http://www.telegraph.co.uk/news/worldnews/northamerica/usa/barackobama/6017690/Barack-Obama-healthcare-NHS-patients-missing-out-British-expert-warns.html

Barack Obama healthcare: NHS patients missing out, British expert warns
NHS patients are missing out on specialist treatment because doctors are
overstretched, a leading British health expert has warned.

By Kate Devlin, Medical Correspondent
London Telegraph
12 Aug 2009

Prof Karol Sikora, dean of the University of Buckingham Medical School, gave
the warning as American criticism of the NHS designed to destabilise Barack
Obama's plans for healthcare reform intensified.

Prof Sikora also claimed that NHS queues for scans and other tests "can
emulate Heathrow on a bank holiday weekend".

A number of public health experts have poured scorn on the claims about the
standard of the British health system.

One senior Republican, Chuck Grassley, claimed that Ted Kennedy, the
77-year-old Democrat politician, would not have been treated for his brain
tumour in Britain because of his age.

But Prof Sikora warned that British patients did trail their American
counterparts in a number of areas.

"Only seven per cent of eligible patients get precision guided radiotherapy
even though we've got the equipment (just) not the time to use it," he said.

"Nobody in the US wants to wait four hours to be seen in the emergency room
or six months for a scan to sort out a torn ligament," he claimed.

"Over there, things are done instantly.

"As a young doctor working in San Francisco I couldn't believe that when I
had a patient who needed non-urgent surgery that I could actually speak to
the consultant by `phone and offered surgery the next day."

He added: "We've speeded up the early phase of the cancer pathway but serial
queuing for scans, biopsies and other tests can emulate Heathrow on a bank
holiday weekend."

British patients are given fewer expensive new cancer drugs than in France
let alone America, he added.

"In cancer medicine we simply can't offer the range of new drugs available
to all in Boulogne far less New York."

Official figures show that Britain spends almost half as much on cancer
drugs as some of its European counterparts, £76 per head in a year compared
with £143 in Germany and £121 in France.

Prof Sikora also warned that a financial crisis was looming for the NHS,
much like in pensions.

"Inevitably in a tax-based government run health service, the increasing
costs will be borne by younger working population.

"At a time of rapid health inflation due to innovative technology, this is
just unsustainable. The same tensions apply to defined benefit pensions for
public sector workers. We are rapidly approaching the point at which the
political fudging of pensions and health care will no longer be possible,"
he warned.

Although he has appeared in American television adverts warning of the
problems in the NHS, Prof Sikora said he did not think the health system on
the other side of the Atlantic was perfect. "The current US health care
system is a mess," he said. "How can nearly 50 million people without
adequate health insurance ever be justified?"

A spokesman for the Department of Health said: ""The NHS sees one million
people every 36 hours and 93 per cent of patients rate their care as good or
excellent.

"In recent years patients have benefited from record levels of investment
and more lives have been saved through better prevention and treatment and
waiting lists are at their lowest ever levels."

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