are wrong a lot of the time. The problem with government being that when that wrongness gets propagated by our rulers it becomes the established fact. Meaning that we’re all affected by it, there is none of that natural variability of error which protects some and harms others. We all become subject to the error that is
– Tim Worstall
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Who Are We? The Samizdata people are a bunch of sinister and heavily armed globalist illuminati who seek to infect the entire world with the values of personal liberty and several property. Amongst our many crimes is a sense of humour and the intermittent use of British spelling.
We are also a varied group made up of social individualists, classical liberals, whigs, libertarians, extropians, futurists, ‘Porcupines’, Karl Popper fetishists, recovering neo-conservatives, crazed Ayn Rand worshipers, over-caffeinated Virginia Postrel devotees, witty Frédéric Bastiat wannabes, cypherpunks, minarchists, kritarchists and wild-eyed anarcho-capitalists from Britain, North America, Australia and Europe.
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