Why Nostr? What is Njump?
2025-03-26 16:17:48
in reply to

403smiles on Nostr: The NHS isn't free - you're just paying for it upfront. The problem is it's not ...

The NHS isn't free - you're just paying for it upfront.

The problem is it's not judged on performance. It gets funded simply for existing. With no real P&L accountability, inefficiencies only get worse since there's no real incentive to fix them.

I'd love for it to work, I really would - it would make life so much simpler. But the reality is that it just leads to inefficiencies. We see that in the outrageously long wait times, lack of communication between employees and the focus on short-term fixes over real long-term solutions.

So to answer directly: yes. I'm paying anyway, I'd rather just pay what it costs when I need it and let the market compete for a better service.
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npub18tqrqyg3gdlxf4zrsfxtta6hescj9wmp60zk27mfnj4xks0v6xas9hsyne