Fish
180 posts
@JossSheldon Yes we are. There family earned it and wants to pass it down
They earned nothing and are only a detriment to everyone else.
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If you're fine with people receiving hundreds-of-thousands of pounds in unearned handouts via inheritance, then don't you dare ever whinge about people on benefits getting £100 here and £200 there.
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@JamRam96 @_Unknown_D_ One should never fall short of questioning their own beliefs, they should be ever evolving. I don’t begrudge you or anyone for being stubborn in yours. But I do smile when the debate becomes about constantly reframing the narrative because there’s no tangible solution offered.
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@LocalFish321 @_Unknown_D_ There is no such thing as a person without an ideology, I’m afraid. You may thinks you don’t have one, but we all have beliefs we simply fail to question, even you (your ideology is quite apparent to me, for instance).
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Give me one example of a public sector organisation delivering a better service at a lower cost (without subsidy) than the private sector equivalent?
NEF@NEF
Burnham won't be able to change our social care system until he fixes one thing: private companies sucking profit out of this essential public service. Councils spend £34.5bn a year on care, but this cash is being sucked out of the system as profit and investor returns. 1/3
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@JamRam96 @_Unknown_D_ You also then just can’t simply tax all that money out again. The public won’t allow it. That’s economics vs politics. And the pressure falls on the people.
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@JamRam96 @_Unknown_D_ If there isn’t, you have to train or source staff from overseas, relaxing visa restrictions, and employ privately; which bids up wages and prices rather than creating equivalent new output. You end up with more inflation.
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@JamRam96 @_Unknown_D_ So why not just have the treasury inject £10bn for a bunch of new trusts, GP’s, specialist treatment centres etc etc. and fix it all? More doctors, more pay, more budget equals no problem. No?
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@LocalFish321 @_Unknown_D_ We all agree there is a problem, but I don''t have to agree that the problem comes from where you say it does. And, as has now been pointed out to me endlessly by smug twats, we don't want healthcare to be "free" in the sense of charity, we want it funded via public spending.
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@JamRam96 @_Unknown_D_ The primary driver behind your premise and thinking is patient care, which is ideal. I get it.
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@JamRam96 @_Unknown_D_ …to continue, then it needs to be structured to be in a financial surplus. So that reinvestment can continually improve care.
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@JamRam96 @_Unknown_D_ Overspending is not economic law though mate it’s a governmental choice that’s the point. You’re accepting fiscal failure before you even start. Which the fundamental problem and a catalyst for failure.
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@LocalFish321 @_Unknown_D_ But assessing the NHS's financial solvency on the same basis as one would assess that of a private entity does not make sense, purely because the NHS is a public entity, and is therefore guaranteed to spend more than it earns. This does not in itself mean the NHS is insolvent.
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@JamRam96 @_Unknown_D_ Monetary sovereignty doesn’t remove the need for fiscal discipline. The NHS can’t be allowed to fail, so it’s repeatedly bailed out when demand or costs exceed budgets. That burden falls on taxpayers. Indefinitely and that’s what needs reform.
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@LocalFish321 @_Unknown_D_ But I'm asking you to consider what this implies vis a vis the "solvency" of programmes like the NHS. A truth of all private finances, that income must both exceed and precede expenditure, is the opposite for the public purse. Solvency must also mean very different things in each
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@JamRam96 @_Unknown_D_ They do when they’re underperforming to the extent where only administration would save them. If the NHS was a private entity, that would be its trajectory.
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@LocalFish321 @_Unknown_D_ Organisations don’t usually improve service provision by burning their own foundations to the ground.
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@JamRam96 @_Unknown_D_ Meaning you made a sweeping generalised assumption you can’t actually back up. Or you’d have backed it up.
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@LocalFish321 @_Unknown_D_ It’s bound to be the case that some work much better than others, right? I don’t need to be able to name them to appreciate a basic fact of statistics.
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@JamRam96 @_Unknown_D_ We’re not arguing how income is generated. We’re arguing how that generated income is spent. Which on mass related to public services is poor. Your answer is more taxation, my answer is overhaul.
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@JamRam96 @_Unknown_D_ Families and businesses can’t issue their own currencies, of course. No one is arguing how money is created or circulated. And yes economies need to be stimulated in order for taxation to be possible.
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@JamRam96 @_Unknown_D_ Can you name the great many NHS trusts that work fine?
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@LocalFish321 @_Unknown_D_ I simply disagree that the NHS needs bulldozing. Many NHS trusts need an overhaul, granted, but a great many also work fine. The NHS is too large and complex to make such sweeping statements about, the reality is very nuanced, and we need to be intellectually honest about that
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Do not feel sorry for them.
The top 1% of earners pay that income tax, but 'millionaires' hold their money in assets and capital, and live day to day off debt which isnt taxed. Using income tax stats to defend the asset-owning class is a deliberate distraction.
Sharron Davies HoL MBE@sharrond62
When the top 1% pay 30% of income tax this is a real problem, chasing away millionaires is a very self defeating action leaving a huge fiscal hole.
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@JamRam96 @_Unknown_D_ You said you don’t run public finances like household finances or businesses, which is completely wrong. Premise stays the same.
You still haven’t offered one tangible solution, 15 tweets later. If offerings a tiered healthcare service is so evilest - what would you do?
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@LocalFish321 @_Unknown_D_ I’m not arguing semantics at all, I’m arguing on the basis of accounting, and you mischaracterised what I said re households and their income.
Also, if one car uses petrol and another doesn't, say, that’s still a difference you need to understand in order to operate the thing!
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@JamRam96 @_Unknown_D_ The NHS doesn’t need a slightly bigger budget because waiting times need to come down or you can’t get a GP appointment - it needs bulldozing and rebuilding from scratch. Drastic change requires drastic changes. Not just more tax and a bigger budget.
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@LocalFish321 @_Unknown_D_ Where did I say or imply that re income?
And how can a machine be “the same” if the parts that move inside it are different? Isn’t that the difference that distinguishes machines from each other?
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