Sunday, July 08, 2007

The unintended consequences of socialized medicine

Mark Steyn, who makes his living pointing out things that a great many people would rather not think about, has some observations about the Islamist doctors and what their presence in the UK has to say about both socialized medicine and the overall state of Europe:

Some 40 percent of Britain's practicing doctors were trained overseas – and that percentage will increase, as older native doctors retire, and younger immigrant doctors take their place. According to the BBC, "Over two-thirds of doctors registering to practice in the UK in 2003 were from overseas – the vast majority from non-European countries." Five of the eight arrested are Arab Muslims, the other three Indian Muslims. Bilal Abdulla, the Wahhabi driver of the incendiary Jeep and a doctor at the Royal Alexandra Hospital near Glasgow, is one of over 2,000 Iraqi doctors working in Britain.

Many of these imported medical staff have never practiced in their own countries. As soon as they complete their training, they move to a Western world hungry for doctors to prop up their understaffed health systems: Dr. Abdulla got his medical qualification in Baghdad in 2004 and was practicing in Britain by 2006. His co-plotter, Mohammed Asha, a neurosurgeon, graduated in Jordan in 2004 and came to England the same year.

When the president talks about needing immigrants to do "the jobs Americans won't do," most of us assume he means seasonal fruit pickers and the maid who turns down your hotel bed and leaves the little chocolate on it. But in the United Kingdom the jobs Britons won't do has somehow come to encompass the medical profession.

Aneurin Bevan, the socialist who created the National Health Service after World War II, was once asked to explain how he'd talked the country's doctors into agreeing to become state employees: "I stuffed their mouths with gold," he crowed. Sixty years later, no amount of gold can persuade Britons to spend their working lives in the country's dirty, decrepit hospitals (they spend enough of their nonworking lives there, waiting to be seen, waiting for beds, waiting for operations). According to a report in the British Medical Journal, white males comprise 43.5 percent of the population but now account for less than a quarter of students at UK medical schools. In other words, being a doctor is no longer an attractive middle-class career proposition. That's quite a monument to six decades of Michael Moore-style socialist health care.

So today the NHS is hungry for medical personnel from almost anywhere on the planet, so hungry that the government set up special fast-track immigration programs: Mohammed Asha, Mohammed Haneef and their comrades didn't even require a work permit to come and practice as doctors in state hospitals. You don't have to be the smartest jihadist in the cave to see that as an opportunity, any more than it required no great expertise for the 9/11 killers to figure that the quickest place to get the picture IDs with which they boarded the planes was through Virginia's "undocumented worker" network. Everyone else from the Venezuelan peasantry to the Russia mafia knows the vulnerabilities of Western immigration systems, so why not the jihadists?

Maybe their mistake was trying to blow up the airport instead of wreaking subtler havoc on the infidels. Did you see this week's scare-of-the-week from the Chinese health system? "About 420 bottles of fake blood protein, albumin, were found at hospitals in Hubei province but none had been used to treat patients, said Liu Jinai, an official with the inspection division of the provincial food and drug administration."

Well, this being China, where public lies about public health are routine, we just have to take Liu Jinai's word that "none had been used to treat patients." But imagine what Doctor Jihad could get up to if he stopped trying to use the syringe as a detonator and just resumed using it as a syringe?

But beyond that the Glasgow Jeep story symbolizes a more basic reality. The NHS is the biggest employer in Europe, and it's utterly dependent on imported staff such as Dr. Asha and Dr. Abdulla. In the West, we look on mass immigration as a testament to our generosity, to our multicultural bona fides. But it's not: A dependence on mass immigration is always a structural weakness and should be understood as such. In the socialized health systems of the Continent, aging, shrinking populations of native Europeans will spend their final years being cared for by young Muslim doctors and nurses. Indeed, in the NHS, geriatric medicine is a field overwhelmingly dependent on immigrant staff.

And what of the other end of the medical business? Take Japan, a country with the same collapsed birth rates as Europe but with virtually no immigration. In my book, I note an interesting trend in Japanese health care: The shortage of newborn children has led to a shortage of obstetricians. For in a country with deathbed demographics, why would any talented ambitious med-school student want to go into a field in such precipitous decline? In Japan, birthing is a dying business.

Back at the Royal Alexandra Hospital, three doctors were under arrest, and the bomb squad performed a controlled explosion on a vehicle in the parking lot. Pulled from the flaming Cherokee, Dr. Kafeel Ahmed is now being treated for 90 percent burns in his own hospital by the very colleagues he sought to kill. But at one level he and Dr. Asha and Dr. Abdulla don't need to blow up anything at all. The fact that the National Health Service Рthe "envy of the world" in every British politician's absurdly parochial clich̩ Рhas to hire Wahhabist doctors with no background checks tells you everything about where the country's heading.


There is a very real possibility that Hillary Clinton will be the next president of the United States and that she will have a Democrat majority in both the House and Senate to work with. While it is true that her husband was unable to get her socialized medicine plan through a Democrat congress during his first term it is also true that the left has had twelve years to propagandize the issue.

There is a very real risk of America's health care system going down the same toilet as that of the UK and Canada unless those of us on the right (otherwise known as those with IQ's in the triple digits) prepare ourselves to mount an effort on the same level as that which we put into defeating the amnesty/open borders bill.

Are we up to the task? I think so. As long as talk radio and the Internet remain free we will be able to educate the electorate and an educated electorate is the greatest fear of any incipient tyrant.

As events in Red China have recently proven a population armed with facts and determined to act can overcome even a totalitarian regime. Of course those same events prove that the tyrants will not take being thwarted lying down and in America we are witnessing the left's attempt to revive the so called "fairness doctrine" which would effectively shut down talk radio. If that succeeds (unlikely) expect something similar to be applied to the Internet and cable/satellite delivered news/talk.

Remember the price of freedom is eternal vigilance.

I recommend Mark Steyn's book America Alone: The End of the World As We Know It for those wishing to read more about the effects of the uncontrolled immigration of non-assimilating Muslims upon the nations of Europe.