Shed A Tier For Social Justice

Aztec ritual human sacrifice portrayed in the ...
Multi-tier medical systems in history

The €50 charge for the medical card is surely a decoy, on the list purely to make increased prescription costs and bed closures seem more acceptable. Don’t let them away with it. There are ways to save money – or save the euro – that don’t involve ritual human sacrifice. We have a two-tier health system more wasteful than you’d see in any nightmare, even if you regularly dream about inefficient public resource allocation.

Consider a moment: We have to maintain a huge national infrastructure, staffed by public employees with all that entails, and then not let the majority of people use it because they’re not poor enough. Those who don’t qualify are forced into the hands of the profit-making health industry – which we then subsidize by allowing them to use the huge public infrastructure. We’ve basically taken on their capital costs.

This government was elected on the promise of introducing a single-tier health system. OK, they could have got elected on the promise of doing a little dance, but this is the one they made and it’s a highly desirable – in fact a necessary – thing. Problem is, it looks as though they’re employing the simple expedient of killing the lower one off.

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