freedomdwarf1
Posts: 6845
Joined: 10/23/2012 Status: offline
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quote:
ORIGINAL: DesideriScuri You continually use the "50% reduction" claim because, generally, prices are twice as high here. To claim that there will be a 50% reduction in prices implies that there is that much profit. If you can show that, please do. I already did that desi - several times now. Look at the specific example I gave you. The scanner costs around £22k to buy from the manufacturer. The local private hospital is run by BUPA I believe (it used to be). For them to buy it, it would cost them the whole £22k. Even if all the BUPA run private hospitals in the contry bought one, how many would that be? Maybe a dozen at best? Maybe a few more? So... not much of a discount. The NHS has dozens and dozens of hospitals running into the hundreds. There are also many teaching/training hospitals as well. As a group, the NHS negotiated the price of the scanner (per hospital) at £8k. I have no idea how many they bought in total, just that my local NHS hospital paid £8k for it. So.... each NHS hospital that bought one saved £14k on the scanner alone!! That is direct PROOF of savings and prices coming down - on just ONE single item. That's not conjecture or guesswork - that's what we were told by the technician that it costs (£8k). I actually phoned the local private hospital to see if we were able to use theirs as it was a lot closer and was promptly told they didn't have one because it would cost £22k to buy and their budget didn't allow for that sort of expenditure. That's where I got my prices from; not guesswork. Now imagine that process happening for everything that any hospital spends money on. Every single piece of equipment, every bed, even down to cleaning supplies and building maintenance. That's some huge savings and certainly more than 50% on the scanner. And incidentally, it's an American scanner. What would that scanner cost in the US?? I dread to think! $300k+++??? Let me quote another example of directly negotiated savings... on floor cleaning solution. When I was caretaker of Meopham Village Hall, I used to buy 5 gallons a month of this stuff in 1 gallon plastic containers. The supplies company charged us almost £8 a gallon and that was a discount for buying 5 at a time as they were £9.95 a gallon in single units. In our local Bookers (Catering Wholesalers), they are £6.99 a gallon with an RRP of £12.99 to the public. The NHS buy this stuff by the pallet-load. 40 units (gallon containers) per layer, 5 layers high, shrink-wrapped, usually 5 or more pallets at a time to the local NHS supplies depot. So that's 1,000 gallons per order, at a price of...... £0.85p per gallon!!!!!!!!! Do the maths - that's better than 90% saving on that one product. So when a hospital orders 20 gallons of it, they pay the NHS supplies department (all part of the NHS) just the 85p per gallon, not the RRP of £12.99 per single unit. That, is where the savings come from! Can you really not see that?? No, I can't produce the invoice. But that is the process whereby huge cost savings are made across the board in all single-payer systems. They negotiate a bulk-buy deal from suppliers and manufacturers because they are buying for all the NHS hospitals. All the single-payer systems use this strategy and they all save huge amounts. So, despite your rantings... it is NOT conjecture at all.
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