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BMA calls for public debate on NHS after Scotland shuns independence


(1) As a Chinese man in Liverpool ( love Sting's song 'Englishman in New York') , I did not see myself having a right to say Yes or No about this referendum. But I only believe it represented a historical moment : A 'country' underwent an entirely democratic process peacefully , with no bloodshed , to determine its future . Over 80% of the registered voters came out to vote( some poll station reported 100%) . This is democracy of the highest level( in contrast to what Putin tried to do in Eastern Ukraine ). The process was a noble one. (2) Towards the end of the campaign , a genuine fear and paranoia was generated in Westminster. It was too obvious this government was panicking a 'Yes' result could easily bring on a total bankruptcy of trust and credibility on this Coalition. Simply , Darth Vader et al was complacent. (3) The result was probably 'fair' as I suspect many people had to make a compromise between their thought in the head and the passion in the heart. But as Nick Robinson said this is not the end and in fact , this is only a new beginning . (4) 55% say No , 45% say Yes. This is completely different from 80 or 90% say No , 10 or 20% say Yes. Things have to be changed -- the Constituition will have to be rewritten in certain parts . In a time with 8 months away from a General Election, these politicians have to at least pretend that they are listening . That's what I call the 'best' time to pin them down to write something in black and white. (5) Darth Vader had to say what he said about devolving more powers away . To me, five years down the road , his party is now under threat from Labour in the front, UKIP from the back and of course the enemy sleeping with it, called Liberal Democrat. It is time to protect his own reputation drifting away from his shameless government . (6) One happy man is called GB, he said he was not young nor old for more front line politics. Well, this result certainly has given him a lot of opportunities . What is his next move will be entirely driven by political climate or circumstances . Never believe every word of a politician who has been around long enough. (7) So question is what is this power to be devolved? More importantly how can this power be exercised at local level. With this result, many local leaders are already trying to exploit the situation , asking for more power in various parts of England, Wales and Northern Ireland. Is there really a genuine consideration of a 'big country' with multiple federal states? (8)The implication of this ideology could open serious debate about NHS and social welfares. We , for long, have been complaining a 'one size fits all' Londonian model in policy making in NHS. And we have been debating all this time about how to raise funding for NHS and general practice . Fees or no fee, so called semi-private, etc . The bottom line is still whether it can be afforded by a 'state' or more importantly patients themselves. The whole thing needs a very , very careful thinking through . I am no expert in US politics but wonder which part of America is actually benefiting from Obama's health reforms and which part is better off sticking to the old way. (9) Sun Yat Sen , father of Modern China, on the day he died, said ,'the revolution is not yet completed , all my comrades must struggle on'......

Posted date

20 Sep 2014

Posted time