I can give a slightly more nuanced observation, since being ...

mike

npub1aqakd28d95muqlg6h6nwrvqq5925n354prayckr424k49vzjds4s0c237n

hex

05baedcde2f751de32f59e3d4dd433e79a2f6426535e3d50926b047f9e4f868f

nevent

nevent1qqsqtwhdeh30w5w7xt6eu02d6se70x30vsn9xh3a2zfxkprlne8cdrcprpmhxue69uhhyetvv9ujuem4d36kwatvw5hx6mm9qgswswmx4rkj6d7q05dtafhpkqq2z42fc62s37jvtp642m2jkpfxc2cv27nju

Kind-1 (TextNote)

2026-09-02T12:29:43Z

↳ 回复 事件不存在

7cbd08eec1c0edcc056bf39a5fd61c56572986c1321d0cb78168826da1b3d0f8...

I can give a slightly more nuanced observation, since being married to Margaret.

The NHS's primary mission is to prevent.

Their secondary mission is to cure.

That said, there are two types of people that work for the NHS, those that care and those that want to be cared for.

The latter is increasing over time and is filled with people who have their own issues or dysfunctions and use the NHS as a employer they can exploit or provide sanctuary.

As for drug company influences, there is some of that, but mostly the NHS is not driven by external commercial forces so is mostly ambivalent to those.

My father in law had a tea mug given to him by the drug company Gopten in the 1990's, which became my mug of choice when visiting. That was about a big a bribe as was allowed back then. Since then, even that level of bribery is no longer allowed 😂

The other big change to happen over time is the idea of profit centres. All services / departments are paid / obtain their budget by achieving certain targets or specific goals. If they are clever, they can generate virtual profits (virtual is my definition). Those profits can then be spent on general service improvements.

I'm a business man, so the idea that a publicly funded service has built in the concept of achieving profits is wholly inappropriate. You receive a budget, do the work with the money. If you don't spend it all, great. If you're massively over spending and / or underperforming, heads start rolling.

Oh, that's another thing, firing bad staff is almost impossible. But I think that is more employment law these days, rather than specific to the NHS.

原始 JSON

{
  "kind": 1,
  "id": "05baedcde2f751de32f59e3d4dd433e79a2f6426535e3d50926b047f9e4f868f",
  "pubkey": "e83b66a8ed2d37c07d1abea6e1b000a15549c69508fa4c5875556d52b0526c2b",
  "created_at": 1788352183,
  "tags": [
    [
      "e",
      "09d3f21869f265abe6e795c29429089c6114e92a55653f5fc8ae97d779059d5f",
      "wss://relay.snort.social",
      "root",
      "e83b66a8ed2d37c07d1abea6e1b000a15549c69508fa4c5875556d52b0526c2b"
    ],
    [
      "e",
      "7cbd08eec1c0edcc056bf39a5fd61c56572986c1321d0cb78168826da1b3d0f8",
      "wss://relay.primal.net/",
      "reply",
      "c2376087e1be82df765c5d70eb2feade04658be061991631591786584b0556b1"
    ],
    [
      "p",
      "c2376087e1be82df765c5d70eb2feade04658be061991631591786584b0556b1"
    ]
  ],
  "content": "I can give a slightly more nuanced observation, since being married to Margaret.\n\nThe NHS's primary mission is to prevent.\n\nTheir secondary mission is to cure.\n\nThat said, there are two types of people that work for the NHS, those that care and those that want to be cared for.\n\nThe latter is increasing over time and is filled with people who have their own issues or dysfunctions and use the NHS as a employer they can exploit or provide sanctuary.\n\nAs for drug company influences, there is some of that, but mostly the NHS is not driven by external commercial forces so is mostly ambivalent to those. \n\nMy father in law had a tea mug given to him by the drug company Gopten in the 1990's, which became my mug of choice when visiting. That was about a big a bribe as was allowed back then. Since then, even that level of bribery is no longer allowed 😂\n\nThe other big change to happen over time is the idea of profit centres. All services / departments are paid / obtain their budget by achieving certain targets or specific goals. If they are clever, they can generate virtual profits (virtual is my definition). Those profits can then be spent on general service improvements. \n\nI'm a business man, so the idea that a publicly funded service has built in the concept of achieving profits is wholly inappropriate. You receive a budget, do the work with the money. If you don't spend it all, great. If you're massively over spending and / or underperforming, heads start rolling.\n\nOh, that's another thing, firing bad staff is almost impossible. But I think that is more employment law these days, rather than specific to the NHS.",
  "sig": "5a0538a14cd1705cac38a4041c3361ee5f557200ea1727aa7660cd119b84d35b347c78e01e3f73d3ad970348187b1a1ec50cae0bd4468545e22abcdb53d57256"
}