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by ben_w 1292 days ago
Yes, many did; and yes, excess mortality is up; so I can sympathise with thinking that’s a smoking gun — but COVID itself also caused excess mortality, some of which was by the pathway “The hospitals are now full of COVID patients so we have to turn away others” followed by “OK, so the COVID has cleared up and we can get back to the others… oh, 10% of those others have since died”. And given this is about the UK, I can also point at Brexit, the final stage of which happened during the pandemic and which I specifically predicted would cause a non-specifically large number of deaths: https://kitsunesoftware.wordpress.com/2019/10/25/oh-no/

(I’m glad to say that Boris Johnson pattern-matches against what I wrote in the final few paragraphs).

I’m sure some deaths will have a causal connection to the lockdown, but I can confidently say that about literally every possible course of action or inaction by any major government on any topic no matter how mundane; to talk about risk to the NHS, one must show that the caused effect is also a substantial part of the total.

1 comments

The hospitals were never "full" of Covid patients. During the two years from March 2020 onwards, the NHS treated about 70% the number of people that it does during more normal years. These were also mostly not Covid patients. The only reason the NHS stopped treating people during those years is because it was determined that it was too "unsafe", not because the hospitals were full of Covid patients.

In fact, now that Covid is more or less over, our health service has become so dysfunctional that only now we are turning people away due to capacity issues (or leaving them in the back of an ambulance for 10+ hours).

We didn't save the NHS, we broke it.

The current breakage is many things, including but not limited to:

* Overloaded nurses retiring early or shifting career (one of my in-laws switched from nursing to become a builder).

* Pay offer too low to encourage new nurses to join the NHS, as they are valued worldwide and have offers in other countries.

* Long-term systematic political footballing.

* Brexit (harder access to the UK from the rest of the EU combined with the exchange rate shock making the pay offer look worse).

* Many elderly patients have nowhere suitable to go after they’ve been treated, because community care is covered by council taxes not central government and the local councils can’t cope. Fixing this requires shifting the tax burden in ways that the government does not have sufficient support to get through even if they wanted to, and it’s not clear to me if they want to.

* Medical costs dominated by the elderly, combined with demographic shifts (important because the non-elderly not only pay the taxes but also do the actual work) which IMO was caused in part by newspapers in the 1980s and 90s deciding that the topic they wanted to treat as a social scandal was all the single mothers and teenage pregnancies, leading to government policy of making all the students of that era as frightened as possible of starting families ever, leading to later families, leading to smaller families, which combined with the social dynamics of basically ending the construction of new council housing (and any boost to the private sector being insufficient) meaning that poor people had a much harder time getting a home, and also the fact that effectively forcing widespread two-income-no-kids relationships without extra home construction leads to house price (and rent) inflation rather than people being able to afford more which again leads to the same demographic shift. Oh, and all that also makes the take-home pay of nurses much worse than it might otherwise be, making it even harder to get nurses from overseas or to keep nurses trained in the UK.

* COVID and long COVID