Is Britain’s National Health Service the best healthcare system in the world?
July 6th, 2018 by Roger Darlington
In the week that the NHS celebrated its 70th birthday, this is a good question to ask. On the one hand, the British are immensely proud of the NHS; on the other hand, there is a widespread view that the system is now underfunded and failing to deliver consistent service.
Some relevant facts and figures can be found in this article in the “Guardian” newspaper.
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Will there be Cabinet resignations at today’s crucial Chequers meeting? Perhaps not …
July 6th, 2018 by Roger Darlington
Hard Brexit? Soft Brexit? Mish-mash Brexit? Who knows? But a special meeting of the Cabinet today at the Prime Minister’s country retreat of Chequers is supposed to provide some clarity. The trouble is that Cabinet ministers are totally divided on the best way forward.
The conclusion of a piece on the Chequers meeting in today’s “Guardian” newspaper points out:
“There has been speculation that the Chequers summit could could be marred by cabinet resignations. However, there are immediate reasons why this may not be an attractive option: any minister who quits on the spot would lose access to their ministerial car, meaning that they would have to walk several miles to the nearest train station.”
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After the (welcome) departure of Scott Pruett, just how many resignations and dismissals have there been from the Trump administration?
July 6th, 2018 by Roger Darlington
The Trump administration has from the beginning looked like a modern-day version of “Game Of Throne” with bodies everywhere. The latest fall from power is Scott Pruett from the environment brief, but there have now been so many departures that it’s impossible to recall them all in a record-breaking series of resignations and dismissals.
Fortunately, Wikipedia has complied a list (although this includes routine changes of office). As the page points out: “Several Trump appointees, including National Security Advisor Michael Flynn, White House Chief of Staff Reince Priebus, White House Communications Director Anthony Scaramucci, and Secretary of Health and Human Services Tom Price have the shortest-service tenures in the history of their respective offices.”
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Why does the health service in the United States cost so much and deliver so little?
July 5th, 2018 by Roger Darlington
I was born in Britain on 25 June 1948 so, except for 10 days of my life, I have benefited from a National Health Service – which is 70 years old today – that is publicly-funded and free at the point of use. But the health model in the USA is very different, as I have been reminded by the book that I am currently reading: “Factfulness” by Hans Rosling.
Swedish Professor of International Health Rosling explains that the United States spends more than twice as much per capita on health care as other capitalist countries – around $9,400 compared to around $3,600 – and for that money its citizens can expect lives that are three years shorter. The USA spends more per capita on health care than any other country in the world, but 39 countries have longer life expectancies.
Why? Rosling refers to an OECD study which concludes that costs in the US health care system are higher across the board, but in particular costs of outpatient care and administration, and that this does not lead to better outcomes, because the system is not incentivising doctors to spend time with the patients most in need of care.
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Why we need a new consumer advocate for telecommunications consumers
July 4th, 2018 by Roger Darlington
This is the Executive Summary of my submission to BEIS on the Consumer Green Paper “Modernising Consumer Markets”:
This submission only addresses one question in the Green Paper:
Q5: Is there a need to change the consumer advocacy arrangements in the telecommunications sector? If so, what arrangements would be most effective in delivering consumer benefits, including for those who are most vulnerable?
This submission argues that:
- Consumer advocacy in telecoms is too weak compared to both past experience and to other regulated sectors and too under-resourced in relation to the needs of consumers who spend significant amounts but experience real detriment in this complex and changing market.
- A new consumer advocate for telecoms consumers should be established outside the regulator and the most convenient, cost-effective and capable home for such a new advocate would seem to be Citizens Advice. Funding needs to be found quickly and not await a legislative mechanism. Voluntary seed-funding from a group of providers, the allocation of fines, or an industry levy should be considered.
- A consumer voice within the major companies in the telecommunications sector would complement meaningfully and helpfully the work of existing bodies like the Communications Consumer Panel and the new consumer advocate outside the regulator. BEIS and Ofcom should use their ‘soft power’ to encourage the largest telecoms providers voluntarily to set up such internal consumer advisory groups.
If you would like a copy of the full text of the submission, e-mail me at:
rogerdarlington@dsl.pipex.com
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Holiday in Cyprus (8): Pafos
July 1st, 2018 by Roger Darlington
Sunday was the last day of our tour of Cyprus and was dominated by visits to two archaeological sites, neither of which I had heard of before this holiday. First though, we were taken on a half hour walk along the seafront of Limassol, an attractive city which, with some 200,000 citizens, is beginning to rival Nicosia in terms of population.
Then we drove west through a citrus plantation and the British RAF base of Akrotiri to reach the first archaeological site at a place called Kourion. This is located on a hill overlooking the Mediterranean, so it must have been a spectacular place when it was first settled by the Mycenaeans and reached the height of its importance in Roman times before being destroyed by an earthquake in 365 AD. We viewed 4th century mosaics and a restored Roman theatre.
We stopped again further west at a place called Petra tou Romiou which is the legendary birthplace of Aphrodite, the Greek goddess of love. This is a beautiful cove surrounded by limestone crags and it had attracted swimmers or sun worshippers as well as us photographers who could not fail to take stunning shots.
Continuing our journey west along the coast, we reached the town of Pafos where there is the Kato Pafos archaeological site discovered in 1961 and excavated by Poles since 1962. Before lunch, we viewed the Agia Kyriaki Church, where the Catholic mass has been observed continuously since the 4th century, and the ruins of the Basilica of Chrysopolitissa.
Lunch was included in the package and served outside in bright sunshine at the “Hondros Taverna”. It was a traditional Greek meze and the courses just kept coming and coming ,, and coming. No wonder the word ‘hondros’ translates as ‘fat man’.
After lunch, we went round the main grounds of the Kato Pafos archaeological site. The city was founded around 320 BC but we observed a series of buildings containing wonderful mosaics from the 2nd, 3rd and 4th centuries which are viewed from raised walkways. Our final visit of the day and the tour was to Pafos Castle which was restored by the Ottomans in 1592 and provides splendid views of today’s town harbour.
For our final night in Cyprus, dinner was not included, so the group of four decided to splash out by eating at the Italian restaurant in the hotel, enjoying a three-course meal with beer, wine, and a complimentary spirit. We’ll sleep tonight …
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Holiday in Cyprus (7): Troodos Mountains
June 30th, 2018 by Roger Darlington
On Saturday, we were out for over nine hours on a day trip to the Troodos Mountains, a location that is 90 million years old and now a UNESCO global geopark. The mountains themselves are not far from Limassol, but the mountain range is extensive and our minibus had to proceed really slowly because we had to take literally hundreds of very tight bends.
We started by driving to the highest point accessible to the public for a refreshment break – a square at a height of 1,750 metres. Then we made brief scenic stops overlooking a former asbestos mine (a first for all of us) and the Troodos Botanical Gardens (a special request of the one woman in our group).
Most of the morning, however, was spent visiting three of the 10 Byzantine churches in the mountains. All the ones we viewed are UNESCO-listed: the 16th century church of the Archangel Michael (1514) and the 16th century church of Panagia of Podithon (1502), both in the village of Galata, and the 11th century church of St Nicholas of the Roof (1025 – making it almost a 1,000 years old) just outside the village of Kakopetria. Each church was only the size of a chapel but to see frescoes of such antiquity was a marvellous experience – for me, only rivalled by visits to similarly old and decorated churches in Ethiopia. No photographs are allowed.
We stopped for some lunch at the “Kykkos Tourist Pavilion” and then visited another two fascinating sites. First, we went to see the tomb of the former president of Cyprus Archbishop Makarios III (1913-1977). This is a remarkably plain affair although it is honoured with a soldier on guard.
However, the approach to the tomb is along a long, circular path with modern mosaics of saints – dozens and dozens of them – on either side and at the top of the path is a brand new Chapel of the Little Throne of the Icon of the Virgin Mary which is incredibly ornate. The whole thing must have cost a fortune to construct but the Cypriot Orthodox Church is one of the richest in the world and would clearly prefer to spend its money in this ostentatious way rather than alleviate poverty.
A short drive further on, we made our last stop at Kykkos Monastery. This 900-year old shrine guards a legendary, miracle-working icon of the Virgin Mary, given to the monastery founder by the the emperor of the time but hidden from view for centuries. The outer part of the monastery has recently been decorated with wall paintings in a simplified version of the style of the old frescoes, but the church itself is outrageously opulent (again no photographs are permitted). There is a museum as well but we did not have time to visit that.
Archbishop Makarios started his ecclesiastical career at Kykkos Monastery and expressed a wish to be buried next to it which is why his tomb is at Kykkos.
The drive back to Limassol took almost two hours. In the evening, again we had buffet dinner at the hotel.
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Holiday in Cyprus (6): Southern Nicosia
June 29th, 2018 by Roger Darlington
After three days touring the Turkish north of Cyprus, today (Friday) the four of us on the North & South package left behind in Kyrenia the four signed up for the North Only package and started three days in the Greek south of the island. Whereas yesterday we had visited the northern part of the divided capital of Nicosia, today we went over to the southern part of the city with a new guide, a Greek Cypriot called George Economides who has himself visited 95 countries.
It was just half an hour from Kyrenia to Nicosia and, once we were through the checkpoint, our first port of call was the 18th century Greek Orthodox St John The Theologian Cathedral. This looked nondescript from outside and it is only small inside, but the ceilings and walls are emblazoned with paintings and icons and the iconostasis is made of wood with gold leaf, so that the whole effect is quite overpowering. But no photography is allowed.
Just over the courtyard from the cathedral is the Byzantine Museum. Here more than 300 wonderful icons dating back to the 10th century are well-displayed in a modern (1976) and well-light building. The information in the museum accuses the Turkish army of facilitating the smuggling of artefacts from the occupied territory in the north of the island. Again no photography is allowed.
After these two visits, we looked at the nearby monument to the 1960 independence of Cyprus and then wandered around the pedestrianised streets of the centre of Nicosia where the shops are much more westernised and upmarket that on the Turkish side of the capital. Although not on the official tour, we looked at the border crossing that we viewed yesterday, but this time from the opposite side, and then we went up to the 11th floor of the Ledna Observation Tower (Ledna was the 1st century name of the city) to view the only divided capital in the world.
Lunch was in the pedestrianised quarter at a place called “Piazza Tavern” where I had a delicious halloumi baguette and we were all given a complimentary glass of schnapps. Finally, we spent over an hour visiting the impressive Cyprus Museum which is full of pottery, jewellery, sculptures, coins and other objects covering all periods of Cypriot culture. The oldest item is a figurine from 9000 BC and there is an army of terracotta figures from the 7th & 6th centuries BC. At last, we could take photographs.
At this point, we left Nicosia to drive to Limassol which with traffic took almost an hour and a half. Our accommodation is the unoriginally named Mediterranean Beach Hotel. This could not be more different than our hotel in Kyrenia – it is a very large and modern four-star establishment with all the facilities one could want but no character. Dinner at the hotel was part of our package and, although it was only a buffet, the selection was wide and the quality was good.
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Holiday in Cyprus (5): Northern Nicosia
June 28th, 2018 by Roger Darlington
On the third day of the northern part of our Cyprus trip (Thursday), we drove to the capital which is just half an hour away. Known as Lefkosia in Greek and Lefkoşa in Turkish, the name given to the city by the English is Nicosia. Since the Turkish invasion of 1974, it has been the only divided capital in the world and this morning we visited the northern part which is smaller and less developed than the southern portion.
First stop was the Whirling Dervishes Museum located in a one-time monastery dating back to the 17th century. Really the museum is an explanation of the Sufi mysticism belief system behind the dance which is designed to induce a trance-like state. I saw a performance of the dance itself by whirling dervishes in Aleppo during a trip to Syria in 2003, a couple of weeks before the terrible civil war broke out, and it is a mesmerising experience.
Strolling through the Old City Square with its Venetian Column, we made our second stop at the St Sophia Cathedral which in 1570 ceased to be a Catholic place of worship when the new island occupiers the Ottomans converted it into a mosque. Since the orientation of a mosque provides for worshippers to face the direction of Mecca, the carpet is laid diagonally to the floor plan of the original church.
Then came some shopping. Our guide asked: “Is there any special shop that you want us to go to?” One of the male members of our group quipped in reply: “The one that is closed.” But we visited a decent souvenir shop before looking around the Bedestan which is the covered bazaar housing establishments selling not just the usual clothes and foods but everything from old vinyl records to multiple versions of Turkish delight.
Finally we had a refreshment stop at a wonderful former caravanserai called Buyuk Han which dates back to 1572. Inside a beautiful courtyard, I had fresh lemonade and almond rolls. Before we left northern Nicosia, we went to observe a pedestrian border crossing into southern Nicosia, located on the Green Line, so called because – when the demarcation of the communities was agreed – a British official marked the line on a map with his green felt pen.
After three evenings with dinners in our hotel, this evening – our last in the north of Cyprus – we were taken into Kyrenia to have dinner by the harbour at the Chimera restaurant where we had lunch on Tuesday. For the third time in four days, a member of the combined British group of eight had a birthday, so we drank sparkling wine and ate a special cake to celebrate. Afterwards we chose to stay at the restaurant, sitting outside to view the England versus Belgium World Cup football match (we lost 0-1).
As family and friends will know, generally my enthusiasm for football is on a par with that for dentistry and my total knowledge of the sport could be fitted on the back of a postage stamp, but my fellow travellers were all both massively excited and hugely knowledgeable and I like to have new experiences on holiday, so I too spent the rest of the evening cheering on our lads into the next round of the competition.
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Holiday in Cyprus (4): Famagusta
June 27th, 2018 by Roger Darlington
On the second day of the northern part of our Cyprus trip (Wednesday), we drove from Kyrenia all the way to Famagusta on the eastern coast of the island which took just under an hour and an half. Originally built by the Phoenicians, the city was totally enclosed by ramparts by the Venetians and these ramparts still survive today. Part of the city is a ghost town – a section once occupied by Greek Cypriots who fled their homes when the Turks invaded in 1974.
Our first visit was to what was originally St Nicholas Cathedral which was constructed between 1298-1312 and used for coronation purposes for the Lusignan kings of Jerusalem and Armenia. During the Ottoman reign, however, it was converted into a mosque – since 1954 the Lala Mustafa Pasa Mosque – and remains a mosque to this day. I have previously visited a place which was a great mosque and became a cathedral (La Mezquita in Córdoba) and a place which was a basilica which became an imperial mosque which became a museum (the Hagia Sophia in Istanbul), so I am used to religious changes in this part of the world.
After a stop at a well-known patisserie for coffee and cake, our next visit was to Othello’s Tower, so called because Famagusta was supposedly the setting for Shakespeare’s play (the name was given during the British occupation). This citadel was originally built in the 12th century during the Lusignan period to protect the harbour. It is thought that, when Leonardo da Vinci visited Cyprus in 1481, he advised the Venetians – who by then had taken over the island – on the design of the defences of Famagusta.
At this point, we left Famagusta and made the short drive to Salamis, the site of the greatest of Cyprus’s ancient cities. Founded more than 3,000 years ago by Mycean Greeks, it dominated the island until its near destruction by earthquakes in the 4th century AD. Most of what we see today is 4th century: the Roman theatre, the columned courtyard, the gymnasium, the 44-seat latrines, the frigidarium (cold rooms), the caldarium (hot water baths), the sudatorium (sweating rooms).
We walked around Salamis at the hottest time of the day at near to the hottest time of the year, so I was kitted out in sun hat, sun glasses and sun lotion. The expression “mad dogs and Englishmen” came to mind. Fortunately lunch was at an outside restaurant very close to the ruins overlooking the azure sea.
Our final visit of the day – again only a short drive – was to the site of the catacomb tomb of St Barnabas, a native of Salamis who evangelised Cyprus. Since 1756, it has been the Apostolos Varnavas Monastery and, since 1974, the monastery’s cells have become northern Cyprus’s main Archaeological Museum in which Bronze Age pottery items are the star exhibits.
For the third consecutive evening, dinner was at the hotel as part of the package and what we lacked in choice we enjoyed in quality. We all had the local fish and we all liked it.
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