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Up to a million U.K. public sector workers—firefighters, librarians, teachers, and council staff—are expected to participate in today’s strike.
Britain is to witness the biggest round of industrial action for three years as teachers and firefighters join care workers, refuse collectors, librarians and other civil servants at picket lines and rallies across the country. . .
Dave Prentis, general secretary of Unison, representing many of the country’s lowest paid workers, told the BBC: “Something has got to give – enough is enough.
“We’ve got 300,000 now on zero-hours contracts, we’ve got a million workers in local government earning below the living wage that Boris Johnson and others talk about, and people are saying: ‘We cannot go through another three years of this pay restraint.'”
Union leaders say there will be more than 50 marches and rallies across England and Wales including a protest that will end in a rally at Trafalgar Square, London. There will also be scores of picket lines at schools, council offices, depots and fire stations across England and Wales.
The U.S. healthcare system ranks dead last out of 11 countries studied by the Commonwealth Fund [ht: ja].
The United States health care system is the most expensive in the world, but this report and prior editions consistently show the U.S. underperforms relative to other countries on most dimensions of performance. Among the 11 nations studied in this report—Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdom, and the United States—the U.S. ranks last, as it did in the 2010, 2007, 2006, and 2004 editions of Mirror, Mirror. Most troubling, the U.S. fails to achieve better health outcomes than the other countries, and as shown in the earlier editions, the U.S. is last or near last on dimensions of access, efficiency, and equity. In this edition of Mirror, Mirror, the United Kingdom ranks first, followed closely by Switzerland. . .
The most notable way the U.S. differs from other industrialized countries is the absence of universal health insurance coverage. Other nations ensure the accessibility of care through universal health systems and through better ties between patients and the physician practices that serve as their medical homes. The Affordable Care Act is increasing the number of Americans with coverage and improving access to care, though the data in this report are from years prior to the full implementation of the law. Thus, it is not surprising that the U.S. underperforms on measures of access and equity between populations with above- average and below-average incomes.
The U.S. also ranks behind most countries on many measures of health outcomes, quality, and efficiency. U.S. physicians face particular difficulties receiving timely information, coordinating care, and dealing with administrative hassles. Other countries have led in the adoption of modern health information systems, but U.S. physicians and hospitals are catching up as they respond to significant financial incentives to adopt and make meaningful use of health information technology systems. Additional provisions in the Affordable Care Act will further encourage the efficient organization and delivery of health care, as well as investment in important preventive and population health measures.