Wednesday 4 April 2012

Reporting or campaigning?

The Western Mail’s repeated return to the subject of free prescriptions is starting to look less like news coverage and more like a campaign to re-introduce charges for medicines.  This week’s story highlighted the high average number of prescriptions per head over a year, claiming that it raised “fresh questions about the flagship policy”.  I’m almost tempted to run a ‘spot the difference’ competition by comparing their story this week to one a few months ago.  The questions are not so much fresh as regurgitated.
There was something of a shortage, once again, of critical analysis of what the figures might be telling us.  The average number of prescriptions per head has also been rising in England, despite the high – and increasing – charges for prescriptions there.  That gives a context in which the increase in Wales is not solely down to the fact that medicines are now free – although you wouldn’t know that from any reading of the Western Mail’s story.
But let us suppose that at least part of the increase is down to the fact that prescriptions are free – is that a good thing or a bad thing?  Again context and analysis are everything – and were completely missing from the paper’s reporting. 
It reminds me of a statement by one of the Welsh police forces a couple of years ago that an increase in the number of cases of domestic violence was a good result not a bad one.  It made me stop and think; but the argument was that a greater willingness to report such crime showed that the force was actually being effective in tackling it, and thus creating a climate where people no longer felt that it wasn’t worth reporting.
In a similar vein, if an increase in numbers of prescriptions is because rich people are no longer paying for over the counter drugs, then it’s easy to see why it might be considered a bad thing.  But if it’s the result of less well-off people seeking treatment and taking medicines when they would previously not have done so because they couldn’t afford the medicines, then it’s a good thing – and a clear sign that the policy is achieving one of its stated aims.
It’s a distinction of which readers would be left completely unaware, however, from a report which provided the usual suspects with an opportunity to trot out their usual lines, led as ever by those persistent opponents of free medicine, the Tories.  Their health spokesperson repeats the customary soundbite about millionaires getting free paracetamol (although he varies it a bit by adding bonjela – ah the sheer inventiveness of the man!).
Does anyone know of a single millionaire in Wales who’s ever gone to the trouble of arranging a doctor’s appointment in order to get a prescription for free paracetamol?  I don’t – but then I don’t think I know any millionaires either; they’re not exactly common in Wales in the first place.  It may be a good soundbite, but it’s a deliberately misleading distraction.  They’ll carry on using it though – why wouldn’t they, when they’re being given a free and uncritical platform on which to repeat it?


Glyndo said...

"Does anyone know of a single millionaire in Wales who’s ever gone to the trouble of arranging a doctor’s appointment in order to get a prescription for free paracetamol?"

Surely their time is more valuable than the cost of the medicine? Why would they when they can send the Butler to purchase it and not even notice the cost. You're right, total BS.

Unknown said...

It is widely beloved by thosde who oppose free preps that people on benefits do not pay for prescriptions (only in England now, but previously in Wales too) - but, bizarrely, the people most in need of meds, those on long term invalidity benefit, were not eligible for free preps. The number of frivolous prescriptions issued must be a minuscule proportion of the whole, and really not worth getting into a lather about.

You mean there's more??? said...

I am the first to admit to being a bear of little brain.

Doesn't something getting big take up mean that it's popular?

Using the market model, people don't say:

"that pub charges way too much for poor food, lets go there"

They tend to do things they like and approve of.

Taking this a step further, I have never gone into Boots and said:

"I don't need that so I will buy some"

It might be though that people were put off gettting medcines they need because of the cost to them of a prescriptions.

So this is about milionaires having to pay a bit more tax so that those who cannot afford it can have the medcines they NEED.

And your point is Western Mail??

Maybe they should watch "Sicko".

Seeing those people who died because they could not pay for drugs would surely warm their hearts

Diawl said...

What seems to be absent from a debate on this topic is that very few were paying for prescriptions in any case. Anyone under 18, over 65,pregnant, on benefits or in full time education were having free scripts. The real cost five years ago ( from memory) was around £30 million as against a bill to the Welsh NHS of over £600 million, generally people btween 25-65 are healthy!!. This was Rhodri Morgan's best PR coup and the best of luck to him for it. I somteimes depair at the level of political debate in Wales.

Unknown said...

Great post John. About time the campaign against free prescriptions was put under some scrutiny.

Cibwr said...

And the Tories have talked about widening the exceptions beyond those existed when we charged and charging a nominal rate or around £2 - £2.50. There is a real danger that it will cost more to administer the collection of charges than it would raise!