Jedisco's Posts
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Zahra29:Attract doctors and nurses to the extent where 52% of new doctors into the system in 2022 were trained abroad and many of the local grads are in turn moving abroad? Even the NHS leaders agree there is a staffing crises. jedisco:Like I stated in my quoted post above, I appreciate the system of care delivery here but also well aware of its wider impact and reasons why its under pressure. Every healthcare system has its drawbacks and one needs to understand these to make improvements. |
Lexusgs430:Hehe.. its not tickbox but good care. There has to be an accepted and regulated practice. It's the hallmark of any functional healthcare system or else any person/clinician would do as they see fit and justify their actions. It also serves as a standard to both protect and hold people accountable. Remember I added the statement 'guidelines not law (or tramlines like some put it)'? There are many grey areas where clinical work could deviate but the bulk should be within a recognised framework. I've worked in a system without a recognised framework where every clinician does whatever they see fit and I can tell you it's far worse with more significantly more needless deaths. |
Lexusgs430:Except if it was in the grey area and the clinicians were already considering one, I would be questioning the rationale behind them offering a CT head after having initially declined. If their reason for not offering one in the first place was because you didn't ask, then that'd be worrying. Just like with many things e.g antibiotics for children, not every child with a fever needs one. If your question is indeed honest, then the link below forms the framework on which most clinicians in ED would decide if to scan or not (same also radiologists in accepting a scan for the most part). It's a guideline not law but the protocol here tends to be very clear in most EDs to protect both patients and clinicians. Have a look and knowing the full facts, you can decide if it fits or not. https://www.google.com/url?q=https://www.nice.org.uk/guidance/ng232/resources/imaging-algorithm-pdf-13061125549&sa=U&ved=2ahUKEwjPoKnK2YuGAxUcSvEDHb_yAlgQFnoECAUQAg&usg=AOvVaw1lS_Ztm_7qM5guF81C4vmk |
Zahra29:Like I said, the fears are almost always well exaggerated for the most part just like the way many Nigerians back home dread the concept of 'tax' or bills (as they call it) without understanding the system abroad. It's part of British culture to whinge and exaggerate certain issues. Even some EU nations e.g France pay for care. I had seen a French lady in the past who was elated at having free service and told me at this point back home she'd be pulling out her card. Same also, a co-workers pregnant relative had to be taken into ED while travelling in France and was very happy at how quickly it all went. The NHS is pushing on today cos its absorbing many doctors and nurses from abroad (at a point even exceeding local grads). There are local and international effects of that. Your free healthcare has far reaching consequences. |
Lexusgs430:Hehe.. true that sometimes pushing sensibly and complaints can get folks on their feet. However, your post also highlights a main reason why we have long waits. People making unlimited demands off a 'free' service with a limited purse. Offering investigations because a patient wants it is hardly the hallmark of a good health system. Same issue the US grapples with only that in their case, more scans = more money. Inappropriate investigations also has it's downsides. Yes, we hear of sad stories or those who pushed and 'proved the doctors wrong' but there is a longer list of harms done by not justifying investigations within the norms of current practice. Things like head injury have clear guidance on who to scan. There could be grey areas but subjecting every child who bangs the head to a head scan is poor care. |
Zahra29:It goes both ways and largely depend on the side of the divide they are on. Reddit is also littered with Tech heads in the UK looking to jump ship and 3x their take home or American companies paying their UK employees less than half of what the pay for similar roles in the US. Also many UK medical students writing American licensing exams and jumping ship or actively planning towards CAN/AUS. Even when comparing attainment of immigrants, the US leads for a reason. Many Americans in the UK get flustered by the relatively poor pay, high tax and long wait times for healthcare we have become accustomed to. The social safetynet in the EU/UK is brilliant but for many hardly trumps the capitalist bull the US has become. |
Jamesclooney:I see your point. Fact is that any free service left long enough would be abused. Couple that with the rising entitlement and dwindling fortunes of the UK and you get the reason the NHS is where it is. The NHS as currently structured can deal with most health concerns. What it'd struggle to deal with is the expectation. Take 111/GP and ED attendances for instance, if a £10 token was billed on each episode of care, I can assure you the need coming through would fall by a chunk. The issue becomes how to protect vulnerable groups who without causing a situation similar to the 'sick note culture'. I am a proponent of free healthcare at the point of service and appreciate the NHS but there are drawbacks to such a system which can be difficult deal with. |
Mamatukwas:The fear about the American healthcare system is largely exaggerated. While some nations have a better system, Americans are not dropping dead in the street. We're talking about a nation that has been at the fore of technological development financial conquest over the last 50 years. Our free Healthcare is paid for via higher taxes + NI. Yes, many would need insurance in the US but the excess is capped and there are many groups which are exempt.Many middle income and high wage earners would see their take home double for an equivalent role in the US while paying less tax. Housing is relatively cheaper. Many jobs come with health insurance and even if one has to pay out of pocket for a family insurance policy, it manytimes would work out much cheaper than the higher tax paid here. Also, because their ervices are paid for and system flush with funds, services are prompt and manytimes push the boundaries of knowledge. Europe/UK OTOH is a much better deal for lower income earners as there is a robust safety net. Both systems have their pros and cons. Reason why many Brits jump at the opportunity of heading to the US. The Australian system seems to be a hybrid between both. |
BondRiv:You have a slavish mentality |
hyzich: Strata1716:Jokes apart and not to sound awkward, employers are not God. These could be easily sorted by a quick email to your HR. It's either they say yes (likely) or no. If they say no, then one can start strategising. Same also with the NHS role. A simple email to them would suffice. Either they provide you sponsorship or not. If they decline now, you could ask if they could comit to do that on your current visa expiration. If they still decline, it's up to you to decide if the experience and potential of leveraging on that is worth it. At the very least, dont be too timid to ask |
Zahra29:The stated country wasn't mentioned. Quite reasonably, it wasn't China. On the back of recent events, if it was China, you'd expect the government and media to go into a frenzy. The fact that the name of the culprit nation was witheld makes it very likely a 'friendly' and more powerful state - wouldn't surprise me the U.S and the government only stating this cos they're duty bound or they want to front-run an embarrassing leak to the press. As one British commentary put it, international espionage is not new and what China is accused of doing is expected or the norm among powerful states. Not too long ago, it came to light the U.S had long tapped the personal phone of the German chancellor (a fellow NATO nation), U.S agencies had long prevented messaging platforms from instituting encryption until they were guaranteed a back door. They have long done the illegal of tapping their citizens communication how much more the rest of the world. The US and UK were the first to clearly warn Ukraine that a Russian incursion was set despite Ukraine and Russia denying such. I don’t want to believe they got this information by asking Russia. Same double standard again crops up- what western nations have done for eons becomes problematic when a non-western nation dares it. |
matrixmuzi:You have low self confidence and an inferiority complex @mods @seun such disgusting statements should be removed and the poster banned. Report button not working. |
ChenHao23:Crack on... |
Good take @OP Our defunct means for international transactions shouldn't be black market trades. Why can't banks supply forex at prevailing rates and in a transparent and traceable way to every day customers? This is the norm in most economies. We could have travel agents or a few online money agents but rampant BDC use is an anomaly. |
Gerrard59:One word.. competition. Western nations are unhappy that a non-western monolith dares venture into the self-serving, neo-colonialist International lending space and then tries to undercut them. A space where much of the global south who have unable to be sat at the table are put on the menu. A space where Djibouti is expected to lend money at rates several multiples more than any western nation and yet, not collapse under its weight. If we were looking to fund same projects from Western institutions, the rates would have been much higher and the projects uncompleted as most of the money would have been looted back to western nations via purpose-built pathways used by corrupt collaborators on each side of the divide. As much as I hate to say it, we should be thankful to the Chinese for affording us such competitive loans and seeing to it that they're used as intended. Reason why the 'cheap' Chinese loans have achieved so much whereas billions more from western institutions cannot be traced to anything of note. |
Gerrard59:Succinctly put. Legal Immigration opportunities the West is based on economic and political need. Like I keep saying, we did not come here on a 'diversity visa'. Whatever legal route we came by was made open because someone convinced the government they'd benefit more by having that pathway open than closed. Main issue is that many come in, think they've been done an eternal favour and are not driven to reach for higher heights which they have the potential for. As the demographic decline continues, the next century will be dominated by a scramble for human resources same way the last few were dominated by a rush for natural resources. The west has found a way of doing this while convincing immigrant folks their worth lies in immigration. A good example has been India and China. Their GDP was close until 1995. China found a way to retain its best heads (even those educated abroad) and build wealth while India exported it's many good heads. Its the reason why I'm worried about Nigeria. We seem to be exporting our best heads (yes, I'm guilty) and sugarcoating achievements by Nigerians abroad which mean little to the home nation
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Gerrard59:Mostly this is due to the effect the western dominated media has on our psyche. A very good example is Chinese loans- in home and diasporean fora, it's interesting how Nigerian appear very worried when it comes up but very few bother about the details. Our Chinese loan of $4.8 B borrowerd at circa 3% has been responsible for most of our infrastructure over the last decade (rail, airport, powerplants e.t.c) while our Eurobond loans amounting to $15B, which is mainly looted back to the West and borrowed from mostly western agencies at rates of 8-12 % (yes 8-12%) are not talked about. The annoying part is that while we took funds at those rates, European nations were borrowing at less than 1%. Yet, we hear nothing about this. Even this year we've took a loan of almost 2B at over 12 % to 'defend the naira' How can Nigeria take loans at rates of >6x that of Germany? Yet we don't hear western nations (or even local media) warning us about eurobonds. Even yesterday, someone brought it up at work and its always bemusing how the simple question 'why do you care?' reveals so much hypocrisy.
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Good news. Received my COPR last week Timeline: Decided on the EE pathway June/July 2023 IELTS: August 23 (Band 8.5) Applied for EE - Sept 23. CRS score 460 ish Ontario PNP - Sept 23 (Didn't finally use it) ITA - Oct 23 - Healthcare Occupations Draw PR application submission- Dec 23 Biometrics and Medicals - Feb 24 Final approval- Mar 24 Visa in Hand - Apr 24 This would be my second japa after the initial japa to UK. Hoping is goes even better than the first which has been fantastic. Wasn't a follower of this thread until recently. I wonder if there is a 'Nigerians in Canada' thread like the UK thread |
toughest007:Irrespective of where one stands on this, there is alot to be learned from China especially for folks from the global south. China has been thru alot. Even before Japan, a few decades earlier there were the opium wars where which were basically Britain asking to pay China for agricultural produce by supplying them opium. When they refused, Britain and allies invaded, forced them to accept and use opium as pay plus a host of other unfair treaties such as giving up Hong-Kong. What followed was hundred years of humiliation. Even when China agreed to fight alongside the allies in return for their seized land, Britain turned around and handed the land over to Japan all in a bid to humiliate them. It took alot for them to purge themselves of this and regain some self consciousness. Today, China is about the largest trading partner of most nations. A driver in many fields, practically impossible to sanction and yet has began to improve prosperity by means of relatively fair relations and trade not by conquest and war. Many nations in Africa would have a much more practicable means of getting to the top by following the footsteps of China rather than by blindly following the West as frankly speaking we have no countries to steal wealth off and then claim democracy when we get to the top. |
Goodenoch:Policies in the west are crafted on economic and political need (i.e economic growth and elections) and not innuendos. There is a reason why the UK government brought back the PSW visa- it was not because they're keen on having graduates remain. |
Gerrard59:It's said that if you take away the over 750million people China has lifted from poverty in a single generation, the world in general has made little progress in reducing poverty. If China goes on to become the world dominant power, they stand the chance of being the first to achieve that with the lowest negative impact in human history. Their story has been an economic miracle. Thats what some folks comparing China to the US fail to understand- the miracle is that in 2024, China has become the elephant in the room. I get your sense of frustration but in doing that, I'd avoid insulting your folks as it depicts self hate. Gerrard59:I said on another fora that just like with most things there would always be different routes and means to good governance The role of every responsible government is to bring returns to the populace and foster the greater good. In this, China has exceedingly excelled. If we limit governance to whether they fit one world or another, then its a different story |
Lalami3232:You are a disgrace! @Seun this is what you've turned nairaland into. A place where black youg men trade insults. I wonder if larger forums like reddit would tolerate such |
Have you compared the terrain where these roads were built and when they were built to that in Nigeria? |
Goodenoch:Then the justice system should be equipped to promptly deal with such BS claims as you put it. I wonder if this response is based on stating clearly that I don’t look down on assylum claimants. Perhaps would changing the phrase from assylum to benefit claimants have made it more palatable? No human is illegal not more less than folks who 'discovered' Australia or 'discovered' America. Being a recent world empire, Britain sullied its hands in the dish of many nations and its invariable that many would want to live here. The asylum system should be well funded, robust and able to deal with these claims promptly. All said, what are the practicable and legal assylum routes to the UK? |
Testiebobo:You should have given him new clothes |
At this stage of our nation, are we not tired of all this talk of 'set to' 'about to' with pictures of a white man for even basic infrastructure projects that only fan a neo-colonialist mindset? This is 2024. A working refinery is not rocket science. Well meaning Nigerians are not interested in weekly articles of 'set to' from now till December before further postponement. FG should get to work and inform us know when the refinery is up and running. That's what they're paid for. |
membranus:2013 by Stephen Keshi. |
Besuccesful:I always wonder. Why can't nt the request for usd via BDCs be chanelled thru the banks. In the past, folks could spend usd with their naira cards at a bank-determined exchange rate. That more of a transparent market than cas-in-habd BDCs which are difficult to oversee. |
LZAA:The conversation of what local (or African coach) to give is a healthy one. But the sentiment that a white man is better suited (mainly because he's white) is what I'm against. Afterall our last AFCON cup was won by a Nigerian coach. |
Freshtruth:Irrespective of how Finidi performs, I'd always be an advocate of equpping and supporting local talent. We could aswell sit at home and beg oyibo folks to be our doctors, governors, employers e.t.c. infact to come recolonise us. We should give our mineral reserves freely to them, close our refineries and not produce anything rather import all we could from them. There is no shortcut to success. We have to invest in, build and support local capacity. |
Freshtruth:I'd say the reverse is the case here. There is nothing to prove he is not capable. What was our the resume of our last coach before he was appointed? Would you say this if it was an Arteta, Alonso or De Rossi being appointed? |
Freshtruth:That's unfair criticism and a neo-colonialist mindset. Give him time to proove himself. Guardiola, Arteta, Alonso, Gerard, Rooney e.t.c were players of good quality like Finidi George who have gone on the be given good platforms in their host continent. We should support the right local coaches to build their skill. Its disgraceful whenever I watch AFCON and see litany of European coaches dotting the bench. Is it that we dont have good ex-players or coaching staff? Afterall, the last AFCON proved we have good refs and the most successful coach at AFCON was an African. |
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. Once again, wishing the couple a blessed, blissful and a DNA test free union.