When I want your advice I'll ask for it

Oh what fun. Just when you thought we actually had got rid of the NuLabour nanny state do as I say bollocks up pop BlueLabour with a tick-the-box-your-government-knows-best bullshit scheme where all NHS staff have to lecture you to promote "Good Health"  every time you have the misfortune to come into contact with you.

Now we all know this is going to be a box ticking exercise like the last lots' "Quality of Outcomes" shit. As an example of what will happen here I give you Mrs Dracunculus. She was at the doctors today, routine visit for a long standing complaint just to review, make sure its not getting worse, check the ongoing medication and tweak as necessary. Now she gets five minutes of the doctors time in which he has to do this and she informs me that five minutes was fully used. But in the future three of those five minutes is taken up with a stern lecture from Dr Mopp about how the glass of Sauvignon she likes of an evening will make her sodding tail fall off so what's he going to miss about the actual problem he was being consulted with in the first place?

What we have here is the underlying problem of the NHS. It was set up with the noblest of motives; free at the point of use so all citizens would be able to have their serious medical needs attended to and we would be free of the spectre of people dying for want of seeing a doctor. But since its founding its grown to way, way more than that simple basic service, and we're all partly guilty of making it suck. Over the generations we've demanded more, more, more from the NHS. We want every sniffle and cold treated, every illness given immediate and the best treatment, the treatment of ridiculous conditions (you can get a sex change on the NHS for fuck's sake) and the system simply can't cope. Accordingly the government step in to lecture, harangue and bully us into whatever bullshit they can come up with to try and keep us "healthy" and out of the doctor's surgery. We allowed the NHS to change from a backstop into a state monolith that seeks to control our "healthy choices" because they feel they have to just to stop the whole edifice collapsing in a mountain of debt and unpaid bills.

I'm quite aware that the Cuban Habaneros and that bottle of Malbec aren't good for me thanks. It's my choice and when I want your health advice I will ask for it. Oh, and I have BUPA so, state, kindly sod off.