That is a absurd train of thought; it doesn't follow in the slightest. It should be patently obvious that buying drugs is not the primary function of the NHS. That would be delivering care, at zero specific cost to the patient. Outsourcing that to profit-driven entities would obviously jeopardise that. Purchasing a resource that the NHS cannot feasibly produce itself on the scale required is not even remotely comparable to replacing its entire remit, and does not jeopardise that primary function.
You missed the point. Obviously privatizing the NHS would be bad, and it can be avoided because it's function is contained entirely within the UK. But supply chains aren't contained within single countries. Acknowledging that you have to compromise and have supply chains be out of the hands of any government and thus, there are vulnerabilities that the government has no control over, isn't a problem. Shortages appear and disappear for reasons that governments just can't tackle without something like a global international effort to nationalize a fuckton of industries.
When purchasing is left entirely to private entities, you encounter shortages more often; look at the relative frequency of drug shortages in the US compared with the UK.
Actually they're not too different. There's a lot of papers on drug shortages in the US, but when focused on the rest of the globe everyone experiences shortages closer to what you would expect with raw market forces. A national healthcare program can keep prices low for the end user (which is good), but they have no special ability to make drug makers service them first. After all, they have contracts with everyone, and if fulfilling one contract will cause them to violate another, they're just going to go for money.
This is all quite an odd discussion to be having, though, trying to convince a fellow self-described socialist that we shouldn't just be leaving life-saving human necessities to the profit-motivated private sector.
What I'm trying to convince you of is that nationalized payments are not a substitute for a supply chain. Supply chains are a logistical framework of workers and equipment that's contributed to by some public work and a lot of private industry. For all your previous talk about how detailed government work is, turning around and saying "supply chains are when you pay for end products" is absurdly simplistic.
You reckon? I've scarcely ever seen public discussion about these issues turn to specifics of cost. Even discussion of practicality and implementation is rare.
I
want to say you're wrong, because the discussions are centered around cost and the practicality of implementation, but I also have to admit that if you get your news from a major network then you're getting vacuous hand-wringing about those things instead of analysis. No, if you look up people who aren't political hacks, that is the discussion and it can be a well reasoned discussion about specifics and how it pays for itself and so on.
If you watch the BBC, you won't get that, no.
Hence why neither of us are defending the electoral systems currently in place in most democracies.
But there's not really a reasonable way to fix the problems inherent to electoral politics without doing away with electoral politics. It's like trying to keep asbestos insulation by hammering more boards in front of it.