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making everyone happy is impossible. pissing them off is a piece of cake. i like cake. saturday, may 05, 2018 the cuban health system the cuban medical system. over at the asi blog, tim worstall asks if the cuban health statistics are true . i can't comment as to the statistical verisimilitude, but i can provide some perspective on the standard of care—via a junior doctor friend who was sent on elective in cuba, in the first quarter of this year. people may get treatment, but it is (to be understated) not good: my friend used phrases like "torture" , "gynaecological violence" , and "shocking filth" . births are often "'induced' by violently finger-banging the mother" ; she describes seeing a doctor "up to his elbow in a woman's vagina" ; "c-sections performed, and sewn up, without any anaesthetic at all*" ; and women "left in agony without even a paracetamol" . there are, really, no drugs at all beyond basic opiates, paracetamol, etc.—and doctors prefer to "wait and see" for days before prescribing even those: the preferred option is to see if the (literally) screaming patient has any family who will bring them painkillers first. many of the medical procedures and practices that we take for granted in civilised societies are dismissed as "western propaganda" or "unproven lies" . so, having heard from someone first-hand about the cuban medical system, i would say that the statistics are highly dubious: and, even if they are true, they hardly paint the whole picture—which would look like something painted by hieronymus bosch . incredibly, i have had arguments with stupid fucking socialists who extol the virtues of cuba's medical system—useful idiots who uncritically cite who statistics whilst having no idea about the reality. these people are either ignorant or lying. be in no doubt that the cuban medical system is—like everything else in that poverty-stricken shit-hole—an absolute fucking nightmare. but most enraging of all—as in the rather more recent cautionary tale of venezuela—it is a nightmare built and maintained by precisely the kind of evil socialist shitbag who refuses to believe that hard socialism always and everywhere leads to poverty and oppression. in other words, the kind of arsehole that supports that monkey corbyn, and his organ-grinder mcdonnell. *edit: my junior doctor correspondent would like to add the following corrections and additions... the reason the consultant had his arm inside the woman, as referenced above, was that he was scraping the placenta out. caesarean sections are performed with anaesthetic. what i saw was some episiotomies [essentially, cutting of the perineum to facilitate birth—ed] without anaesthetic and no pain relief for their subsequent suturing. in this particular case, i had to hold a torch over the woman’s genitals whilst she writhed in pain and begged them to stop... i mentioned paracetamol, not aspirin. i was told that paracetamol would give the patients liver failure. i argued that, at the prescribed dose, it would not: but they still do not use it. the other case i found deeply disturbing was that of a woman, post caesarean-section, who was lying prone in bed unable to move due to the agony of her surgical wound. she was the “let’s wait a day and see” patient. the doctors said that they would, after a day, “maybe consider tramadol.” she was crying and punching the wall with the pain. she had no ted stockings on and was unlikely to move due to the pain. this increased her risk of post operative blood clots! the medical students told me they were helpless and hated that they couldn’t give her anything. it was therefore up to her family to provide painkillers... oh, and btw, you can have as much pain relief if you want. as long as you pay. finally, to quote a cuban medical student: “we can do whatever we want. what are they going to do—sue us? it’s free heath care!” so much for the socialist model the cubans say is so fucking great... i would point out that my junior doctor friend is very far from being the rabid anti-state healthcare libertarian that i am. but, after two months in cuba, i think that i detect some slight disillusionment with the wonders of socialised medicine. this is, and particularly from a woman's perspective, the reality of healthcare in this benighted country. of course, if one is sent to cuba on an elective shortly before starting a job in the uk (and one of her other options was uganda), the nhs must seem like the best system in the entire fucking world. a fact that is, i am sure, entirely coincidental... by devil's kitchen at may 05, 2018 3 comments: links to this post email this blogthis! share to twitter share to facebook share to pinterest labels: abroad , communist , for fuck sake , just not fucking funny , medical care , socialism saturday, april 07, 2018 why can't the tories pr? though they are not a party that your humble devil whole-heartedly endorses, the various tory governments since 2010 have not been entirely shit. they have, on the whole, taken actions that support their aims supporting people into work—and that allow more low-paid people to keep more of their own money. philip hammond's recent article in the telegraph spells some of this out very clearl y—especially as regards income tax. today’s increase in the personal allowance means that everyone will pay less income tax. a basic rate taxpayer will pay £1,075 less income tax than they did in 2010. and the benefits aren’t just for those of working age: from today, pensioners on the full basic state pension will receive an extra £180 a year; the threshold at which young adults start paying back their student loan will increase to £25,000. and we are taking the next step to deliver our commitment that by 2020 parents will be able to pass on a home worth up to £1 million to their children without paying any inheritance tax. but part of the problem that the tories have had—not least in gaining a majority in the commons—is that they are utterly crap at pr. they simply do not seem to be able to trumpet their achievements, whilst they encourage certain media outlets to focus only on perceived failures. the cause of this is very easily understood once you have read hammond's full article: three of last four paragraphs (in an article of only 19—that's nearly 16%) are dedicated to bashing labour. what idiot decided that was a good idea? one assumes that it is someone who has never worked in the private sector. let me explain why this approach is so stupid... in the private sector, you never bash your competitors by name. why? because if you name your competitors you not only acknowledge that you have competitors (rather than being the absolute best), but you also give your potential customers a name to search for—to see if they have a better offer. yes, you can downplay concepts : i work for a company that makes proprietary software, so we happily point out the downsides of open source—but we never cite specific companies who are deploying those solutions.* so, the last four offending paragraphs are as follows: in this way, we will build an economy that works for everyone – but it would all be at risk under labour. jeremy corbyn and john mcdonnell, the shadow chancellor, have announced plans that would see debt spiral to more than 100 per cent of gdp, leaving our economy vulnerable to shocks, forcing us to waste billions more on debt interest and handing the next generation an unmanageable burden. taxes on families and businesses would rise to their highest level in peacetime history – with ordinary working families left to pay the price. contrast that with the conservative commitment to building an economy fit for the future based on sustainably rising living standards, low taxes, falling debt and investment in a future we can be proud of. the last paragraph is fine, but the preceding ones are terrible. so, in the spirit of open source, let me rewrite these sections as i would do it and give it to any conservatives re

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Last updated: 16-Feb-2018

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