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September 2023

Annals of Government-Run Medicine Socialized health care is failing again. James Freeman

https://www.wsj.com/articles/annals-of-government-run-medicine-d24f4656?mod=opinion_lead_pos11

One of the world’s most celebrated socialized medical systems is doing what socialized medical systems do: limiting patient care. Pending work stoppages could mean that the worst is yet to come for patients of England’s National Health Service.

For obvious reasons, American politicians seeking an even greater federal role in U.S. health care avoid discussing the staggering privations under Marxist regimes in places like Cuba and Venezuela. Instead, pols like Sen. Bernie Sanders (socialist, Vt.) point to government-run health systems within largely free, developed economies. But the U.K. is another example they’ll want to avoid.

Josephine Franks reports for Sky News that senior doctors, called consultants in Britain, will be joining their less experienced colleagues in withholding treatment:

Consultants and junior doctors are set to strike for several more days this week and early next month, bringing more chaos to the NHS after several months of walkouts and delayed appointments…
A health chief said the NHS is in “uncharted territory” due to the strikes, with thousands of patient appointments expected to be cancelled.
Saffron Cordery, deputy chief executive of NHS Providers, said this week’s strike action “can’t become the status quo”.

Sadly it can. If there’s one brutal lesson of government-run health care it’s that things can always get worse. Turning doctors into unionized government bureaucrats brings a host of problems, including the fact that politicians, not patients, decide what doctors are paid. This is of course a problem in the U.S. as well. England is a sort of preview of just how badly government management can mangle the incentives to provide medical services—and the duty to provide care. Ms. Franks continues:

On the picket lines of the March strike, junior doctors told Sky News why they were striking and described having to borrow money off family for medical exams, watching colleagues leave for better paid jobs abroad and how they were struggling to pay rent.

If anyone asks Mr. Sanders to comment, no doubt he will rail about the British government not spending enough, just as his answer to every question about U.S. health care involves a greater burden on taxpayers and fewer free choices for consumers.

The Irrelevant United Nations The annual gabfest in New York underscores its global failures.

https://www.wsj.com/articles/united-nations-general-assembly-iran-china-russia-ukraine-biden-administration-fc4aa8c?mod=opinion_lead_pos2

New York City this week is full of dignitaries and functionaries from around the world for the United Nations General Assembly, and President Biden chipped in with his annual speech on Tuesday. The Lady Godiva question no one wants to ask is: Why?

Amid the mountain of words this week, what will be accomplished? In the emerging world order of rogue regimes and multi-polar power centers, what good does the U.N. do anymore?

The Presidents of Russia, China and France and the Prime Minister of the United Kingdom didn’t even show up. Iranian President Ebrahim Raisi made an appearance to lecture about American perfidy. In a show of its respect for the U.N., Iran expelled the U.N.’s most experienced nuclear-weapons inspectors on the eve of Mr. Raisi’s visit. The U.N. has likewise been helpless as North Korea ignores Security Council resolutions and sanctions to expand its nuclear program.

Ukrainian President Volodymyr Zelensky made a rare trip to New York on Tuesday to make the moral case for support against Russia’s invasion. But the U.N. has been worse than useless during the Ukraine conflict. Russia’s veto in the Security Council with Chinese support has blocked any serious response to the Kremlin’s marauding. The one U.N. contribution was to help negotiate a deal to allow grain exports from Ukraine. But Vladimir Putin recently nixed that agreement.