₦airaland Forum

He should be placed in a cell room with bobrisky.......😂😁

Beverlyjean:
U are part of the problems

For loving to chop the rago or been part of your president's cabinet.........🤣😁

It's worth every kobo .......🤣😂


This is an orobo rago.......😁😂

We await those that would get married, from the toxicity comment section of nairaland.com......... 😁😂

After buying 2 petrol powered limousines + spending our money to buy vehicles for his wife ........


What sort of hypocrite is this man .......... This man would be the worst thing to happen to Nigeria...... We thought buhari was a disaster, tinubu would surpass buhari's hopelessness.........

lavida001:
I have a question.

How do we replicate this Youna brilliant insights in Nigeria.

It starts from the government.... But a government that cannot supply pipe - borne water, can NEVER offer free healthcare services for all.......

The dynamics are too complicated for them.. ...... If it's how to steal public funds or rig elections, that's their existence of living........

Zahra29:
💯, because over 95% of Brits are like "no Bueno" to the US healthcare system (along with their hormone injected beef lol).
Tories tried to privatise by the back door but have never been bold/foolish enough to be transparent with their objectives.

I see you truly love the tories...... 🤣😁

jedisco:
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.

Exactly, we are saying the same thing, but in different languages......... I would happily fall within that grey area........ 🤣😂

Zahra29:
Any desirable country will attract doctors and nurses from abroad who are seeking a better life, more money and a superior professional experience and opportunities. The NHS is not unique in this.

You seem to be pushing for the privatisation of the NHS which goes against its ethos and founding principles ,so no thanks. Private healthcare is available for those who choose/are able to pay. The NHS should remain "free" , but needs to find ways to become more efficient e.g. slimming down their management force, more conservative contracts etc

The common principle of Labour drifting to an environment, where labour is properly rewarded comes to play.........

Any politician/political party that advocates 100% privatisation of the NHS sector........ Would NEVER smell power again, for the foreseeable future .......😂😁

jedisco:
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

This exactly is the reason why some people die needlessly...... This tick box system of clinicians weighing cost vs benefits........

When my family is involved, the tick box system gets burnt....... 🔥🔥🔥🔥😁🤣

Zahra29:
I'm in support of you advocating for the scan for your child because you can never be too careful with children, I don't see this as a waste of NHS resources.

What I'm not in support of is people demanding full MOT blood tests from their GP just because they paid the IHS or showing up at A&E with a sprained ankle and expecting to be seen immediately :|

Let's put our professional hat to one side, then put our ethical hat to the other side and our family ties hat on the other .......

I know the hat I would be lifting, others can choose another type of hat ........

jedisco:
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.

So how would I know if my son sustained internal head injuries, from banging his head (that caused massive injuries to his lips and face) ...... By looking through his eyes or rubbing holy oil on his forehead...... 👀😂


Would I forgive myself if my son suffered from internal bleeding, if I refused to insist on the CT head, due to your position above...... I am asking a honest question.......

jedisco:
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.

Name one country that is running an NHS health structure......... 😁

FREE at the point of DELIVERY........

ehizario2012:
I think this is one of the truest points made so far on this discussion - the capitalist tier system. Simple. It exists in the UK too, surprisingly though.

Many of us who left to the UK recently (and those already in the UK for a while) belong (ed) to a privileged class in Nigeria who enjoyed health insurance so we generally got tier 1 services and used to that already.

I'm privileged to have all my working experience in the banking sector in Nigeria and enjoyed the best of Mansard with my family... Just like many others in that class.

So if one can pay top quid here in the UK, I believe one can still get prompt medical attention. The civil servants and lower class in Nigeria also experience long waiting hours in UCH and other lower private hospitals, longer queues than the NHS UK.

So this comparison is actually relative. I want to believe biggest boys here in UK would still enjoy the best of medial services as long as they can pay for it while the talawakas wait for NHS.

I could not put it any better....... If an NHS patient requires a knee operation, that patient could be waiting weeks/months/years.......

Same patient above requires a knee operation, but luckily got private medical insurance..... The operation would be carried out within days (assuming all consultations, consents and checks) are conducted and patient is good to go......

missjekyll:
Did you get the tape?

Absolutely...... I am like an Ijebu man, to ikokore and garri.........😂

Jamesclooney:
Not true sir. I have experienced NHS 15yrs ago, it wasn’t like this, reason for the proliferation of private insurance etc. And reason the govt of the day is getting hammered. But if they read all your comments, they would be very happy with the NHS and decide to do nothing aka “the plan is working”. Call a spade a spade, not a gardening tool.

I mentioned it on this thread a few years ago, that the NHS is/was failing.......

Oga, I fully agree with you and many others on the point above.......

My point is, under Labour 14 + years ago people complained about the NHS, this complain patterns unfortunately got worse under conservatives ........

We all have to agree that when the NHS was setup in 1948, it was not meant to carry the sort of heavy loads, it's having to lift in our present day ........

Enoch Adeboye would not be happy that another rogue MOG, stole what was meant to go to another rogue MOG.........

Goodenoch:
There's also private healthcare in the UK that will allow you to see a doctor and get a procedure you need pronto. That's what you must compare with private healthcare anywhere else.

What he is failing to comprehend is, the UK health sector also got a tier system (capitalist society)....... Why would private health care services/insurance be available, if the NHS was FANTASTIC.......😁🤣

Jamesclooney:
That’s not the point sir! I don’t care about public or private system. What was available to me in Nigeria vs what is available to me now? This was what led to the debate on Twitter on healthcare systems. Lord knows, where I will want to be if I need dental care for example. Or the kid I saw that sprained his ankle in school and was in A&E for hours on end. Even paracetamol they didn’t give this boy. Almighty “triage” didn’t prioritize the schoolboy even with the swollen leg for many hours. I know where I’ll rather be if I was the injured school boy.

Unfortunately, if that was my son..... I would be an advocate for him in that A&E department, I would not just sit like a statue........

I would give you a personal experience....... My son had a moment of syncope at school(banged his head), his grammar school phoned me to come pick him up.... I demanded they called an ambulance, to take my son to an A&E department (that i would meet them at the local hospital).......

After meeting my son at the A&E department, after all triage and bloods taken, no immediate alarms got flagged....... My son was going to be discharged, I asked them what the procedure was on incidents involving head hitting the floor.... I was told all sorts of medical magical terms (I listened very patiently)........

I insisted my son had a CT scan of his head, to rule out any bleeding(objections were raised)........ Guess what ..... My son had the CT head .......

I also requested a 24 hour tape........ 🤣😂

My point is, don't just sit and wait, demand what you want.........

Zahra29:
Thank you Dr. Well said...

And I'm assuming when you attend to a patient in ED, you don't ask for their medical insurance details or to produce a police report before deciding whether to treat them and what to charge them for the emergency treatment. Which is what happens in certain countries, and yet the NHS is a "total failure".

Dr's are not employees of the UK border force...... Once the patient is out of any critical medical emergency, hospital managers can conduct border force roles .......😂

EJIOGBENIMI:
NHS is not perfect but it is not a 'hot mess'. Someone had already explained patients flow in the ED.
The resources are limited, so, those with life threatening problems get seen first. That is called justice in medical ethics.
I am an acute medicine registrar in the NHS. I get bleeped from ED from time to time. I assess the situation there and then and I don't delay patient's care. No reasonable doctor will do this as there are systems to keep track of things. I have been involved is 2 national benchmarking audits. SAMBA audit, June 2023 and February 2024.
I am not aware of any trust where patients are kept waiting for over 12 hours without getting any form of care or plan in place.
Yes, the NHS needs funding to improve its services. It's a blessing to the UK.

People don't seem to appreciate the beauty of the NHS .......... When and if NHS adopts the American model, maybe people would appreciate the NHS for what it is worth ........

Some people that seem to criticise the NHS, contribute in the massive abuse within the
sector.......... We leave this discussion for another day.....😂😁

Jamesclooney:
I don’t care about the general statistics or trends. I’m telling you my lived experience. People are literally going to Naija for their Medicare needs but hey, Nigeria has 3rd highest maternal death ratio. Who cares? It’s akin to some in London telling you about the risk of knife/violent crime and feeling safer in certain parts of Nigeria (e.g Lekki), and you throw back stats that bandits and unknown gunmen are in Nigeria. That’s not the point. Just saying NHS is a hot mess for a so called first world country. Some medicare is actually better in Nigeria atm, and that’s a fact!

You're comparing strawberries with agbalumo........

Those returning to Nigeria for Medicare, do they end up in the public health service sector or private sector.......😁

Zahra29:
Lol you and your adages 🙈

We have to keep hope alive innit lol and Sir Keir keeps reassuring us that they are New New Labour (Tony's Labour was only New Labour lol) so let's wait and see...

I remain optimistic, but not deluded.......😂🤣

Zahra29:
Lol Tony also landed us with all these polytechnics turned universities that we're now struggling to support.

Agreed, the NHS definitely needs reform, I saw an article the other day on how much a particular agency charges the NHS for oneagency nurse especially on public holidays. It was something like 2k or more per shift (obviously most of it going to the agency). These and other wastes in the system need to be looked into for the NHS to run more efficiently.

So in essence, the party that took your day, cannot promise you night.......... 😊🤣

Zahra29:
The bolded is one of the reasons the Tories will lose the election - because many people remember how much better the NHS was 15/20 years ago before the Tories came in and started defunding public services.

One of Labour's key pledges is to improve/transform the NHS ,including waiting lists, so no-one is saying we settle for things remaining as they are.

Cases are usually triaged and urgent/life threatening cases (and minors) are not left waiting in A&E or on 2 year waiting lists. Anyone here been diagnosed with cancer or diabetes or hepatitis or sickle cell or heart disease etc etc and had to wait 2 years to start treatment?

The NHS isn't perfect, I completely agree, and there is an element of post code lottery that determines the quality of treatment some areas receive, which isn't fair.

However, on the whole it is very good considering the limited resources and increasing pressures it is faced with.

Which party setup the NHS with all this expensive unproductive contracts.......

You got it right...... It was labour (under TB).........

Mamatukwas:
I’ve experienced both. Healthcare in the US is elite and premium but the billing is also premium. Pray that whatever you do, you never fall seriously ill in the US or require intensive care without insurance. Your own is all over.

The biggest cause of bankruptcy in the USA, is healthcare (our people that love data)..... Over to you .......😁🤣

My cousin had a stroke in the US 2 years ago, when his insurance premiums ran out, his friends shipped him back to Nigeria (his family kept this a secret)........

He died in Nigeria about 13 months ago ........ Be very careful what you ask for.......

We need to ask her how her husband obtained that perpetual injunction.....

So what...... Who in his/her right senses would vote for tinubu........

If not for the powers of rigging and state capture.........

They can sense fubara is about to sweep them out........ 🤣😂

Chucks13:
Abeggyyy!!! Leav grammar, betrayer are bitch.

How can anyone be supporting wike....... When he was a governor, nobody leveraged over him, he should leave rivers state for fubara to govern.........

And all wike loyalists, should all be sacked/removed..........

Why wike cannot just face his abuja portfolio, smells of travesty of intent....... wike is trying so hard to continue a 3rd term in rivers state, under the guise of protecting his political structure.........