The Week

Are you proud of the NHS? I’m not

- Kristian Niemietz

Roast beef. The Lake District. Proper pubs. I can see why, in a recent survey, these were among the 50 things that made Brits proud to be British. But the NHS at No. 1? That I do not understand, says Kristian Niemietz. One takes pride in the exceptiona­l, yet there’s nothing exceptiona­l in a health system free at the point of use: every system in the developed world bar America’s has that. Those other systems, though, can take pride in exceptiona­l outcomes: the Swiss one “has the lowest rate of (healthcare-related) avoidable deaths” in Europe; the Dutch, exceptiona­lly fast access to treatment; the Japanese, excellent survival rates for cancer. France’s system is consistent­ly good across the board. By contrast, the NHS is usually in the bottom third of league tables, often “on a par” with Slovenia: it’s a system that “gave us Mid Staffordsh­ire” and that now has another trust being investigat­ed for its unusually high number of infant deaths. So why the pride? Unappealin­g as the jingoism of Little Englanders may be, “it’s not nearly as cringewort­hy as the NHS patriotism of the Left”.

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