a separate income tax to be distributed nationally, ring-fenced, then a variable annual contribution based on how many times you use various services against your income. So if you use your GP a lot, you will make more of a contribution but that will go back into that local service for you. If you're in A&E constantly, your contribution will go there etc. Set against your income, but your usage will be recorded and if you suddenly start doing well for yourself, then like your student loans you will start to pay more back. So if you have a serious illness, can't work and get minimal sick leave pay if any, then you'll get it free, but if you then go back to work, set up your own business and do really well, you'll then start to pay back.
If you never need it, you'll just pay the flat rate which will be based on your income.
Why not with tourists having to cover medical expenses through travel insurance just like we do.
agreed NI was to pay for the war if I remember correctly more than 50 years later and we're still paying it
this is what I supposed to happen.
The trouble is that the BMA have continually said they refuse to turn away anyone who cannot prove entitlement, whether at hospital or GP practices.
How would you sort that out?
How would you administer it?
To pay for the war?
WTF!!
Do some basic research for heaven’s sake.
or get the multinationals to pay their fair share and if they can't do that then charged them a proper estimated tax bill based on turnover plus 100%.
Anyone caught tax dodging loses the house they live in by compulsory purchase of £0 and assets seized. Anyone caught using offshore accounts get an estimated bill plus 100% as well. If they don't complain in the first year then keep doubling until they do the right thing and open up all their accounts.
that should bring in an extra £10bn a year for the NHS plus it would would f**k Cayman United up royally
You have a point.
Until tax evaders are considered social pariahs and spat at in the street by PAYE workers nothing will change.
And by tax evaders I don’t just mean Google, Amazon etc.
I mean your local taxi driver who pockets his tips, the sparky who does jobs on the black, the cash in handers who fiddle their books to grossly understate their income.
Then we might have proper services, properly funded.
UK citizens could carry an NHS entitlement id card. Not difficult to administer or do imo.
Without it you either provide details of your travel or private insurance.
The BMA have to either shit on the pot or get off on this im afraid as you can't just keep treating all and sundry whilst moaning there is no money.
This is just one issue though amongst many and for me, the whole way we fund the NHS going forwards just has to changed with everyone of working age, in work paying a new health insurance or at least a revamped NI that will cover both the NHS and social care, thus allowing us to break free of governments and their budgets which are almost always unrealistic or based on ideology that just doesn't work for a National healthcare system.
And that paid for the war how? some confusion with income tax here me thinks. oh and war bonds.I did, did you?
In March 1943 Winston Churchill in a broadcast entitled "After the War" committed the government to a system of "national compulsory insurance for all classes for all purposes from the cradle to the grave."[5]
After the Second World War, the Attlee government pressed ahead with the introduction of the Welfare State, of which an expanded National Insurance scheme was a major component. As part of this process, responsibility passed in 1948 to the new Ministry of National Insurance. At that point, a single stamp was introduced which covered all the benefits of the new Welfare State.