On Friday Simon Stevens of NHS England, accompanied by other senior figures and the leader of Wigan Council, will present his so-called ‘vision’ for the NHS.

Firstly this ‘vision’ rests on the great government lie that we cannot afford to run our NHS, when it is the case that it has been deliberately underfunded as a tactic to destroy it from within, while the media heap blame on its artificially created ‘failures’.

The idea that a taxation derived NHS can be overspent belongs to the language of corporatism, not to the definition and purpose of medicine or to a government which truly acts in the interests of its people.

Secondly the so-named five-year plan will turn hospital access more into a privilege for the few, while what is now termed ‘primary care’ threatens to become more a weakened provision created by the merging of social roles and the unwarranted alteration of stratification.

The plans for our elderly (fashionably now often referred to as ‘the ageing population’ accompanied by the other false mantra that they are a resource problem) boil down to a removal of choice of medical provision and imply a consignment to geriatrics, even though these plans are sweet-wrapped and claimed to something else.

The new contract which Mr Stevens hopes will make his ideas work may be seen as little more than a Hegelian tactic. As the junior doctors reject it, the government will provide its solution.

Thirdly a vision in which organisations bid for funding – aka a method of allocating resources – turns medicine into something of a roulette.

‘Stimulating partnership working’ risks just becoming income for management consultants and risks issues of assessment methodology problems and delays in services.

Mr Stevens has identified private healthcare firms as key players in his ‘vision’. He looks to digital technologies, doctors as NHS bosses and the role of the third sector.

Yet private providers risk slicing money away from local services which are integrated NHS providers, and the Orwellian world of computer chipping and data selling from so-named integrated IT systems is given no exploration – perhaps not surprising when the risk register is kept secret from the people of the UK.

It would be difficult not to see Mr Steven’s ‘vision’ as mere representation and action on behalf of global corporatism, presenting a nightmare of reduced future funding and the reduction of medical access all wrapped up in nice sweet paper.

His ‘vision’ says nothing about whether the secret TTIP corporate legislation, which is destined to strike a blow to human rights, in its health provision section will dramatically alter this five-year plan.

The devolution of Greater Manchester is but another move towards a separation of governmental responsibility towards the idea of the business ethic.

In this defining moment for the NHS people would do well to remember what medicine is for – the treatment and care of the sick, not a budget sheet for the American banks.

People are not budget sheets.

While everyone knows the world has changed greatly over the past half century, and so changes are made, and costs also figure, this is quite distinct from the deliberate alteration of the definition of medicine as having to do with the sanctity of human life to one of global corporatism. One which, though it pretends not to, denigrates the old and poor and offers a future of second rate survival systems, or even none at all, while corporate finance creams off what rightfully belongs to the people.

Love and cherish the elderly. Care and watch out for the babies, the young, the unemployed, the workers and all social groups (i.e. each other).

While everyone knows that there are difficulties and issues, nevertheless make sure that medical treatment and care are accessible as human beings.

Let medicine be to do with the sanctity of life. Let this be the true vision for our NHS.

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