Hopefully this will set a trend and they will end up exterminating themselves
The only concern is they continue to get a flood of new recruits to replace those they kill. We have already had reports that those that control ISIS already use recruits from certain parts of the world as cannon fodder, with the justification that they are lesser because they aren't direct descendants. While other are not used for suicide bombing etc. It could be they are massively racist or it could be that they are keeping those that are more useful to them more out of the fire line, or most likely both.
Well if you have a high chance of being burnt alive if you fail to perform a few would be recruits might find themselves washing their hair when the next jihadi comes calling!
I can't see Jeremy Corbyn backing down. This could be a huge fist fight.
For me I can't understand why they think there is any appeal in this marginal issue almost 30 years since the cold war ended. Perhaps because I'm a bread and butter kind of voter.
Because the £30 billion could be far, far better spent elsewhere if not first on defence equipment that will actually be useful and be used.
£30 billion diverted to conventional weapons would be salami sliced away to nothing within a few years.
Whatever you think about Trident it's completely bizarre to decide it's future based on jobs.
Suppose we spent £5 billion per year employing people to count lamp-posts (or some other pointless activity).
Would we say we must carry on counting lamp-posts because if we don't it'll cost jobs?
The answer is that if an activity has no purpose it should be stopped and resources redirected to something which does have a purpose.
Now I personally think Trident is worthwhile - but that is a separate issue.
Fair enough, but if you were the leader of the Amalgamated Union of Lamp Post, Bus Stop and Fire Hydrant Counters I'd expect you to bat for your members' jobs.
That's no reason why we should listen to you of course.
On topic, the strangest thing of all is that Labour should bang its head into the wall on Trident when it has no say in the matter and won't until it gets back into government. People talk as they are deciding whether to renew Trident. They are not. They are deciding whether, hypothetically, they would if they happened to be in power.
The answer is to kick the issue into the very long grass.
Corbyn and pals genuinely are bears of very little brain
"Iranian military forces seized two U.S. Navy boats Tuesday and are detaining them on Iran's Farsi Island in the Persian Gulf, senior U.S. officials told NBC News.
The officials said it's unclear whether the 10 American sailors aboard two small riverine vessels had strayed into Iranian territorial waters before they were captured.
The sailors — nine men and one woman — were on a training mission around noon ET when one of the boats may have experienced mechanical failure and drifted into Iranian-claimed waters, officials added. Iran's coast guard took them into custody."
Crickey, he might actually do something right for once. Makes a change from his disastrous spell at the BBC, where he didn't have a clue about anything.
I can't see Jeremy Corbyn backing down. This could be a huge fist fight.
For me I can't understand why they think there is any appeal in this marginal issue almost 30 years since the cold war ended. Perhaps because I'm a bread and butter kind of voter.
Because the £30 billion could be far, far better spent elsewhere if not first on defence equipment that will actually be useful and be used.
£30 billion diverted to conventional weapons would be salami sliced away to nothing within a few years.
Indeed Brown wasted 10 billion at the stroke of a pen on aircraft carriers that were not fit for purpose at the design stage and could carry the right aircraft..
I knew all of that @TOPPING, I was being rhetorical. Not only the US, most western forces lack savvy generals. Very few of them have fought an actual battle except in war games. Add to that, that politics has diminished the fighting services.
Sanders is more electable than Hillary, fact. Trump must go easy on Hillary or pray for Bloomberg to run and split the DNC vote.
At the moment that seems the case, Bloomberg would win some moderate Republicans too, not just centrist Democrats so I don't think that would be enough to overturn a 5% Sanders lead over Trump
Moderate Republicans are in fact the main support base for Mr Trump Because if you are moderate in the Republican Party, it probably means you are economic centre or populist but interested in the identity politics he espouses
You are talking about the median Republican voter, ideologically more moderate Republicans ie country club types, wealthy suburbanites, fiscally conservative but not intrinsically anti immigration, may well be tempted by Bloomberg
I think the polling evidence is th
White working class Democrats are often conservative and often vote Republican at the Presidential level, they are not moderates
It depends what is meant by "moderates". They're probably well to the Left of the Republican establishment on economics, not devoutly religious, but are fired up about immigration and national security issues.
My understanding is that Trump doesn't poll so strongly with the voters who are more ideologically conservative (who would favour Cruz).
Those conservatives will still happily vote for Trump against Hillary or Sanders, the ones who might vote for Bloomberg are relatively wealthy, fiscally conservative and relaxed about immigration, probably employing a few immigrants themselves
"Iranian military forces seized two U.S. Navy boats Tuesday and are detaining them on Iran's Farsi Island in the Persian Gulf, senior U.S. officials told NBC News.
The officials said it's unclear whether the 10 American sailors aboard two small riverine vessels had strayed into Iranian territorial waters before they were captured.
The sailors — nine men and one woman — were on a training mission around noon ET when one of the boats may have experienced mechanical failure and drifted into Iranian-claimed waters, officials added. Iran's coast guard took them into custody."
I can't see Jeremy Corbyn backing down. This could be a huge fist fight.
For me I can't understand why they think there is any appeal in this marginal issue almost 30 years since the cold war ended. Perhaps because I'm a bread and butter kind of voter.
Because the £30 billion could be far, far better spent elsewhere if not first on defence equipment that will actually be useful and be used.
£30 billion diverted to conventional weapons would be salami sliced away to nothing within a few years.
Indeed Brown wasted 10 billion at the stroke of a pen on aircraft carriers that were not fit for purpose at the design stage and could carry the right aircraft..
I can't see Jeremy Corbyn backing down. This could be a huge fist fight.
For me I can't understand why they think there is any appeal in this marginal issue almost 30 years since the cold war ended. Perhaps because I'm a bread and butter kind of voter.
Because the £30 billion could be far, far better spent elsewhere if not first on defence equipment that will actually be useful and be used.
£30 billion diverted to conventional weapons would be salami sliced away to nothing within a few years.
Indeed Brown wasted 10 billion at the stroke of a pen on aircraft carriers that were not fit for purpose at the design stage and could carry the right aircraft..
Brown was a genius at wasting money
I wonder if they've managed to fit the propellors to the one that's already been floated. I believe it's been proving difficult to do so now it's in the water.
Whatever you think about Trident it's completely bizarre to decide it's future based on jobs.
Suppose we spent £5 billion per year employing people to count lamp-posts (or some other pointless activity).
Would we say we must carry on counting lamp-posts because if we don't it'll cost jobs?
The answer is that if an activity has no purpose it should be stopped and resources redirected to something which does have a purpose.
Now I personally think Trident is worthwhile - but that is a separate issue.
Well, one minor example is the production of nuclear subs. Last time we stopped building subs for a while, BAe ended up having to get Electric Boat from The US to teach them how to weld pressure hulls again.
Building the four Trident replacement subs will keep the skill base rolling until the next order of attack subs. Which means that several billion of the price of Trident replacement would, in effect, have to be spent anyway.
Unless you want to by all future subs from Germany or something.
'The Labour Government under Jim Callaghan, was one of the best this country has known. The only policies they could implement - during the Lib-Lab pact - were Labour policies that were approved by the Liberals. Most of the time, they just governed quietly, without too much change.'
You do spout some rubbish, were you actually around at that time or just trying to rewrite history?
Massive inflation, endless strikes including the winter of discontent & Denis Healey forced to go to the IMF with a begging bowl.
Most of the junior doctors on TV look awfully young. Barely old enough to have gone to university never mind left it and actually become doctors. If one of them came near me I'd be worrying about them - whether they were wearing a vest, eating properly and so forth.
Most of the junior doctors on TV look awfully young. Barely old enough to have gone to university never mind left it and actually become doctors. If one of them came near me I'd be worrying about them - whether they were wearing a vest, eating properly and so forth.
Tee Hee, I know how you feel. The time before last I was in A&E, 3am in the morning and the nurses had got me wired up to the machines, then the doctor arrived at my bed-side. Young chap and he had obviously been outside for a smoke because he reeked of tobacco. I couldn't resist giving him a stern lecture on what smoking will do to his health and how he should for his own benefit, and that of his family, stop. Revenge was so sweet but I have felt guilty about it ever since.
Whatever you think about Trident it's completely bizarre to decide it's future based on jobs.
Suppose we spent £5 billion per year employing people to count lamp-posts (or some other pointless activity).
Would we say we must carry on counting lamp-posts because if we don't it'll cost jobs?
The answer is that if an activity has no purpose it should be stopped and resources redirected to something which does have a purpose.
Now I personally think Trident is worthwhile - but that is a separate issue.
Well, one minor example is the production of nuclear subs. Last time we stopped building subs for a while, BAe ended up having to get Electric Boat from The US to teach them how to weld pressure hulls again.
Building the four Trident replacement subs will keep the skill base rolling until the next order of attack subs. Which means that several billion of the price of Trident replacement would, in effect, have to be spent anyway.
Unless you want to by all future subs from Germany or something.
Naval engineers trained to operate reactors also have skills transferable and welcomed by the power industry.
"Iranian military forces seized two U.S. Navy boats Tuesday and are detaining them on Iran's Farsi Island in the Persian Gulf, senior U.S. officials told NBC News.
The officials said it's unclear whether the 10 American sailors aboard two small riverine vessels had strayed into Iranian territorial waters before they were captured.
The sailors — nine men and one woman — were on a training mission around noon ET when one of the boats may have experienced mechanical failure and drifted into Iranian-claimed waters, officials added. Iran's coast guard took them into custody."
Whatever you think about Trident it's completely bizarre to decide it's future based on jobs.
Suppose we spent £5 billion per year employing people to count lamp-posts (or some other pointless activity).
Would we say we must carry on counting lamp-posts because if we don't it'll cost jobs?
The answer is that if an activity has no purpose it should be stopped and resources redirected to something which does have a purpose.
Now I personally think Trident is worthwhile - but that is a separate issue.
Well, one minor example is the production of nuclear subs. Last time we stopped building subs for a while, BAe ended up having to get Electric Boat from The US to teach them how to weld pressure hulls again.
Building the four Trident replacement subs will keep the skill base rolling until the next order of attack subs. Which means that several billion of the price of Trident replacement would, in effect, have to be spent anyway.
Unless you want to by all future subs from Germany or something.
Naval engineers trained to operate reactors also have skills transferable and welcomed by the power industry.
They do indeed, but that has nothing to do with the ability to build submarines.
'The Labour Government under Jim Callaghan, was one of the best this country has known. The only policies they could implement - during the Lib-Lab pact - were Labour policies that were approved by the Liberals. Most of the time, they just governed quietly, without too much change.'
You do spout some rubbish, were you actually around at that time or just trying to rewrite history?
Massive inflation, endless strikes including the winter of discontent & Denis Healey forced to go to the IMF with a begging bowl.
70's Labour governments were terrible. Bodies left unburied, rotting rubbish in the streets and power cuts. Hardly the stuff of dreams.
Most of the junior doctors on TV look awfully young. Barely old enough to have gone to university never mind left it and actually become doctors. If one of them came near me I'd be worrying about them - whether they were wearing a vest, eating properly and so forth.
I am sure policemen are getting younger too!
Mr Hunt is showing his dedication to reducing unnessecary cardiac deaths here:
Whatever you think about Trident it's completely bizarre to decide it's future based on jobs.
Suppose we spent £5 billion per year employing people to count lamp-posts (or some other pointless activity).
Would we say we must carry on counting lamp-posts because if we don't it'll cost jobs?
The answer is that if an activity has no purpose it should be stopped and resources redirected to something which does have a purpose.
Now I personally think Trident is worthwhile - but that is a separate issue.
Well, one minor example is the production of nuclear subs. Last time we stopped building subs for a while, BAe ended up having to get Electric Boat from The US to teach them how to weld pressure hulls again.
Building the four Trident replacement subs will keep the skill base rolling until the next order of attack subs. Which means that several billion of the price of Trident replacement would, in effect, have to be spent anyway.
Unless you want to by all future subs from Germany or something.
Naval engineers trained to operate reactors also have skills transferable and welcomed by the power industry.
Yup - welding HY-80 steel (basically high grade stainless) inches thick... guess what that is also good for?
As a counter example - the replacement/upgrade program for the Callenger tank was put off so many times that there is no longer a tank building capability in the UK. The next tank will either be a Leopard or an Abrahams.
Mind you, I would go for Merkeva with the Trophy anti-missile system....
Most of the junior doctors on TV look awfully young. Barely old enough to have gone to university never mind left it and actually become doctors. If one of them came near me I'd be worrying about them - whether they were wearing a vest, eating properly and so forth.
I am sure policemen are getting younger too!
Mr Hunt is showing his dedication to reducing unnessecary cardiac deaths here:
Not enough ambulances? Well slow down the response times for heart attacks. Simples! Though I am sure it must somehow be the BMAs fault. Or the EU.
Hunt could never in a million years be as bad as Burnham and Labour. Remember Mid Staffs? Dying elderly people forced to drink water from flower vases. There's the benchmark for failing healthcare.
Most of the junior doctors on TV look awfully young. Barely old enough to have gone to university never mind left it and actually become doctors. If one of them came near me I'd be worrying about them - whether they were wearing a vest, eating properly and so forth.
I am sure policemen are getting younger too!
Mr Hunt is showing his dedication to reducing unnessecary cardiac deaths here:
Not enough ambulances? Well slow down the response times for heart attacks. Simples! Though I am sure it must somehow be the BMAs fault. Or the EU.
Hunt could never in a million years be as bad as Burnham and Labour. Remember Mid Staffs? Dying elderly people forced to drink water from flower vases. There's the benchmark for failing healthcare.
47 excess deaths in 3 months is a faster rate than Stafford. Read the article.
Most of the junior doctors on TV look awfully young. Barely old enough to have gone to university never mind left it and actually become doctors. If one of them came near me I'd be worrying about them - whether they were wearing a vest, eating properly and so forth.
I am sure policemen are getting younger too!
Mr Hunt is showing his dedication to reducing unnessecary cardiac deaths here:
Not enough ambulances? Well slow down the response times for heart attacks. Simples! Though I am sure it must somehow be the BMAs fault. Or the EU.
Doc, glad to catch you as I wanted to say thank you for providing such a full answer to my question last night. I found your post extremely interesting and I hope others did to, it was republished on here around lunch time today.
On the ambulance question, this is just another example of how public services are not keeping up with an expanding and aging population. Planning for new housing is completely divorced from the provision of ambulances, police, hospital places, fire and rescue let alone the more obvious roads, transport links and such like.
Increasing the population whilst at the same time reducing the money available for essential public services can only have one outcome.
Henry Marsh is a very interesting fellow. Before becoming a distinguished Neurosurgeon he studied PPE at Oxford. His recent book is excellent, one of the best books about the pracice of medicine in recent times.
Henry Marsh is a very interesting fellow. Before becoming a distinguished Neurosurgeon he studied PPE at Oxford. His recent book is excellent, one of the best books about the pracice of medicine in recent times.
People don't necessarily know their GP is available on a Sunday. Plus the shift of out of hours care will require a bit of a cultural shift that takes time to eventuate.
Most of the junior doctors on TV look awfully young. Barely old enough to have gone to university never mind left it and actually become doctors. If one of them came near me I'd be worrying about them - whether they were wearing a vest, eating properly and so forth.
I am sure policemen are getting younger too!
Mr Hunt is showing his dedication to reducing unnessecary cardiac deaths here:
Not enough ambulances? Well slow down the response times for heart attacks. Simples! Though I am sure it must somehow be the BMAs fault. Or the EU.
Doc, glad to catch you as I wanted to say thank you for providing such a full answer to my question last night. I found your post extremely interesting and I hope others did to, it was republished on here around lunch time today.
On the ambulance question, this is just another example of how public services are not keeping up with an expanding and aging population. Planning for new housing is completely divorced from the provision of ambulances, police, hospital places, fire and rescue let alone the more obvious roads, transport links and such like.
Increasing the population whilst at the same time reducing the money available for essential public services can only have one outcome.
I have had a busy day, shall look back at the thread. Getting a quart out of a pint pot is the fundamental problem. Spreading an overstretched workforce even thinner will not solve it.
The Iranians are just making total d**ks of the US administration.
The crap out of the WH and State Department that it was all an accident is just complete balls.
The Istanbul bomber looks to be a Saudi. Maybe just to make them seem less deadly we should call IS the Rainbow Coalition due to their truly multi national nature.
Talking of BMA, after Margaret Thatcher curbed the Roche valium testing scandal by insisting only generic versions of valium could be prescibed on the NHS, I remember the then chief of the BMA saying "unless it was in green and white capsules it wouldn't be the same for his little old girls". It has always been about the money.
Henry Marsh is a very interesting fellow. Before becoming a distinguished Neurosurgeon he studied PPE at Oxford. His recent book is excellent, one of the best books about the pracice of medicine in recent times.
People don't necessarily know their GP is available on a Sunday. Plus the shift of out of hours care will require a bit of a cultural shift that takes time to eventuate.
The scheme was fairly well advertised, and not the only one to be cancelled or reduced due to poor uptake.
"Most of the junior doctors on TV look awfully young. Barely old enough to have gone to university never mind left it and actually become doctors.'
Did you see the 'older' doctor on Newsnight ?
Apparently the strike is not about money or patient safety but about doctor's status.
He also claimed there was research that sick people didn't want to see doctors on Saturday's!
My first GP - who I kept using until the birth of my first child - was always open on Saturday morning. Very convenient for those of us who worked during the week.
I find the references to the previous doctors' strike very poignant. My father's planned operation was postponed as a result of it and by the time he had it his cancer was far advanced. Today is the anniversary of his death. A good man and much missed, even after all this time.
"All we leave behind us is love" - and happy memories.
I still hate bloody January, though. Never mind all this "dry" January nonsense. The only way to get through it is to arrange as many lunches, drinks and other life enhancing events as possible.
Most of the junior doctors on TV look awfully young. Barely old enough to have gone to university never mind left it and actually become doctors. If one of them came near me I'd be worrying about them - whether they were wearing a vest, eating properly and so forth.
I am sure policemen are getting younger too!
Mr Hunt is showing his dedication to reducing unnessecary cardiac deaths here:
Not enough ambulances? Well slow down the response times for heart attacks. Simples! Though I am sure it must somehow be the BMAs fault. Or the EU.
Hunt could never in a million years be as bad as Burnham and Labour. Remember Mid Staffs? Dying elderly people forced to drink water from flower vases. There's the benchmark for failing healthcare.
So if you think Mid Staffs was bad what do you think the NHS will be like with the same number of staff and resources spread even more thinly over 7 days?
Just remember Cameron and Hunt promised you a 7 day NHS but with no money to pay for the staff to run it.
'The Labour Government under Jim Callaghan, was one of the best this country has known. The only policies they could implement - during the Lib-Lab pact - were Labour policies that were approved by the Liberals. Most of the time, they just governed quietly, without too much change.'
You do spout some rubbish, were you actually around at that time or just trying to rewrite history?
Massive inflation, endless strikes including the winter of discontent & Denis Healey forced to go to the IMF with a begging bowl.
70's Labour governments were terrible. Bodies left unburied, rotting rubbish in the streets and power cuts. Hardly the stuff of dreams.
How many 1970s power cuts were under Labour governments, and how many under Conservative?
Talking of BMA, after Margaret Thatcher curbed the Roche valium testing scandal by insisting only generic versions of valium could be prescibed on the NHS, I remember the then chief of the BMA saying "unless it was in green and white capsules it wouldn't be the same for his little old girls". It has always been about the money.
Most of the junior doctors on TV look awfully young. Barely old enough to have gone to university never mind left it and actually become doctors. If one of them came near me I'd be worrying about them - whether they were wearing a vest, eating properly and so forth.
I am sure policemen are getting younger too!
Mr Hunt is showing his dedication to reducing unnessecary cardiac deaths here:
Not enough ambulances? Well slow down the response times for heart attacks. Simples! Though I am sure it must somehow be the BMAs fault. Or the EU.
Hunt could never in a million years be as bad as Burnham and Labour. Remember Mid Staffs? Dying elderly people forced to drink water from flower vases. There's the benchmark for failing healthcare.
So if you think Mid Staffs was bad what do you think the NHS will be like with the same number of staff and resources spread even more thinly over 7 days?
Just remember Cameron and Hunt promised you a 7 day NHS but with no money to pay for the staff to run it.
Imagine the outpouring of grief and anger if Labour had won the GE in 2015. No ring fencing, or extra spending. The NHS would be on a permanent strike. Wouldn't it?
And I wonder if a Labour government would have continued with its programme of privatising the health service.
If Sanders wins Iowa and N.H. he will probably surpass Hillary nationally with the momentum.
Hillary's lead over Sanders is less than half of Trump over Cruz.
That'd be fun. Any chance it's just a final hurrah from people wanting to drag out the democratic nomination, which will then fizzle out?
Night all
Who knows, but Sanders has taken the lead in Iowa and is way ahead in N.H. , Nevada which is next in line but with scarce polling might make it 3 out of 3 for Sanders.
Hillary reminds me a little of Romney, but even Romney managed to win 1 out of the 3 early states in 2012. Hillary will sweep the black belt states, but will that be enough? On Super Tuesday democrats vote in 12 states, 4 of them are favourable to Hillary, but the rest are not.
Very strange that none of the trial areas were in London where getting a GP appointment can take weeks in some areas and where A&E is most overloaded.
Did you hear his comments that the doctors strike was not about money or patent safety but doctors status !
I have heard Mr Marsh speak on this subject before, and it is covered in his book. I do not entirely agree with him. His point is that the government has long since ceased treating Doctors as professionals, and they are reciprocating as the same. I think this is the status that he means, the deprofessionalisation of medicine.
Marsh is quite interested in the social anthropology of medicine. Not surprising really as his wife is a well known social anthropologist, and writer. I would recommend her book too.
Sanders is more electable than Hillary, fact. Trump must go easy on Hillary or pray for Bloomberg to run and split the DNC vote.
Trump draws his votes - I think - fairly evenly from Democrats and Republicans. He appeals to the forgotten WWC voter, particularly in the rust belt. (Let's Make America Great Again is playing directly to a group that's been left behind.)
Bloomberg would pull in the traditional business community, the Jews, the retirees, and those who think Hillary is ethically challenged. He would also have the biggest war chest in election: he'd get most of the traditional Republican donors, and could dip into his (genuine) fortune if need be.
Most of the junior doctors on TV look awfully young. Barely old enough to have gone to university never mind left it and actually become doctors. If one of them came near me I'd be worrying about them - whether they were wearing a vest, eating properly and so forth.
I am sure policemen are getting younger too!
Mr Hunt is showing his dedication to reducing unnessecary cardiac deaths here:
Not enough ambulances? Well slow down the response times for heart attacks. Simples! Though I am sure it must somehow be the BMAs fault. Or the EU.
Hunt could never in a million years be as bad as Burnham and Labour. Remember Mid Staffs? Dying elderly people forced to drink water from flower vases. There's the benchmark for failing healthcare.
So if you think Mid Staffs was bad what do you think the NHS will be like with the same number of staff and resources spread even more thinly over 7 days?
Just remember Cameron and Hunt promised you a 7 day NHS but with no money to pay for the staff to run it.
The Mid-Staffs scandal had sod all to do with a lack of staff or money. It had everything to do with staff not doing their basic jobs, not caring about their patients and a management focussed on things other than delivering medical services.
When TSE is made dictator for life I am going to petition him to pass a law that makes all employees paid more than £50,000 a year personally liable for failures in their organisation or part of organisation. No more Victor Blanks wrecking their banks and walking off with a few million to a comfortable retirement and no more hospital directors allowing patients to be maltreated without said directors and everyone down the chain of command not feeling the hit.
Another unfortunate piece of timing for Hillary - the Benghazi movie '13 Hours' opens this week.
Is that the one with Jennifer Lawrence plays a gun toting Hillary Clinton, and where she storms the embassy herself, killing terrorists and rescuing the hostages?
Chris_A - the valium scandal was that Roche introduced incentives for prescribing valium by encouraging Doctors to put people on the drug for "research". The more people in the "trial" the more money the doctor received from Roche. The keenest doctors went on skiing holidays on Roche's tab. Even when it became a public scandal doctors continued to prescribe the drug. The government responded by preventing Roche from profiteering on the sales. The BMA moved heaven and earth to keep the scam going. The doctors really didn't care that they were destroying lives, and the BMA took the side of their wallets.
Most of the junior doctors on TV look awfully young. Barely old enough to have gone to university never mind left it and actually become doctors. If one of them came near me I'd be worrying about them - whether they were wearing a vest, eating properly and so forth.
I am sure policemen are getting younger too!
Mr Hunt is showing his dedication to reducing unnessecary cardiac deaths here:
Not enough ambulances? Well slow down the response times for heart attacks. Simples! Though I am sure it must somehow be the BMAs fault. Or the EU.
Thanks for that. Hunt can spread all the lies he wants but like all his changes (and Lansley's before him) which are completely not evidence-based, uncalled for and under-resourced, they end in real patients losing their lives.
Chris_A - the valium scandal was that Roche introduced incentives for prescribing valium by encouraging Doctors to put people on the drug for "research". The more people in the "trial" the more money the doctor received from Roche. The keenest doctors went on skiing holidays on Roche's tab. Even when it became a public scandal doctors continued to prescribe the drug. The government responded by preventing Roche from profiteering on the sales. The BMA moved heaven and earth to keep the scam going. The doctors really didn't care that they were destroying lives, and the BMA took the side of their wallets.
What makes you think that pharmaceutical companies act any more ethically now?
Sanders is more electable than Hillary, fact. Trump must go easy on Hillary or pray for Bloomberg to run and split the DNC vote.
Trump draws his votes - I think - fairly evenly from Democrats and Republicans. He appeals to the forgotten WWC voter, particularly in the rust belt. (Let's Make America Great Again is playing directly to a group that's been left behind.)
Bloomberg would pull in the traditional business community, the Jews, the retirees, and those who think Hillary is ethically challenged. He would also have the biggest war chest in election: he'd get most of the traditional Republican donors, and could dip into his (genuine) fortune if need be.
"traditional business community": N.Y Democrats "the Jews": N.Y Democrats "the retirees" : Florida Democrats "and those who think Hillary is ethically challenged" : Republicans in general, but they'll vote for their own guy.
But what about policies, does he have any popular policies except banning Hamburgers and Soda drinks? Even Perot, who was more wealthy than Bloomberg and without the Wall Street baggage, had popular policies but didn't win in 1992.
People don't necessarily know their GP is available on a Sunday. Plus the shift of out of hours care will require a bit of a cultural shift that takes time to eventuate.
The scheme was fairly well advertised, and not the only one to be cancelled or reduced due to poor uptake.
Weekend availability of GPs may or may not be an optimal use of resources but I'm hugely sceptical about claims that the public don't want it. Why would someone not wish to see a GP as soon as possible if they needed to? Also, for many of us, it's significantly inconvenient to have to take time off work to see a doctor.
I would take the idea that people don't want weekend service seriously if it could be shown that private patients felt the same way. Does Roman Abramovich not want his primary healthcare physician to be around on Sundays?
As to schemes being well-advertised, how? People don't read leaflets. Was it advertised on TV?
Imo 7-day opening would be a huge plus for end-users. People would love it, once they got used to it. It's one change to the NHS people would really notice.
Whether it can be done with current resources - that seems equally implausible. It might be a bad use of the resources we do have. Possibly a very bad use. But I find it implausible that users wouldn't like it.
'The Labour Government under Jim Callaghan, was one of the best this country has known. The only policies they could implement - during the Lib-Lab pact - were Labour policies that were approved by the Liberals. Most of the time, they just governed quietly, without too much change.'
You do spout some rubbish, were you actually around at that time or just trying to rewrite history?
Massive inflation, endless strikes including the winter of discontent & Denis Healey forced to go to the IMF with a begging bowl.
Point of order sir: didn't most of those things happen after the ending of the LibLab pact?
Most of the junior doctors on TV look awfully young. Barely old enough to have gone to university never mind left it and actually become doctors. If one of them came near me I'd be worrying about them - whether they were wearing a vest, eating properly and so forth.
I am sure policemen are getting younger too!
Mr Hunt is showing his dedication to reducing unnessecary cardiac deaths here:
Not enough ambulances? Well slow down the response times for heart attacks. Simples! Though I am sure it must somehow be the BMAs fault. Or the EU.
Hunt could never in a million years be as bad as Burnham and Labour. Remember Mid Staffs? Dying elderly people forced to drink water from flower vases. There's the benchmark for failing healthcare.
So if you think Mid Staffs was bad what do you think the NHS will be like with the same number of staff and resources spread even more thinly over 7 days?
Just remember Cameron and Hunt promised you a 7 day NHS but with no money to pay for the staff to run it.
The Mid-Staffs scandal had sod all to do with a lack of staff or money. It had everything to do with staff not doing their basic jobs, not caring about their patients and a management focussed on things other than delivering medical services.
When TSE is made dictator for life I am going to petition him to pass a law that makes all employees paid more than £50,000 a year personally liable for failures in their organisation or part of organisation. No more Victor Blanks wrecking their banks and walking off with a few million to a comfortable retirement and no more hospital directors allowing patients to be maltreated without said directors and everyone down the chain of command not feeling the hit.
Really? Suppose you've not read the Francis report?
"The Trust’s financial recovery plan and the associated staff cuts – Savings in staff costs were being made in an organisation which was already identified as having serious problems in delivering a service of adequate quality, and complying with minimum standards. Yet no thought seems to have been given in any part of the system aware of the proposals to the potential impact on patient safety and quality. There is no evidence that any effective questioning of this nature was undertaken. No detailed scrutiny of the possible impact of such changes seems to have been conducted by the SHA."
Chris_A - the valium scandal was that Roche introduced incentives for prescribing valium by encouraging Doctors to put people on the drug for "research". The more people in the "trial" the more money the doctor received from Roche. The keenest doctors went on skiing holidays on Roche's tab. Even when it became a public scandal doctors continued to prescribe the drug. The government responded by preventing Roche from profiteering on the sales. The BMA moved heaven and earth to keep the scam going. The doctors really didn't care that they were destroying lives, and the BMA took the side of their wallets.
What makes you think that pharmaceutical companies act any more ethically now?
I think they mostly do in the UK. Their behaviour in unethical promotions continues in other countries though. Just last year Britains biggest Pharma was done for unethical promotions in China.
Rules are very strict now on such things in the UK. Hard to even get free pens and Post-it notes now!
Chris_A - the valium scandal was that Roche introduced incentives for prescribing valium by encouraging Doctors to put people on the drug for "research". The more people in the "trial" the more money the doctor received from Roche. The keenest doctors went on skiing holidays on Roche's tab. Even when it became a public scandal doctors continued to prescribe the drug. The government responded by preventing Roche from profiteering on the sales. The BMA moved heaven and earth to keep the scam going. The doctors really didn't care that they were destroying lives, and the BMA took the side of their wallets.
What makes you think that pharmaceutical companies act any more ethically now?
I think the point of the anecdote was that physicians do not always act ethically.
Corbyn won because he was athentic and the other three didn't do anything.
Hillary, unlike her husband is a shit politician and has been connected to numerous scandals.
Sanders is benefitting from the devotion of the faithful just like Corbyn did.
Trump is going to be the next president.
(Expect Cruz to be the next VP or AG, I imagine this has already been worked out).
Sanders is presently leading Trump in the polls
Expect this to change.
Trump hasn't gone after Sanders yet.
Sanders hasn't gone after Trump either. Though I think Bloomberg would run anyway if that was the choice and would have a reasonable chance of winning
But Sanders didn't go after Hillary either.
Quite frankly he simply doesn't seem to have it in him, just like Bush doesn't.
I actually think that Sanders is a more difficult opponent for Trump than Clinton. Trump is clearly a "people" person, Clinton isn't and in any debate he would destroy her.
Sanders on the other hand has the Corbyn factor within the dems that Clinton doesn't.
Bloomberg WILL NOT run as an independent. He is well known and has moderate support in New York but not elsewhere. If he did run, he may easily cost Trump the presidency but wouldn't achieve enough to win it for himself. Why bother to only come second?
Most of the junior doctors on TV look awfully young. Barely old enough to have gone to university never mind left it and actually become doctors. If one of them came near me I'd be worrying about them - whether they were wearing a vest, eating properly and so forth.
I am sure policemen are getting younger too!
Mr Hunt is showing his dedication to reducing unnessecary cardiac deaths here:
Not enough ambulances? Well slow down the response times for heart attacks. Simples! Though I am sure it must somehow be the BMAs fault. Or the EU.
Hunt could never in a million years be as bad as Burnham and Labour. Remember Mid Staffs? Dying elderly people forced to drink water from flower vases. There's the benchmark for failing healthcare.
So if you think Mid Staffs was bad what do you think the NHS will be like with the same number of staff and resources spread even more thinly over 7 days?
Just remember Cameron and Hunt promised you a 7 day NHS but with no money to pay for the staff to run it.
The Mid-Staffs scandal had sod all to do with a lack of staff or money. It had everything to do with staff not doing their basic jobs, not caring about their patients and a management focussed on things other than delivering medical services.
When TSE is made dictator for life I am going to petition him to pass a law that makes all employees paid more than £50,000 a year personally liable for failures in their organisation or part of organisation. No more Victor Blanks wrecking their banks and walking off with a few million to a comfortable retirement and no more hospital directors allowing patients to be maltreated without said directors and everyone down the chain of command not feeling the hit.
Want some more? You don't have to look very far
p45 "Throughout the period with which this Inquiry is concerned, the Trust suffered financial challenges. These pressures were regarded both inside and outside the Trust to be nothing particularly remarkable compared with other similar organisations, and therefore they were never treated as a particular cause for concern. However, I have no doubt that the economies imposed by the Trust Board, year after year, had a profound effect on the organisation’s ability to deliver a safe and effective service."
Most of the junior doctors on TV look awfully young. Barely old enough to have gone to university never mind left it and actually become doctors. If one of them came near me I'd be worrying about them - whether they were wearing a vest, eating properly and so forth.
I am sure policemen are getting younger too!
Mr Hunt is showing his dedication to reducing unnessecary cardiac deaths here:
Not enough ambulances? Well slow down the response times for heart attacks. Simples! Though I am sure it must somehow be the BMAs fault. Or the EU.
Hunt could never in a million years be as bad as Burnham and Labour. Remember Mid Staffs? Dying elderly people forced to drink water from flower vases. There's the benchmark for failing healthcare.
So if you think Mid Staffs was bad what do you think the NHS will be like with the same number of staff and resources spread even more thinly over 7 days?
Just remember Cameron and Hunt promised you a 7 day NHS but with no money to pay for the staff to run it.
The Mid-Staffs scandal had sod all to do with a lack of staff or money. It had everything to do with staff not doing their basic jobs, not caring about their patients and a management focussed on things other than delivering medical services.
or how about
"There was an unacceptable delay in addressing the issue of shortage of skilled nursing staff. There can be little doubt that the reason for the slow progress in the review, and the slowness of the Board to inject the necessary funds and a sense of real urgency into the process, was the priority given to ensuring that the Trust books were in order for the FT application. The result was both to deprive the hospital of a proper level of nursing staff and provide a healthier picture of the situation of the financial health of the Trust than the true reality, healthy finances being material in the achievement of FT status. While the system as a whole appeared to pay lip service to the need not to compromise services and their quality, it is remarkable how little attention was paid to the potential impact of proposed savings on quality and safety."
Suggest reading it might stop the spouting of nonsense.
'The Labour Government under Jim Callaghan, was one of the best this country has known. The only policies they could implement - during the Lib-Lab pact - were Labour policies that were approved by the Liberals. Most of the time, they just governed quietly, without too much change.'
You do spout some rubbish, were you actually around at that time or just trying to rewrite history?
Massive inflation, endless strikes including the winter of discontent & Denis Healey forced to go to the IMF with a begging bowl.
70's Labour governments were terrible. Bodies left unburied, rotting rubbish in the streets and power cuts. Hardly the stuff of dreams.
How many 1970s power cuts were under Labour governments, and how many under Conservative?
Surely the great majority were during the miners' strike under the Heath Government.
Most of the junior doctors on TV look awfully young. Barely old enough to have gone to university never mind left it and actually become doctors. If one of them came near me I'd be worrying about them - whether they were wearing a vest, eating properly and so forth.
Not enough ambulances? Well slow down the response times for heart attacks. Simples! Though I am sure it must somehow be the BMAs fault. Or the EU.
Hunt could never in a million years be as bad as Burnham and Labour. Remember Mid Staffs? Dying elderly people forced to drink water from flower vases. There's the benchmark for failing healthcare.
So if you think Mid Staffs was bad what do you think the NHS will be like with the same number of staff and resources spread even more thinly over 7 days?
Just remember Cameron and Hunt promised you a 7 day NHS but with no money to pay for the staff to run it.
The Mid-Staffs scandal had sod all to do with a lack of staff or money. It had everything to do with staff not doing their basic jobs, not caring about their patients and a management focussed on things other than delivering medical services.
or how about
"There was an unacceptable delay in addressing the issue of shortage of skilled nursing staff. There can be little doubt that the reason for the slow progress in the review, and the slowness of the Board to inject the necessary funds and a sense of real urgency into the process, was the priority given to ensuring that the Trust books were in order for the FT application. The result was both to deprive the hospital of a proper level of nursing staff and provide a healthier picture of the situation of the financial health of the Trust than the true reality, healthy finances being material in the achievement of FT status. While the system as a whole appeared to pay lip service to the need not to compromise services and their quality, it is remarkable how little attention was paid to the potential impact of proposed savings on quality and safety."
Suggest reading it might stop the spouting of nonsense.
Yes, we know. As always during the Labour years, boxes were ticked, and it was all someone else's fault. Quite how any on this prevented nurses from filling water jugs, and attending to the needs and dignity of the dying elderly remains unanswered. You know, the basics of healthcare. Budgets don't blind people's sight of the obvious.
Still, carry on spouting excuses for Staffs if it makes you feel better.
Chris_A - Mid-Staffs isn't hard to understand. Put the water out of reach and you don't have to change a nappy later, I don't think it is anything more than that.
So you are saying that the management of Mid Staffs was crap and focussed on matters other than delivering patient care, and that the staff that they did have were uncaring and failed at their jobs to deliver basic care. Not sure there is a fag paper between us.
Chris_A - the valium scandal was that Roche introduced incentives for prescribing valium by encouraging Doctors to put people on the drug for "research". The more people in the "trial" the more money the doctor received from Roche. The keenest doctors went on skiing holidays on Roche's tab. Even when it became a public scandal doctors continued to prescribe the drug. The government responded by preventing Roche from profiteering on the sales. The BMA moved heaven and earth to keep the scam going. The doctors really didn't care that they were destroying lives, and the BMA took the side of their wallets.
What makes you think that pharmaceutical companies act any more ethically now?
I think they mostly do in the UK. Their behaviour in unethical promotions continues in other countries though. Just last year Britains biggest Pharma was done for unethical promotions in China.
Rules are very strict now on such things in the UK. Hard to even get free pens and Post-it notes now!
Reckitt Benckiser and marketing of Nurofen? Pfizer putting the frighteners on all and sundry regarding the use of generic pregabalin? Mr Justice Arnold was quite damning
"Warner-Lambert and Pfizer called three factual witnesses in relation to infringement and threats. First, Paula Tully, Head of the Pfizer Group's Global Established Pharma business in the UK. She gave evidence about the market for pregabalin in the UK, about sales of Lyrica, about the steps taken by Pfizer to address Lyrica's loss of exclusivity and about the alleged threats made by Pfizer. I regret to say that Ms Tully was an unimpressive witness. She appeared more concerned to articulate Pfizer's corporate position than to answer the questions put to her. Furthermore, she had not taken adequate care over the preparation of her evidence. In particular, the cross-examination on the section of her second witness statement on the purchasing practices of Pfizer's pharmacy customers showed that it made no sense and Ms Tully was unable to explain it. It was evident that she had just adopted material prepared by others without understanding it. I was left wondering how much of the rest of her evidence was also prepared by others."
So you are saying that the management of Mid Staffs was crap and focussed on matters other than delivering patient care, and that the staff that they did have were uncaring and failed at their jobs to deliver basic care. Not sure there is a fag paper between us.
But to say that it was not due to resources is fanciful
It is often said that generic drugs don't match the performance of the original because of differences in the binder or formulation of the capsule. Is there any truth in any of these assertions?
It is often said that generic drugs don't match the performance of the original because of differences in the binder or formulation of the capsule. Is there any truth in any of these assertions?
'But to say that it was not due to resources is fanciful'
So why didn't we have many more Mid Staffs or were they just covered up ?
Blaming resources shifts responsibility for the failure away from the individuals and local organisation, and onto the overseeing body. Mid Staffs was a culture of failure.
Quite why anyone working within the health service would wish to defend what happened there is a mystery.
Chris_A - Mid-Staffs isn't hard to understand. Put the water out of reach and you don't have to change a nappy later, I don't think it is anything more than that.
It's pretty difficult to understand on the level of basic humanity. One lazy sod of a nurse on the fast track to getting their arse slung out of nursing for life is just about credible. Squadrons of them, supported by management, just so boxes could get ticked? Not so much...
It is often said that generic drugs don't match the performance of the original because of differences in the binder or formulation of the capsule. Is there any truth in any of these assertions?
Though I have to say, when I visited someone in the Royal Bournemouth early in the morning, the ward girls actually changing nappies looked ill with fatigue...
It is often said that generic drugs don't match the performance of the original because of differences in the binder or formulation of the capsule. Is there any truth in any of these assertions?
File it under antibiotics for a cold; homeopathy and Nurofen.
It is often said that generic drugs don't match the performance of the original because of differences in the binder or formulation of the capsule. Is there any truth in any of these assertions?
If it were true you'd expect there to be cases where the generic binder or capsule was better, surely. But as others are saying, surely it's bollocks.
"Germany travel advice 'needs' to be updated after Cologne sex attacks, warns MP
Official travel advice for British women visiting Germany needs updating to warn of the dangers they may face there following an outbreak of sex assaults and violence at New Year's Eve celebrations, a Conservative MP is urging."
Corbyn won because he was athentic and the other three didn't do anything.
Hillary, unlike her husband is a shit politician and has been connected to numerous scandals.
Sanders is benefitting from the devotion of the faithful just like Corbyn did.
Trump is going to be the next president.
(Expect Cruz to be the next VP or AG, I imagine this has already been worked out).
Sanders is presently leading Trump in the polls
Expect this to change.
Trump hasn't gone after Sanders yet.
Sanders hasn't gone after Trump either. Though I think Bloomberg would run anyway if that was the choice and would have a reasonable chance of winning
But Sanders didn't go after Hillary either.
Quite frankly he simply doesn't seem to have it in him, just like Bush doesn't.
I actually think that Sanders is a more difficult opponent for Trump than Clinton. Trump is clearly a "people" person, Clinton isn't and in any debate he would destroy her.
Sanders on the other hand has the Corbyn factor within the dems that Clinton doesn't.
Bloomberg WILL NOT run as an independent. He is well known and has moderate support in New York but not elsewhere. If he did run, he may easily cost Trump the presidency but wouldn't achieve enough to win it for himself. Why bother to only come second?
He would have the best chance of any third party contendor in history against Trump and Sanders and could well win the coasts and much of the MidWest and Florida and Virginia. As a multibillionaire he could also easily afford it
So it looks like they're doing a China: keep the political and social fabric in place, whilst overhauling the economy. Unfortunately for them, it's probably two decade too late.
Very good article on the region's politics and power plays. Thanks.
It is often said that generic drugs don't match the performance of the original because of differences in the binder or formulation of the capsule. Is there any truth in any of these assertions?
No
File it along with the oik in PCWorld telling you the £75 hdmi cable will give you a better picture.
Corbyn won because he was athentic and the other three didn't do anything.
Hillary, unlike her husband is a shit politician and has been connected to numerous scandals.
Sanders is benefitting from the devotion of the faithful just like Corbyn did.
Trump is going to be the next president.
(Expect Cruz to be the next VP or AG, I imagine this has already been worked out).
Sanders is presently leading Trump in the polls
Expect this to change.
Trump hasn't gone after Sanders yet.
Sanders hasn't gone after Trump either. Though I think Bloomberg would run anyway if that was the choice and would have a reasonable chance of winning
But Sanders didn't go after Hillary either.
Quite frankly he simply doesn't seem to have it in him, just like Bush doesn't.
I actually think that Sanders is a more difficult opponent for Trump than Clinton. Trump is clearly a "people" person, Clinton isn't and in any debate he would destroy her.
Sanders on the other hand has the Corbyn factor within the dems that Clinton doesn't.
Bloomberg WILL NOT run as an independent. He is well known and has moderate support in New York but not elsewhere. If he did run, he may easily cost Trump the presidency but wouldn't achieve enough to win it for himself. Why bother to only come second?
He would have the best chance of any third party contendor in history against Trump and Sanders and could well win the coasts and much of the MidWest and Florida and Virginia. As a multibillionaire he could also easily afford it
On Bloomberg a 2012 PPP poll had him winning 10% overall v Obama and Romney, 9% of Democrats, 8% of Republicans and 13% of Independents. If the GOP candidate was to Romney's right and the Democrat candidate to Obama's left as a Trump v Sanders race would be he could clean up with Independent voters and may make further inroads into centrist Democrats and moderate Republicans http://www.publicpolicypolling.com/pdf/2011/PPP_Release_US_0825.pdf
Anyone fancy a small bet on UKIP winning a constituency seat at the Welsh Assembly elections?
Do you have a particular seat in mind?
No I don't. When you look at them individually it seems very unlikely. I just think they might come through the middle somewhere, probably in a seat no-one is thinking about including the party themselves.
Those conservatives will still happily vote for Trump against Hillary or Sanders, the ones who might vote for Bloomberg are relatively wealthy, fiscally conservative and relaxed about immigration, probably employing a few immigrants themselves
FWIW, my OC Mother-in-law (solid GOP, backed Santorum last time round) is seriously considering voting for Hillary (or abstaining) in a Clinton vs Trump competition. This is despite the fact that she despises the Clintons. Anecdote, of course, but perhaps indicative on how people will actually vote in the ballot box when it's not a generic question (as it largely is at this stage)
Those conservatives will still happily vote for Trump against Hillary or Sanders, the ones who might vote for Bloomberg are relatively wealthy, fiscally conservative and relaxed about immigration, probably employing a few immigrants themselves
FWIW, my OC Mother-in-law (solid GOP, backed Santorum last time round) is seriously considering voting for Hillary (or abstaining) in a Clinton vs Trump competition. This is despite the fact that she despises the Clintons. Anecdote, of course, but perhaps indicative on how people will actually vote in the ballot box when it's not a generic question (as it largely is at this stage)
It'll be a fascinating choice, down to who you believe is the most mentally unbalanced and pathologically amoral candidate on the ballot in November.
Since Trump only has B+ grades in those subjects, the choice seems clear...
Just watched Derren Brown manipulate 3 out of 4 people to seemingly push someone off the top of a building on his latest TV show.
It is worth bearing in mind that it is not 3 out of 4 people in the general population, but 3 out of 4 people from a selected-and-filtered sub-sample of gullible and suggestible people. If I had applied, I would have been selected out at the first stage because (I'm fairly sure that) I would have been oblivious to the standing-up-and-sitting-down whenever-the-ping-goes task.
Comments
You must actually believe PB Tory Holyrood Majority Nailed On
That's no reason why we should listen to you of course.
"Iranian military forces seized two U.S. Navy boats Tuesday and are detaining them on Iran's Farsi Island in the Persian Gulf, senior U.S. officials told NBC News.
The officials said it's unclear whether the 10 American sailors aboard two small riverine vessels had strayed into Iranian territorial waters before they were captured.
The sailors — nine men and one woman — were on a training mission around noon ET when one of the boats may have experienced mechanical failure and drifted into Iranian-claimed waters, officials added. Iran's coast guard took them into custody."
Farsi Island, a treasure island for satire.
"This is not serious situation, this is a Farsi"
Brown was a genius at wasting money
Corbyn won because he was athentic and the other three didn't do anything.
Hillary, unlike her husband is a shit politician and has been connected to numerous scandals.
Sanders is benefitting from the devotion of the faithful just like Corbyn did.
Trump is going to be the next president.
(Expect Cruz to be the next VP or AG, I imagine this has already been worked out).
“Make the colours go with each other. Wearing a red or yellow shirt with black pants (trousers) will get you noticed."
http://www.telegraph.co.uk/news/worldnews/islamic-state/12096095/isil-security-jihadist-advice.html
Apparently beards are also out this year, and alcohol based aftershaves are in...
http://www.nbcnews.com/news/world/pentagon-2-u-s-navy-boats-held-iran-military-n495031
http://www.wahlrecht.de/umfragen/insa.htm
Building the four Trident replacement subs will keep the skill base rolling until the next order of attack subs. Which means that several billion of the price of Trident replacement would, in effect, have to be spent anyway.
Unless you want to by all future subs from Germany or something.
The list of potential non job redeployment possibilities are endless.
Would we say we must carry on counting lamp-posts because if we don't it'll cost jobs?'
That used to be the basis of Labour's economic policy for many years
'The Labour Government under Jim Callaghan, was one of the best this country has known. The only policies they could implement - during the Lib-Lab pact - were Labour policies that were approved by the Liberals. Most of the time, they just governed quietly, without too much change.'
You do spout some rubbish, were you actually around at that time or just trying to rewrite history?
Massive inflation, endless strikes including the winter of discontent & Denis Healey forced to go to the IMF with a begging bowl.
"Most of the junior doctors on TV look awfully young. Barely old enough to have gone to university never mind left it and actually become doctors.'
Did you see the 'older' doctor on Newsnight ?
Apparently the strike is not about money or patient safety but about doctor's status.
He also claimed there was research that sick people didn't want to see doctors on Saturday's!
Trump hasn't gone after Sanders yet.
Mr Hunt is showing his dedication to reducing unnessecary cardiac deaths here:
http://www.standard.co.uk/news/health/more-heart-patients-die-as-hunt-gives-999-dispatchers-longer-to-send-ambulance-a3154171.html
Not enough ambulances? Well slow down the response times for heart attacks. Simples! Though I am sure it must somehow be the BMAs fault. Or the EU.
As a counter example - the replacement/upgrade program for the Callenger tank was put off so many times that there is no longer a tank building capability in the UK. The next tank will either be a Leopard or an Abrahams.
Mind you, I would go for Merkeva with the Trophy anti-missile system....
Are you familiar with the research one of your colleagues mentioned on Newsnight that sick people don't want to see doctors on Saturdays ?
On the ambulance question, this is just another example of how public services are not keeping up with an expanding and aging population. Planning for new housing is completely divorced from the provision of ambulances, police, hospital places, fire and rescue let alone the more obvious roads, transport links and such like.
Increasing the population whilst at the same time reducing the money available for essential public services can only have one outcome.
Henry Marsh is a very interesting fellow. Before becoming a distinguished Neurosurgeon he studied PPE at Oxford. His recent book is excellent, one of the best books about the pracice of medicine in recent times.
http://www.amazon.co.uk/gp/aw/review/0297869876/R243BPJ6FCKA6Q/ref=cm_cr_dp_aw_rvw_1?ie=UTF8&cursor=1
The crap out of the WH and State Department that it was all an accident is just complete balls.
The Istanbul bomber looks to be a Saudi. Maybe just to make them seem less deadly we should call IS the Rainbow Coalition due to their truly multi national nature.
My first GP - who I kept using until the birth of my first child - was always open on Saturday morning. Very convenient for those of us who worked during the week.
I find the references to the previous doctors' strike very poignant. My father's planned operation was postponed as a result of it and by the time he had it his cancer was far advanced. Today is the anniversary of his death. A good man and much missed, even after all this time.
"All we leave behind us is love" - and happy memories.
I still hate bloody January, though. Never mind all this "dry" January nonsense. The only way to get through it is to arrange as many lunches, drinks and other life enhancing events as possible.
Just remember Cameron and Hunt promised you a 7 day NHS but with no money to pay for the staff to run it.
http://www.cbsnews.com/news/cbsnyt-poll-hillary-clintons-lead-over-bernie-sanders-shrinks/
Hillary 48 -4
Sanders 41+9
http://www.cbsnews.com/news/cbsnyt-poll-donald-trump-holds-on-to-top-spot-nationally/
Trump 36 +1
Cruz 19 +3
Rubio 12 +3
Carson 6 -7
Bush 6 +3
Huckabee 4 +1
Christie 3 0
Fiorina 3 +2
Kasich 2 -1
Paul 1 -4
If Sanders wins Iowa and N.H. he will probably surpass Hillary nationally with the momentum.
Hillary's lead over Sanders is less than half of Trump over Cruz.
Night all
Very strange that none of the trial areas were in London where getting a GP appointment can take weeks in some areas and where A&E is most overloaded.
Did you hear his comments that the doctors strike was not about money or patent safety but doctors status !
And I wonder if a Labour government would have continued with its programme of privatising the health service.
Hillary reminds me a little of Romney, but even Romney managed to win 1 out of the 3 early states in 2012.
Hillary will sweep the black belt states, but will that be enough?
On Super Tuesday democrats vote in 12 states, 4 of them are favourable to Hillary, but the rest are not.
Goodnight.
Marsh is quite interested in the social anthropology of medicine. Not surprising really as his wife is a well known social anthropologist, and writer. I would recommend her book too.
http://www.amazon.co.uk/Watching-English-Hidden-Rules-Behaviour/dp/0340818867
Bloomberg would pull in the traditional business community, the Jews, the retirees, and those who think Hillary is ethically challenged. He would also have the biggest war chest in election: he'd get most of the traditional Republican donors, and could dip into his (genuine) fortune if need be.
When TSE is made dictator for life I am going to petition him to pass a law that makes all employees paid more than £50,000 a year personally liable for failures in their organisation or part of organisation. No more Victor Blanks wrecking their banks and walking off with a few million to a comfortable retirement and no more hospital directors allowing patients to be maltreated without said directors and everyone down the chain of command not feeling the hit.
"the Jews": N.Y Democrats
"the retirees" : Florida Democrats
"and those who think Hillary is ethically challenged" : Republicans in general, but they'll vote for their own guy.
But what about policies, does he have any popular policies except banning Hamburgers and Soda drinks?
Even Perot, who was more wealthy than Bloomberg and without the Wall Street baggage, had popular policies but didn't win in 1992.
America still has a strong 2 party system.
https://twitter.com/benshapiro/status/687062053526355968
I would take the idea that people don't want weekend service seriously if it could be shown that private patients felt the same way. Does Roman Abramovich not want his primary healthcare physician to be around on Sundays?
As to schemes being well-advertised, how? People don't read leaflets. Was it advertised on TV?
Imo 7-day opening would be a huge plus for end-users. People would love it, once they got used to it. It's one change to the NHS people would really notice.
Whether it can be done with current resources - that seems equally implausible. It might be a bad use of the resources we do have. Possibly a very bad use. But I find it implausible that users wouldn't like it.
"The Trust’s financial recovery plan and the associated staff cuts – Savings in staff costs
were being made in an organisation which was already identified as having serious
problems in delivering a service of adequate quality, and complying with minimum
standards. Yet no thought seems to have been given in any part of the system aware of
the proposals to the potential impact on patient safety and quality. There is no evidence
that any effective questioning of this nature was undertaken. No detailed scrutiny of the
possible impact of such changes seems to have been conducted by the SHA."
Rules are very strict now on such things in the UK. Hard to even get free pens and Post-it notes now!
Quite frankly he simply doesn't seem to have it in him, just like Bush doesn't.
I actually think that Sanders is a more difficult opponent for Trump than Clinton. Trump is clearly a "people" person, Clinton isn't and in any debate he would destroy her.
Sanders on the other hand has the Corbyn factor within the dems that Clinton doesn't.
Bloomberg WILL NOT run as an independent. He is well known and has moderate support in New York but not elsewhere. If he did run, he may easily cost Trump the presidency but wouldn't achieve enough to win it for himself. Why bother to only come second?
p45 "Throughout the period with which this Inquiry is concerned, the Trust suffered financial
challenges. These pressures were regarded both inside and outside the Trust to be nothing
particularly remarkable compared with other similar organisations, and therefore they were
never treated as a particular cause for concern. However, I have no doubt that the economies
imposed by the Trust Board, year after year, had a profound effect on the organisation’s ability to deliver a safe and effective service."
"There was an unacceptable delay in addressing the issue of shortage of skilled nursing staff.
There can be little doubt that the reason for the slow progress in the review, and the slowness
of the Board to inject the necessary funds and a sense of real urgency into the process, was
the priority given to ensuring that the Trust books were in order for the FT application. The
result was both to deprive the hospital of a proper level of nursing staff and provide a
healthier picture of the situation of the financial health of the Trust than the true reality,
healthy finances being material in the achievement of FT status. While the system as a whole
appeared to pay lip service to the need not to compromise services and their quality, it is
remarkable how little attention was paid to the potential impact of proposed savings on
quality and safety."
Suggest reading it might stop the spouting of nonsense.
Still, carry on spouting excuses for Staffs if it makes you feel better.
So you are saying that the management of Mid Staffs was crap and focussed on matters other than delivering patient care, and that the staff that they did have were uncaring and failed at their jobs to deliver basic care. Not sure there is a fag paper between us.
Pfizer putting the frighteners on all and sundry regarding the use of generic pregabalin? Mr Justice Arnold was quite damning
"Warner-Lambert and Pfizer called three factual witnesses in relation to infringement and threats. First, Paula Tully, Head of the Pfizer Group's Global Established Pharma business in the UK. She gave evidence about the market for pregabalin in the UK, about sales of Lyrica, about the steps taken by Pfizer to address Lyrica's loss of exclusivity and about the alleged threats made by Pfizer. I regret to say that Ms Tully was an unimpressive witness. She appeared more concerned to articulate Pfizer's corporate position than to answer the questions put to her. Furthermore, she had not taken adequate care over the preparation of her evidence. In particular, the cross-examination on the section of her second witness statement on the purchasing practices of Pfizer's pharmacy customers showed that it made no sense and Ms Tully was unable to explain it. It was evident that she had just adopted material prepared by others without understanding it. I was left wondering how much of the rest of her evidence was also prepared by others."
http://www.bailii.org/ew/cases/EWHC/Patents/2015/2548.html
'But to say that it was not due to resources is fanciful'
So why didn't we have many more Mid Staffs or were they just covered up ?
Quite why anyone working within the health service would wish to defend what happened there is a mystery.
Official travel advice for British women visiting Germany needs updating to warn of the dangers they may face there following an outbreak of sex assaults and violence at New Year's Eve celebrations, a Conservative MP is urging."
http://www.express.co.uk/news/politics/634082/Germany-travel-advice-Cologne-sex-attacks-warns-MP
http://www.publicpolicypolling.com/pdf/2011/PPP_Release_US_0825.pdf
http://www.bbc.co.uk/news/uk-northern-ireland-35296135
Since Trump only has B+ grades in those subjects, the choice seems clear...