HOME / the breakfast table: An e-mail conversation about the news of the day.

Alexander Chancellor and Sarah Lyall

How Long Will Brits Wait in Line for Treatment?

Posted Wednesday, Feb. 16, 2000, at 10:44 AM ET

Hello, Alexander,

The papers all report this morning that waiting lists for hospital treatment rose by 36,000 people last month, so that currently some 1,108,000 Britons are waiting for non-emergency tests and operations--everything from diagnostic ultrasounds to heart operations. I'm always astounded by these figures (there I go, being astounded again) and by the idea that the people of Britain do not rise up as one and demand an end to what seems like cruel and unusual punishment. Not to mention that when you wait for treatment, your condition often gets worse so that you do become an emergency case, and end up needing more serious and more expensive treatment.

Occasionally, some newspaper or other gets upset about the length of the waiting lists, particularly when it's angry at the government and wants to emphasize its failings, but I've never seen a wholesale questioning of the fact of waiting lists in the first place. I'm not necessarily surprised--the need to wait has been a fact of life for the 50 years the National Health Service has been in existence--but I wonder when enough is finally going to be enough. It strikes me that with a new generation coming along that's much more demanding, and much more health-conscious, than previous generations, the system won't be able to go on as it has. What do you think? Have you had to wait for hospital treatment, and has that made you furious, or sicker?

A lot of people I know here seem not to care at all about their health, smoking and drinking with abandon in ways that would get them ostracized, or arrested, in America these days. Of course, it's a refreshing alternative to my New York-bred obsession with every tiny thing to do with my physical condition. It's stupid to think you have cancer all the time, just because your foot hurts or your throat is sore. But I worry that a lot of my friends who are walking around looking more or less fine, if a little worse for wear from all the wine and song, will one day suddenly drop dead, just like that.

What do you make of the Academy Award nominations? Why are they on the front page of most of the papers--including the Times and the Telegraph--when only five Britons got nominated for acting or directing awards, and when they are awarded 8,000 miles away (or however far away Hollywood is?).

xxx sarah

P.S. Have you been noticing, from your lonely basement, how sunny and cheery it's been for the last few mornings? If the disgruntled Afghan hostage were still here, perhaps he wouldn't have been so quick to feel so depressed. Maybe we could get him to come back.

How Long Will Brits Wait in Line for Treatment?

Posted Wednesday, Feb. 16, 2000, at 10:44 AM ET
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Alexander Chancellor writes Slate's “International Papers” and a column for the Guardian. Sarah Lyall is a reporter in the London bureau of the New York Times.
COMMENTS

Highlights from The Fray:


I'm somewhat stupefied over the choice that your magazine made regarding this week's Breakfast Table. Frankly, as an American political junkie, I find it unfathomable that, with one of the most exciting, compelling presidential primary weeks in recent electoral history upon us, you saw fit to have as your Breakfast Table guests this week two expatriates who spent their time debating the fascinating details of British table condiments.

--Lonnie W. Neubauer

(To reply, click
here.)

(But not everyone agreed - Doug Richardson replied that


A dollop of painless prattle about condiments is becoming, day by day, more appetizing than the great trough of swill served up by the four cretins who have captivated every marginally literate person with a word processor--I look to Slate for a little of everything on my plate.


And other Fraygrants were happy to deal with the whole wide range of Breakfast Table subjects:)


It's nice to find amidst the stuff about ketchup, Americanisms, Bush vs McCain, and salad cream, an admission of the problems of the British National Health system [Wednesday's entry]. Throughout the great healthcare "debate" of 1992-1994 we were told over and over again that the single-payer system was the way to go, with Britain and Canada cited admiringly. Now who's ready to admit that rationing would be necessary in any kind of scheme to extend healthcare to everyone in the U.S.?

--Edward Brynes

(To reply, click
here.)

To Edward Brynes:
Don't you think that the current American health-care system rations access? It is, in practice, unavailable to approximately 43 million people.

--June Thomas

(To reply, click
here.)

In reply:
Medical care is not actually unavailable to people without insurance, but certainly it is very costly. That's not the same situation as rationing, which to me implies a deliberate policy of allocating treatment according to medical need and feasibility of treatment.

Normally someone in the U.S. with insurance coverage is assured abundant care and little waiting even if there is reason to believe that with all the care in the world he or she won't live more than a few months anyway or will live a greatly impaired life. There is a different philosophy in Britain. Many people, not heartless monsters, have asked what value there can be in maintaining, by complex expensive technology, people in such a situation. Rationing has the effect of freeing up resources.

--
Edward Brynes

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here.)


Norway is not a member of the European Union [Tuesday's entry].

--Marian

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What I've always wanted to know is: Is catsup the same as ketchup? [Wednesday's entry] I've always had a suspicion that catsup was more "U" than ketchup - wasn't there a British, ie non-Heinz variety, called catsup in the '50s? Don't know what the fuss is about salad cream, incidentally. It's just bottled mayonnaise--not very good mayonnaise, sure, but that's not the point. The point is the name; you wouldn't have got my Mum buying something called mayonnaise, but salad cream was nice and homely.

--michael elliott

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here.)

This is a dreadful error of culinary history: no the British did NOT invent catsup. Like many things adopted during the Imperial years, it is an Indian condiment. I have read various spellings of the word, but "ketchep" will do. It is a kind of chutney, not always tomato, but sweet rather than hot, like lemon pickle. My favorite recipe is one that uses sweet red peppers, roasted, skinned, and macerated into a pulp which is then simmered with vinegar, sultanas, onion, garlic, ginger, cardamom, and cinnamon. My private joke is to then blend it all (not really authentic) and serve it with an East Indian meal, in a Heinz pourable catsup bottle. It is just a bit more orange, but no one notices. It tastes nothing like the American product of course, and is tangy and delicious. Bon Appétit!

--Apollonius

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here.)

(2/18)

St. Valentine [Monday's entry] is the patron saint of MESSAGES, because while he was imprisoned he threw little messages out of his cell to cheer up the Christians. Hence St. Valentine's Day is a day to send messages to those important to you. Since the Christian message is "Jesus loves you" and "see how they love one another" and so on, "love" notes come immediately to mind. Since we use only one word for all of the kinds of love (unlike the Greeks), and since we needed a February holiday to buy cards and gifts for (really, study the history of Valentine cards), the target for and meaning of the Valentine changed to more physical ones. The arrows business may come from St. Valentine's execution by being shot through the heart with many arrows.

--tony zapf

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here.)

(2/15)

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