Dialysis/Transplant
#16
limey party pooper
Joined: Jul 2012
Posts: 9,982
re: Dialysis/Transplant
And this is where the the NHS suffers, I am all for people who use the NHS if they have paid into the system over a number of years or exempt from doing so through illness or disability but it is just not sustainable when anyone can use it and yes that means even if your born here and left years ago. The NHS was originally set up to be a free (which it’s not anyway for most we pay through our taxes) system for the UK, you could say straight this at first was an excellent way of thinking as most people had to work “back in the day” as welfare was strictly adhered to but alas with the social benefit system being routinely abused by people there are a lot of people who use the NHS who have never/hardly paid into the system when they really should/could be doing so hence one of the main reasons the NHS is in the “state” it is in. In my opinion the NHS needs a huge overhaul but various governments are afraid to act.
#17
BE Forum Addict
Joined: Aug 2013
Location: Eee Bah Gum
Posts: 4,131
re: Dialysis/Transplant
That’s good as NI contributions are what you need to receive your old age pension. These days it is 35 years so you may want to check your record with DWP either on line, on phone or by mail. If you are going to be missing some years you can pay the current year plus up to 6 back years with voluntary contributions. I got caught out because it was 30 years until a few years ago and when they changed it to 35 I was too late to add more. My wife was born in the same year as me but a different tax year (her November, me February) so squeaked out an extra year.
#18
BE Forum Addict
Joined: May 2007
Location: England
Posts: 4,212
re: Dialysis/Transplant
It was set up to be 'free at the point of delivery" and still is to a large extent. I don't understand why you are conflating returning residents with people on benefits. Either way the health care system is not, and should not be, a judgemental process deciding who is and isn't worthy. Perhaps your overhaul might include bringing back the Workhouse for those sciving n'er do wells
#19
re: Dialysis/Transplant
The NHS is funded mainly from general taxation supplemented by National Insurance contributions so we do pay for it….well you do if you work and my point is that if you only say worked here in the uk for a few years then went to live overseas for even more years and came back to the UK and not to work then there should be a payment of such before you are able to say have operations or expensive treatments, the NHS is badly mismanaged and this is one of the reasons the NHS are always demanding more money from the government which does come from the working people here, now I am not at all against people who contributed for many’s years here and then left and came back for whatever reasons. I just think it is not really fair on the hardworking people who have lived here all their lives and are kept being told how much more money their taxes are going to be take out of their taxes to go to the NHS because it cannot keep up with demand.
It's based on residency, not what somebody has paid in. That seems the fairest way to do it to me otherwise you'd have all sorts of inequalities. Following the same logic, somebody that's paid in much more via higher taxation should be more entitled than those who've paid less? Or those who've never paid in to it (stay at home mums of my parents generation for example) shouldn't get to use it at all?
#20
limey party pooper
Joined: Jul 2012
Posts: 9,982
re: Dialysis/Transplant
Lots of people that go to live overseas still pay tax in the UK and also make NI contributions though.
It's based on residency, not what somebody has paid in. That seems the fairest way to do it to me otherwise you'd have all sorts of inequalities. Following the same logic, somebody that's paid in much more via higher taxation should be more entitled than those who've paid less? Or those who've never paid in to it (stay at home mums of my parents generation for example) shouldn't get to use it at all?
It's based on residency, not what somebody has paid in. That seems the fairest way to do it to me otherwise you'd have all sorts of inequalities. Following the same logic, somebody that's paid in much more via higher taxation should be more entitled than those who've paid less? Or those who've never paid in to it (stay at home mums of my parents generation for example) shouldn't get to use it at all?
#21
BE Forum Addict
Joined: Jan 2008
Location: Near Kingston, Ontario
Posts: 1,318
#22
re: Dialysis/Transplant
That’s good as NI contributions are what you need to receive your old age pension. These days it is 35 years so you may want to check your record with DWP either on line, on phone or by mail. If you are going to be missing some years you can pay the current year plus up to 6 back years with voluntary contributions. I got caught out because it was 30 years until a few years ago and when they changed it to 35 I was too late to add more. My wife was born in the same year as me but a different tax year (her November, me February) so squeaked out an extra year.
#24
BE Forum Addict
Joined: May 2007
Location: England
Posts: 4,212
re: Dialysis/Transplant
Lots of people that go to live overseas still pay tax in the UK and also make NI contributions though.
It's based on residency, not what somebody has paid in. That seems the fairest way to do it to me otherwise you'd have all sorts of inequalities. Following the same logic, somebody that's paid in much more via higher taxation should be more entitled than those who've paid less? Or those who've never paid in to it (stay at home mums of my parents generation for example) shouldn't get to use it at all?
It's based on residency, not what somebody has paid in. That seems the fairest way to do it to me otherwise you'd have all sorts of inequalities. Following the same logic, somebody that's paid in much more via higher taxation should be more entitled than those who've paid less? Or those who've never paid in to it (stay at home mums of my parents generation for example) shouldn't get to use it at all?
#25
limey party pooper
Joined: Jul 2012
Posts: 9,982
re: Dialysis/Transplant
I am saying that the NHS needs a huge overhaul it basically is in this state because of poor management (all departments) over population , the money that is poured into the NHS is like a black whole without any countability and it does not help when other than those with good reason have not paid into the system, I have worked for the NHS for a long time (before and after I migrated) and I am shocked by the change.
#26
re: Dialysis/Transplant
I am saying that the NHS needs a huge overhaul it basically is in this state because of poor management (all departments) over population , the money that is poured into the NHS is like a black whole without any countability and it does not help when other than those with good reason have not paid into the system, I have worked for the NHS for a long time (before and after I migrated) and I am shocked by the change.
#27
re: Dialysis/Transplant
Your argument is trotted out all the time when it comes to UK pensions not being uprated for people in certain countries (like Canada) but that money denied to some pensioners is less than the money the UK saved. You have to look at the bigger picture.
I've been in Canada since 2005. Canada has been providing my medical care since 2009 - expensive insulin for diabetes and so on, CKD care, regular blood tests, ongoing eye care, all sorts of stuff. Perhaps they should have denied me for only having been here 4 years. I've saved the NHS a fortune by being treated here and you want to force me to make some kind of payment to "re-qualify" should I return? Bigger picture.
#28
BE Forum Addict
Joined: May 2007
Location: England
Posts: 4,212
re: Dialysis/Transplant
It was set up to be 'free at the point of delivery" and still is to a large extent. I don't understand why you are conflating returning residents with people on benefits. Either way the health care system is not, and should not be, a judgemental process deciding who is and isn't worthy. Perhaps your overhaul might include bringing back the Workhouse for those sciving n'er do wells
#29
re: Dialysis/Transplant