I am Jonathon Tomlinson. I am an NHS GP and I have set up this blog to inform twitterers and others about the real scandal going on with the NHS, which is its conversion into a pre-1948 (start of the NHS) market economy as a result of steady lobbying from UK and US private health insurers and a prevailing neoliberal political ideology. For more about neoliberal politics and healthcare reform please see Dr Clive Peedell’s blog. I believe, like Virchow that,
“Medicine is a social science and politics is nothing else but medicine on a large scale. Medicine as a social science, as the science of human beings, has the obligation to point out problems and to attempt their theoretical solution; the politician, the practical anthropologist, must find the means for their actual solution”.
My intent is to show how health is not like any other commodity and that there is evidence to show that it’s bad for health and the economy to treat it like one. I intend to gradually add articles I’ve been writing for the last few years during which time I’ve worked as a GP in East London and as a volunteer with Medicins sans Frontieres in Afghanistan.
As well as criticising present reforms I’ll be adding suggestions for alternative reforms, which are most definitely needed to improve the quality, efficiency and humanity of care in the NHS.
I’ve been most recently inspired by US Surgeon and writer Atul Gawande, Dutch Philosopher Anne-Marie Mol, British GP and writer Julian Tudor Hart, Academics Colin Leys and Allyson Pollock and British campaigner and retired doctor Wendy Savage.
Conflicts of Interest.
I belong to Keep Our NHS Public and I am on their steering committee. I joined them in 2009. I have never received any payment for my work with them but I do give them £100 a month. They need every penny they can get. I belong to the British Medical Association and they don’t pay me either, I pay them a membership fee every year. I have never belonged to a political party, until I joined the green party at the last election because they were the only party supporting a public NHS. They don’t pay me either and I pay them a nominal membership fee. I also belong to MEDACT.
Everything on here I have written without payment of any kind, in my spare time. Usually at night when my family are asleep.
In June 2011 the London Review of Books paid me for writing an article for them. It is available to subscribers here. It is the first payment of any kind I’ve had for trying to keep the NHS public.
Medical Advocacy Doctors are the natural advocates of the poor, but have little training about advocacy. This needs to change
Kindness in healthcare Kindness in healthcare is in grave danger of being lost. This blog examines the culture of healthcare and suggests how we can bring kindness back.
A Perfect Storm: Welfare meets healthcare Poverty, illiteracy and isolation are at least as great a threat to health as what we consider to be diseases
What’s in a name? Patients, Clients and Consumers Why are we looking for new names for patients?
Confessions: Hearing our patients’ stories When we fail to hear the stories our patients are trying to tell us we may miss the diagnosis
Do the justifications for NHS reform stand up to scrutiny? Is there any evidence for the government’s justifications for the Health Bill?
Competition in Healthcare, the risks What are the dangers of increasing competition in the NHS?
Conflicts of Interest and NHS reform In whose interests are the NHS reforms?
What is the point of patient choice? Why is patient choice so controversial? Are doctors really against patient choice?
The cost of chronic disease and the lack of NHS reform Why is healthcare so expensive and why does the Health bill do nothing about it?
Who is the NHS for? Not me! Why are we so divided in our love/ hate relationship with the NHS?
Henry Sigerist and NHS reform What is the history of healthcare reform?
A better NHS. What do we need to do to improve the NHS?