mind the gap

American conservatives have, I gather, been attacking the NHS. (Guardian)

There's something they somehow miss.

If you live in America and happen not to have health insurance, it's complicated to organise treatment. By 'complicated' I mean that you might well be able to clear the bureaucratic hurdles if you had spent the last 6 months training for a marathon, were in peak physical and mental condition - but if you are, um, you know, sick, you are unlikely to have mental and physical stamina required.

In 2000 I had a breakdown. I lay on a bed in my mother's house, unable to move. What was needed was, I suppose, some sort of medication. I had no health insurance in the US. To organise the required medication it was necessary to make phone calls. Phone calls I might well have been able to make had I not been in the middle of a breakdown. I did not have the necessary social skills to take this on from a state of insanity, but there was something I could cope with. I could book a ticket online to Britain; I could get on the plane. Once in Britain, all I had to do was walk into a clinic.

The treatment offered by the NHS was flawed. I was living in short-term accommodation. I had no permanent address. I was offered cognitive therapy at the Whitechapel, in addition to the medication prescribed; by the time I turned up for my first appointment for cognitive therapy, I had moved. As it turned out, I had moved out of the district covered by the Whitechapel; I was no longer eligible for its cognitive therapy programme; it was necessary to start again from scratch. It would have been simple enough for the clinic to give me a map with the boundaries of its district; if they had done so, I would have taken care to find a new room within its boundaries. They didn't; the results were not good.

If I'd stayed in the US, on the other hand, I would not be alive today.