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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So it wasn’t George Bernard Shaw after all.
It wasn’t him in the funny story about the dinner party, I mean, the one where a man teasingly asks the woman seated next to him, “Would you sleep with me for a million pounds?” Laughing, she answers, “You bet!” “All right,” he says, “How about for five pounds?” Now she is outraged and says sharply, “What do you take me for?” He replies, “We have already established that. All we are doing now is haggling over the price.”
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“Bristol Southmead Hospital: Racist patients could have treatment withdrawn”, reports the BBC.
North Bristol Trust (NBT) launched its Red Card to Racism campaign after staff reported an increase of abuse from patients and visitors at the city’s Southmead Hospital.
The abusive behaviour covers racist or sexist language, gestures or behaviour.
Trust chief executive Andrea Young said they wanted staff to “challenge and report it”.
Under the scheme, any patient abusing staff would be challenged and warned, leading to a “sports-style disciplinary yellow card” followed by a final red card in which treatment would be “withdrawn as soon as is safe”.
and
Ms Young said: “We’re sending a strong signal that any racism or discrimination is completely unacceptable – we want staff to challenge and report it and we want everyone to know that it will have consequences.”
Although I am not an adherent of the worship of the National Health Service that has replaced Anglicanism as the British English state religion, I can understand what people like about the NHS. Its founding principles were that its services should be comprehensive, universal and free at the point of delivery. I think the experience of other countries shows that there are many other healthcare systems that would work better overall, but it is a genuine advantage to the UK system that when a British person falls ill they do not have to even think about where and how they will get treatment, or how they will pay for it. It’s universal.
Or it used to be. Bristol Southmead Hospital has changed all that.
I could go on about how easily this policy by North Bristol NHS Trust could be abused, could lead to tragedy. A story by Jack Montgomery at Breitbart UK did just that. But in a sense all that is just haggling over details: once it is established that the NHS is no longer universal, what is the point of it?
The National Health Service was meant to be like the justice system: no one can ever lose the protection of the laws, not proven criminals, not actual racists, and certainly not some shabby old man who has been waiting in Casualty for five hours and can’t stop himself blurting out some non-PC word because he is in pain.
On the other hand, in other contexts I have argued that state systems should drop their obsession with universality. When I was a teacher I saw how one feral child in a class in a state school could ruin the education of thirty other children. For a mess of perverse reasons the policy of putting them in “sin bins” was never applied wholeheartedly, and there are some children so monstrous that even the other denizens of the reformatory should be spared their company. Not to mention the teachers, many of whom quit the profession rather than having to face one more day trying to control these thugs. Whenever it was suggested that the state should simply cease the attempt to educate such children someone would wail, “We can’t just abandon them”. “We can and we should,” I would say. “If they make themselves so unpleasant that no one wants to teach them, no one should have to.”
So don’t those arguments also apply to NHS staff members and patients who find themselves cheek by jowl with some aggressive bigot spewing out obscenities? In this case I am not talking about people who are unjustly deemed to be racists or sexists (real though I think the threat of this happening is), I am talking about truly nasty people. I said one of the best aspects of state healthcare was that it is available to all. But my own words regarding state education, also meant to be available to all, come back to haunt me: if some people make themselves so unpleasant that no one wants to cure them, surely no one should have to.
What do you think?
“Prohibition showed bans can be good for us”, writes David Aaronovitch in the Times. Unironically. He means it. He thinks Prohibition was good and wants it back. I suppose it was ever thus; it is like the way that when the people who remember the last banking crash die the banks start crazy lending again.
Mr Aaronovitch writes,
Your mental charge sheet against prohibition may well include the accusation that it didn’t get rid of drinking but sent it underground; that the resulting appetite for “bootlegged” liquor led to the rise of organised criminal syndicates, Al Capone, the mob and the St Valentine’s Day massacre; that it helped to make corrupt hypocrites out of public servants; that the rich were able to indulge while the poor were criminalised.
Why yes, it does.
And after just a few years the Americans saw what a disaster it was and repealed it. It may not improve your view of it to know that the Ku Klux Klan were very much in favour of prohibition.
That does not surprise me.
Strangely though, the one question that almost no one seems to ask of this epic public health measure is whether or not it actually improved public health. Yet it doesn’t take much digging into the available statistics to discover that it did — quite a lot, in fact.
Excessive alcohol consumption is linked to all kinds of adverse health conditions. The most obvious is alcoholic cirrhosis (or scarring) of the liver. In 1911 the death rate for cirrhosis among American men was nearly 30 per 100,000. By 1929 that had been reduced by more than 30 per cent. Registered admissions to mental hospitals for psychosis linked to alcohol more than halved. Even by 1933, when Volstead was revoked, alcohol consumption had gone down by a third since pre-prohibition. Whatever Mark Twain may have written, prohibition saved many, many lives.
The commenters made several good points to contradict that assertion. Some pointed out that in the same period alcohol consumption also went down other countries, including the UK, where alcohol continued to be legal. Bryan Dale said, “If prohibition reduced alcohol consumption by a third that can hardly be called a success. It was supposed to eliminate it entirely after all. With 2/3 as much alcohol being illegally consumed as had been done legally before prohibition, the impact on respect for the law must have been dreadful.” Others described well-stocked drinks cabinets in modern Saudi Arabia, or the way that the type of alcohol consumed shifts from beer to spirits when it must be sold and transported illegally.
I expect readers of this site can supply many other historical and factual arguments. All I will say is that there is a void at the heart of the passage I quoted above. Mr Aaronovitch never even questions the assumption that it is for him and people like him to decide what other human beings may or may not put in their own bodies.
These people who live a vigorous life to 70, 80, 90 years of age—when I look at what those people “do,” almost all of it is what I classify as play. It’s not meaningful work. They’re riding motorcycles; they’re hiking. Which can all have value—don’t get me wrong. But if it’s the main thing in your life? Ummm, that’s not probably a meaningful life.
— Ezekiel Emanuel, chair of the University of Pennsylvania’s department of medical ethics and health policy and “a chief architect of Obamacare”.
So what did the perp actually do?
Dental Hygienist Loses License, Labeled Sex Offender For Sleeping With Client – His Wife
Note that Alexandru Tanase’s story involves that modern equivalent of the Roman delator, the Facebook nark:
After one of the treatments, his wife, Sandi Mullins, posted a picture with Tanase. The former dental hygienist wrote on Facebook that in the “summer of 2016, a complaint was filed with the CDHO by a former friend and Facebook acquaintance of my wife’s, who saw a photo my wife posted, saying how happy she was with her dentist and what an amazing dental hygienist she had.”
It waits. It hungers. In its tenebrous embrace all memories, all identities, all names are lost. What was once known becomes unknown.
And a jolly good thing too, that’s what I say.
The Scottish government’s creepy Named Person Scheme has been fed to Azathoth, the BBC reports.
An earlier post of mine called “Sixty pages” described one father’s experience of the pilot scheme:
The surviving extracts appeared to indicate that the minutiae of his family life had been recorded in painstaking detail for almost two years, under a Named Person scheme which has been introduced in his part of the country ahead of its final roll-out across all of Scotland in August. A separate note made by the Named Person charged with keeping an eye on the academic’s two little boys was concerned with nappy rash.
Rob Fisher also wrote about it here: What the GIRFEC?
India bans e-cigarettes as global vaping backlash grows
India has announced a ban on electronic cigarettes, as a backlash gathers pace worldwide about a technology promoted as less harmful than smoking tobacco.
[…]
“The decision was made keeping in mind the impact that e-cigarettes have on the youth of today,” India’s finance minister, Nirmala Sitharaman, told reporters in the capital, New Delhi.
[…]
The government said it would advance tobacco control efforts and contribute to a reduction in tobacco usage. Punishments include up to a year in prison.
[…]
According to the World Health Organization, India is the world’s second-largest consumer of traditional tobacco products, which are not covered by the new ban, killing nearly 900,000 people every year.
[…]
India is also the world’s third-largest producer of tobacco, the WHO says, and tobacco farmers are an important vote bank for political parties.
“Bulgarian authorities bust gang suspected of illegal organ trading”, reports the Chinese state news agency Xinhua.
Bulgarian law enforcement authorities have dismantled a four-member organized criminal group suspected of illegal human organs trading, an official said here on Friday.
Two of the gang members were arrested on Tuesday evening when they were trying to leave the country at the Kapitan Andreevo checkpoint on the border with Turkey, and the other two were detained later, Siyka Mileva, a spokesperson for the Specialized Prosecutor’s Office, said at a press conference.
The evidence gathered so far indicates that the gang has been active since Feb. 2019, recruiting donors and recipients of kidneys, and transporting them to a clinic in Turkey where transplantations were performed, Mileva said.
All the criminals, donors and recipients are Bulgarian citizens, she said.
The recipients paid the gang between 50,000 euros and 100,000 euros (55,500 to 111,000 U.S. dollars) for a kidney, of which from 5,000 euros to 7,000 euros were paid to the donors, and the surgery cost between 20,000 euros and 25,000 euros, Mileva said.
The donors were of low social status, she added.
Thanks to the splendid work of the Bulgarian authorities their low social status will now be lower still, as in “criminal”. The people who needed the kidneys will have their status changed from “sick” to “sick and in jail”.
I first heard this story on the radio. Unfortunately I cannot remember which station I was listening to, but I do remember that the report specifically said that all the participants, including the would-be donors, were willing participants in the exchange of kidneys for money. Both sides were better off in their own judgement; the poor wealthier, the sick healthier. This evil had to be stopped.
Stop return of measles by making MMR jab compulsory, say GPs.
The Guardian headline makes it sound as if all GPs (General Practitioners) have said this. In fact only four named doctors are quoted, and when one reads the article the “compulsory” of the headline is not fully justified, but I think most GPs would agree with the government moving from a “nudger” to a shover on this issue.
The MMR jab should be compulsory for children before they are allowed to start primary school to stop the resurgence of measles and mumps, leading GPs are demanding.
Schools should ask all parents to prove their four- or five-year-old has had their two recommended doses of the vaccine before they can attend, they say in a letter to ministers seen by the Guardian.
They want school entry procedures toughened so that the only exceptions made to the new rule would be for children whose parents have registered a conscientious objection to the measles, mumps and rubella vaccine or those whose health means they cannot have it.
The four London GPs, who include a former government adviser on health policy, have urged the health secretary, Matt Hancock, and the education secretary, Gavin Williamson, to embrace the proposed change in policy.
Many a libertarian shuffles their feet when questions of herd immunity come up. The ghost of Typhoid Mary laughs. What do you think?
We have to do it, right? Politico reports,
Some U.K. lawmakers think they’ve found a way to reduce British smoking deaths: Brexit.
Large numbers of British cigarette smokers will switch to vaping once the U.K. leaves the bloc, they argue, if looser British tobacco laws replace tighter EU limits on nicotine advertising and packaging.
The BBC reports that ultra-processed food has been linked by scientific studies to early death.
Then come “ultra-processed foods”, which have been through more substantial industrial processing and often have long ingredient lists on the packet, including added preservatives, sweeteners or colour enhancers.
If a product contains more than five ingredients, it is probably ultra-processed, says Prof Maira Bes-Rastrollo, of the University of Navarra, citing a maxim.
This sounds quite vague. My problem with “processed food” as a concept, is that industrial processes involving food include things like mixing two ingredients together in a large vat. Surely if there is a problem it is to do with the content of the food. Something harmful is present, or something beneficial is missing. If so, tell me what that is, there is no need to be vague about it.
→ Continue reading: Ultra-processed food
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.
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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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