Apr. 28th, 2019

mtbc: maze J (red-white)
Possibly too much information about a class of medical issue that I repeatedly suffer. )

In a good few cases now with family in Britain I have seen the NHS take many weeks to move from suspicion to confirmation then to treatment, even including with cancer, confirming what I read in the newspapers. At least when relying on private insurance, in the US I was often impressed with how quickly one would progress from initial doctor visit to effective treatment. Back in England when I worked for the European Molecular Biology Laboratory I enjoyed private insurance coverage* (which a colleague attributed to getting their cancer sufficiently quickly addressed) but I don't see that the University of Dundee offers staff a special deal with any insurers. As I wait for my own (less critical) medical referral I am increasingly thinking that were I ever again to look for work in Britain I should aim to return to having an employer that offers a private insurance plan.

Of course, it's not all roses in the US: I am privileged to be a broadly skilled engineer able to get jobs that provide decent health insurance and even then it comes at the cost of high administrative overhead. One needs to be on top of one's own case because time-limited doctors probably aren't, one must telephone one's insurer to sort out provider billing issues, etc. At least in my case I look forward to returning to that system even though it so badly fails the less fortunate. I am not holding my breath for Her Majesty's Government to adequately fund and manage the NHS any more than I am expecting them to aggressively transition the country to far better environmental stewardship so I do not want to find myself relying on the NHS if suffering some progressive but treatable condition rather more severe than my current one.

*In the US it is commonly believed that in Britain we are obligated to rely on state-provided healthcare. We're not, we have our choice of private plans; insurers regularly market to me. The effect can simply be to queue-jump past state-funded patients.
mtbc: maze I (white-red)
I have mentioned I/O errors with the set of USB external drives that I use for backups. With a change of operating system and (again) cables our backups have been running rather better. I have given the drives a second chance but when a drive exhibits a reproducible I/O error I remove it from the rotation. The only drive I have had to put aside is one of the Seagates that I previously returned under the manufacturer's warranty. Perhaps they repaired or replaced it rather less effectively than I had hoped. All the Western Digital drives are now working fine.

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Mark T. B. Carroll

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