The corrupt Nixon presidency spawned the health and social care system that now threatens our NHS

The American Kaiser Permanente model of healthcare is the acknowledged template for the controversial NHS and social care changes that are hitting Calderdale and Huddersfield, as well as the rest of England.

In this American model, so-called Health Maintenance Organisations  (HMOs) provide relatively low-cost health services that are based on short hospital stays and cherry-picking patients with health care needs that are not too costly.

In 1971, when the Nixon administration was looking for ways to cut the costs of healthcare, White House domestic affairs adviser John Ehrlichman explained to President Nixon why he should promote the Kaiser Permanente system of healthcare:

“All the incentives are toward less medical care, because the less care they give them, the more money they make.”

This was enough to persuade Nixon that HMOs were the future for American healthcare.

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Calderdale Clinical Commissioning Group appears committed to closing an A&E department and reducing hospital beds

Despite Calderdale Clinical Commissioning Group’s public statements that it has not yet made any decision about the closure of either Calderdale or Huddersfield A&E department, and won’t do so until after a public consultation in the summer of 2014, this claim appears downright shaky. Think about these facts:

  • Most of the proposed division between the two hospitals into an unplanned/routine care hospital and an acute care hospital has already happened, with unplanned care in Calderdale Royal Hospital and acute care in Huddersfield Royal Infirmary.
  • The hospitals Trust has set up a joint venture property development company with Henry Boot Development and this company is already expanding Huddersfield Royal Infirmary.
  • Calderdale Council and Calderdale Clinical Commissioning Group are ready to set up the low-cost community care system that’s designed to reduce A&E visits and hospital admissions. They will do this through implementing their Better Care Fund plan this year.
  • Calderdale Clinical Commissioning Group’s 5 Year Strategic Plan states that it is the CCG’s contribution to delivering the Strategic Review. This is the document that outlines the preferred option for closing Calderdale A&E, moving acute care and A&E to Huddersfield Royal Infirmary and cutting 100 hospital beds.

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Anatomy of the NHS carve up – focus on telehealthcare

Here is how a private company goes about dismantling and profiteering from a much-loved public service, in five easy stages.

Pay for positive spin in a pro-market think tank report 

In 2010 Tunstall Healthcare was one of an assortment of private healthcare companies that funded a report on telehealthcare, ‘Healthcare Without Walls: A framework for delivering telehealth at scale’, written by the pro-privatisation think tank, 2020 Health.
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