Shona Robison is, of course, quite correct to highlight the threat to Scotland’s health service posed by Brexit. Talk of “an immigration system that works for the whole of the UK” from the British government makes no more sense than anything else about the entire Brexit fiasco. Devising such a system in the face of the diverse and diverging needs, priorities and aspirations of the four nations would be a massively complex and problematic task. A task which, on the basis of all available evidence, we must therefore assume to be well beyond the capacities of the current London regime.
It is inevitable that a BritNat Brexit imposed on Scotland by this regime will do real and serious harm to NHS Scotland. Pandering to a xenophobic obsession with immigration is bound to have an adverse impact on workforce recruitment and retention. We can only guess at the deleterious effects of Scotland being dragged out of the EU agencies which facilitate cooperation in medical research, recognition of qualifications, drug approvals and much more. Our enforced isolation from the single market can hardly be less than catastrophic for Scotland’s burgeoning life science industries. The British political elite have no answers to questions about the rights of Scottish patients to access treatment in the EU – only vacuous, patronising platitudes.
All of this is bad enough. But there is an additional threat which Shona Robison does not mention. The threat of Scotland’s cherished public health service being laid bare to the ravages of predatory US corporations – sacrificed by a British state desperate to secure anything that can be presented as a shiny new transatlantic trade deal.
Does anybody seriously believe that the ‘UK-wide common frameworks’ which the British government proposes to inflict on us have anything at all to do with making Scotland’s healthcare system work better for patients? Given what we know of the British political elite’s obsession with austerity and rigid adherence to neo-liberal orthodoxies, is it not infinitely more likely that the purpose is to prepare NHS Scotland for large-scale privatisation? As a non-negotiable condition of any deal, those ravenous corporations will demand the removal of such inconveniences as a Scottish Parliament and Government committed to the principles of universal healthcare free at the point of need.
The obvious ‘solution’ is to take control of NHS Scotland out of the hands of Scotland’s democratically elected representatives and hand it to a shadow administration which is not accountable to Scottish voters. An unelected quasi-government, based at the Scotland Office, which can be relied upon to give precedence at all times and in all matters to the interests of the British state and its corporate clients over the needs, priorities and aspirations of Scotland’s people.
And why wouldn’t they? Why would the British state not adopt this ‘solution’? After all, when Scotland voted No in 2014 we gave the British political elite licence to do whatever they want with our nation. Why would they not take full advantage of that licence?
Those who voted No may protest that this is not what they voted for at all. But it’s a bit late now to start thinking about consequences. They should have read the small print. They should have heeded the warnings.
The mistake Scotland made in 2014 must be rectified. If Scotland’s precious NHS is to be rescued from the menace of rabid British Nationalism then the licence that was so recklessly given to the British state by that No vote must be revoked. All of Scotland’s vital public services, along with the distinctive political culture and democratic institutions which sustain them, are put in jeopardy by being party to a political union which renders us powerless to protect them. That political union must be dissolved.
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