|
Post by crabbyoldgit on May 29, 2022 7:17:56 GMT
Yep I put my energy monitoring plug and ran the printer off it for a while as you say my laser printer in standby uses about 3 watts. but I know someone who turns his microwave off every evening ! then spends 5 minutes resetting the time in the morning. one cheapskate I worked with would turn his fridge off overnight Cheapskate ! ,he is a money waster. I have a small chest freezer in the garages , keep my crab pot fishing bait in it . Switch it on durring the day when the suns out ( i have got solar panels). Stays frozen over night no problem. Thought about the other fridge freezer but i understand food poisoning is unpleasant. Dishwashing , clothes washing, chargers day time only. With the goverment support , fit payments , space hesting by free wood may just still be making a profit on overall energy account.
|
|
|
Post by bracknellboy on May 29, 2022 8:45:59 GMT
Fir all you diyers out there. Screwfix doing a good deal on 4ft led light battens at 18 quid ea. Interesting. In my garage I have a flourescent tube (and a separate LED bulb). I've thought about ditching it, and would have if it spent a lot of time on. But it doesn't, so it hasn't felt like good sense to throwaway a functioning and 'relatively' efficient fitting and replace it before its reached end of life. That said, I've also toyed with the idea of changing things around so its on its own separate switch: at the moment it is on the same switch that the bulb is on, and its the latter that is needed more often (it lights up the part of the garage next to the second FF and the internal access). That said, in most cases where it isn't needed, it is likely to only be on for a handful of tens of seconds.
|
|
IFISAcava
Member of DD Central
Posts: 3,665
Likes: 2,989
|
Post by IFISAcava on May 29, 2022 14:57:29 GMT
Whilst Im on my rant , I still dont see any positive changes coming through from my increased NI conts that were meant to go direct to the NHS. Still cant see a doctor unless im on deaths door. * It takes seven years to train a junior doctor. * Government policy actively disincentivises senior doctors from working / working more hours. * Senior doctors (especially GPs) are leaving the profession faster than juniors are joining it. * Two years of COVID sees many of the rest burnt out (ref other posts about not being able to carry over holidays and hospital trusts not being able to provide cover etc). * Possibly add a dash of Brexit. * All the while Johnson parties. IFISAcava and hazellend can probably corroborate / elaborate. You might be waiting a while to see some results from your increased NICs. 5 or 6 years at medical school, 2 more years to get full registration, 4 more years to train as a GP and at least 6 (and usually a lot more) years to train as a consultant. Which would suggest the government ought to be trying to keep the doctors they already have. Instead there is now a disastrous (and massive in financial terms) incentive to retire early (complicated pensions stuff I won't go into here). Most experienced doctors are now in effect paying to stay past their mid-50s - the government has relied on them a) not realising it (they are starting to) and b) gaslighting them that they aren't in fact paying to stay (they are starting to see through it). Given how difficult it is working in the NHS at the moment, and how little effort is made to make doctors feel valued, it should be no surprise that senior doctors are leaving and that there is a looming staffing crisis. The government has a very small window to do something, but seemingly either doesn't understand or doesn't care. The impact of inflation is now massively exacerbating the pensions taxation issues too. So, on a personal level, I have taken my pension early at 55 - best thing I did financially (I will be several hundreds of thousands of pounds [or the equivalent in pension payments] better off by doing so, where several is not a low number) though I would never have dreamed of it without the huge financial disincentives to continuing working. I now work a fraction of the time I used to in the NHS - about 40% of what I was doing - and not sure how much longer I'll do that. It is utter madness, and no amount of increased NICs is going to change it - urgent (ie in the next few months) changes to the pensions taxation system is needed to avert a disaster.
|
|
IFISAcava
Member of DD Central
Posts: 3,665
Likes: 2,989
|
Post by IFISAcava on May 29, 2022 15:02:03 GMT
* It takes seven years to train a junior doctor. * Government policy actively disincentivises senior doctors from working / working more hours. * Senior doctors (especially GPs) are leaving the profession faster than juniors are joining it. * Two years of COVID sees many of the rest burnt out (ref other posts about not being able to carry over holidays and hospital trusts not being able to provide cover etc). * Possibly add a dash of Brexit. * All the while Johnson parties. IFISAcava and hazellend can probably corroborate / elaborate. You might be waiting a while to see some results from your increased NICs. Admittedly this link is even older than the time to train a doctor but the sentiment expressed here has been around for a very long time. Edit: I believe this is the root cause of the shortage of good quality doctors and is IMO a scandal. I was recently quite poorly and frankly found it very difficult to see a doctor which was worrying. www.bmj.com/content/337/bmj.a748Well, doctors can vote anything they like, but it is the government that determines number of medical students trained. And they have increased the numbers quite substantially. Which makes it all the more incomprehensible that they can't see the (probably unintended) consequences of their pensions taxation policy.
|
|
IFISAcava
Member of DD Central
Posts: 3,665
Likes: 2,989
|
Post by IFISAcava on May 29, 2022 15:11:18 GMT
The other issue is a massive push for sex equality. We went from huge majority male to about 50/50 qualified medics, and though that may be good it causes problems due to maternity leave, part time working, and career change.. all of which (some more than others) are skewed to females. maternity leave is a very minor issue in the scheme of things part time working is not confined to females - it is one effective way to limit the effects of the pensions taxation idiocy. And offering part time working is also a way to keep people in the workforce who might otherwise leave. career change in junior doctors is much more common now, male or female - and a sensible employer might try and understand why that is happening. Why are so many going abroad, or choosing to use their skills outside of the NHS/medicine?
|
|
mikeb
Posts: 1,053
Likes: 463
|
Post by mikeb on May 29, 2022 15:52:43 GMT
one cheapskate I worked with would turn his fridge off overnight Surely you would turn it off during the DAY, so it could run overnight on the lower-rate tariff? E.g. turn off at 17:00 (at -18'C) and coast to 01:00 (still below -10'C) before switching back on to catch up, thereby shifting hours of day usage to night?
|
|
|
Post by bernythedolt on May 29, 2022 21:36:57 GMT
* It takes seven years to train a junior doctor. * Government policy actively disincentivises senior doctors from working / working more hours. * Senior doctors (especially GPs) are leaving the profession faster than juniors are joining it. * Two years of COVID sees many of the rest burnt out (ref other posts about not being able to carry over holidays and hospital trusts not being able to provide cover etc). * Possibly add a dash of Brexit. * All the while Johnson parties. IFISAcava and hazellend can probably corroborate / elaborate. You might be waiting a while to see some results from your increased NICs. 5 or 6 years at medical school, 2 more years to get full registration, 4 more years to train as a GP and at least 6 (and usually a lot more) years to train as a consultant. Which would suggest the government ought to be trying to keep the doctors they already have. Instead there is now a disastrous (and massive in financial terms) incentive to retire early (complicated pensions stuff I won't go into here). Most experienced doctors are now in effect paying to stay past their mid-50s - the government has relied on them a) not realising it (they are starting to) and b) gaslighting them that they aren't in fact paying to stay (they are starting to see through it). Given how difficult it is working in the NHS at the moment, and how little effort is made to make doctors feel valued, it should be no surprise that senior doctors are leaving and that there is a looming staffing crisis. The government has a very small window to do something, but seemingly either doesn't understand or doesn't care. The impact of inflation is now massively exacerbating the pensions taxation issues too. So, on a personal level, I have taken my pension early at 55 - best thing I did financially (I will be several hundreds of thousands of pounds [or the equivalent in pension payments] better off by doing so, where several is not a low number) though I would never have dreamed of it without the huge financial disincentives to continuing working. I now work a fraction of the time I used to in the NHS - about 40% of what I was doing - and not sure how much longer I'll do that. It is utter madness, and no amount of increased NICs is going to change it - urgent (ie in the next few months) changes to the pensions taxation system is needed to avert a disaster. High hundreds of thousands! Wow. As a retired middle-ranking civil servant I never moved in such elevated circles, but I do know that taking my 40 year modest little pension 5 years early at age 55 certainly wouldn't have made a difference anywhere near approaching the high hundreds of thousands of pounds! In fact it would have made zero difference and I'd have always been worse off leaving early. Like most people, I had no prospect of ever coming close to the pension Lifetime Allowance, or the £40k pension contribution Annual Allowance. If I ever had, I would have thought myself fortunate and recognised it's due to an extraordinarily high salary, where I would expect to be shelling out far more tax and pension contribution than others. Is there a chance the government knows exactly what it's doing and recognises it can no longer afford the inflated NHS salary bill, supporting so many 6-figure salaries, while, more importantly, storing up a MASSIVE pension commitment for the future as Lord Hutton warned? Somebody has to pay for that and presumably that somebody is current NHS staff, in the same way most pension schemes get funded? Could disincentivising doctors to leave early on a lower pension actually be a necessary ploy (and, thereby, a hardship on all of us) to keep the NHS merry-go-round spinning in the longer term?
|
|
|
Post by Deleted on May 29, 2022 22:20:53 GMT
The sipp cap is silly. Why stop people saving. But then again capital gains tax is silly. It virtually makes no money for the Exchequer.
|
|
keitha
Member of DD Central
2024, hopefully the year I get out of P2P
Posts: 3,889
Likes: 2,321
|
Post by keitha on May 29, 2022 23:22:33 GMT
High hundreds of thousands! Wow. As a retired middle-ranking civil servant I never moved in such elevated circles, but I do know that taking my 40 year modest little pension 5 years early at age 55 certainly wouldn't have made a difference anywhere near approaching the high hundreds of thousands of pounds! In fact it would have made zero difference and I'd have always been worse off leaving early. Like most people, I had no prospect of ever coming close to the pension Lifetime Allowance, or the £40k pension contribution Annual Allowance. If I ever had, I would have thought myself fortunate and recognised it's due to an extraordinarily high salary, where I would expect to be shelling out far more tax and pension contribution than others. Is there a chance the government knows exactly what it's doing and recognises it can no longer afford the inflated NHS salary bill, supporting so many 6-figure salaries, while, more importantly, storing up a MASSIVE pension commitment for the future as Lord Hutton warned? Somebody has to pay for that and presumably that somebody is current NHS staff, in the same way most pension schemes get funded? Could disincentivising doctors to leave early on a lower pension actually be a necessary ploy (and, thereby, a hardship on all of us) to keep the NHS merry-go-round spinning in the longer term? I worked In Local Government for 35+ years, and was towards the top end of the staff scale My pension contributions including the employers contribution were never above £9,000 a year my pension is over twice this amount so anyone putting in 10 times as much would surely be getting 10 times as much out. the LG pension fund is exactly that there is a Pot of money paid into, invested and taken out, current pensions are not paid from contributions. Ditto Teachers,and Miners etc I believe that some of the new Police Forces were setup without a proportion of the fund from the old force and thus are spending anything up to 30% of the income is spent on pensions.
|
|
IFISAcava
Member of DD Central
Posts: 3,665
Likes: 2,989
|
Post by IFISAcava on May 30, 2022 0:15:04 GMT
5 or 6 years at medical school, 2 more years to get full registration, 4 more years to train as a GP and at least 6 (and usually a lot more) years to train as a consultant. Which would suggest the government ought to be trying to keep the doctors they already have. Instead there is now a disastrous (and massive in financial terms) incentive to retire early (complicated pensions stuff I won't go into here). Most experienced doctors are now in effect paying to stay past their mid-50s - the government has relied on them a) not realising it (they are starting to) and b) gaslighting them that they aren't in fact paying to stay (they are starting to see through it). Given how difficult it is working in the NHS at the moment, and how little effort is made to make doctors feel valued, it should be no surprise that senior doctors are leaving and that there is a looming staffing crisis. The government has a very small window to do something, but seemingly either doesn't understand or doesn't care. The impact of inflation is now massively exacerbating the pensions taxation issues too. So, on a personal level, I have taken my pension early at 55 - best thing I did financially (I will be several hundreds of thousands of pounds [or the equivalent in pension payments] better off by doing so, where several is not a low number) though I would never have dreamed of it without the huge financial disincentives to continuing working. I now work a fraction of the time I used to in the NHS - about 40% of what I was doing - and not sure how much longer I'll do that. It is utter madness, and no amount of increased NICs is going to change it - urgent (ie in the next few months) changes to the pensions taxation system is needed to avert a disaster. High hundreds of thousands! Wow. As a retired middle-ranking civil servant I never moved in such elevated circles, but I do know that taking my 40 year modest little pension 5 years early at age 55 certainly wouldn't have made a difference anywhere near approaching the high hundreds of thousands of pounds! In fact it would have made zero difference and I'd have always been worse off leaving early. Like most people, I had no prospect of ever coming close to the pension Lifetime Allowance, or the £40k pension contribution Annual Allowance. If I ever had, I would have thought myself fortunate and recognised it's due to an extraordinarily high salary, where I would expect to be shelling out far more tax and pension contribution than others. Is there a chance the government knows exactly what it's doing and recognises it can no longer afford the inflated NHS salary bill, supporting so many 6-figure salaries, while, more importantly, storing up a MASSIVE pension commitment for the future as Lord Hutton warned? Somebody has to pay for that and presumably that somebody is current NHS staff, in the same way most pension schemes get funded? Could disincentivising doctors to leave early on a lower pension actually be a necessary ploy (and, thereby, a hardship on all of us) to keep the NHS merry-go-round spinning in the longer term? Remember that using the 4% rule, £4000 pa of pension is equivalent to £100K - and some would say the rate ought to be lower than 4% - so when I say several hundreds of thousands that isn't an enormous amount of actual pension per year. I have no problem with people arguing the remuneration of doctors is too high (and pension is just delayed remuneration, albeit that you don't have much control over it). We will then get the doctors who are willing to work for less (and doctors salaries are already 30-odd percent down in real terms since 2008). Personally I wouldn't want that - I'd want to try and attract the brightest and best into medicine - but I can see that many people may disagree and think the government should do this. However, it doesn't address the real problem of what to do right now. The problems is - as I said - the incentive is to leave earlier because your pension is actually HIGHER by leaving earlier (as it gets index linked whereas salary is most definitely not, year on year). So you lose doctors earlier and give them higher pensions - is that what you think the government is trying to do? If I left just one year later, my pension would have been permanently less by several thousand per year (there's your first £100K of disincentive to stay on) and I would have lost a year of it (add some more £Ks) and I would have had to pay contributions at 15% (add some more £Ks) and I would have been liable for AA on deemed pension growth even though the pension would have been much less that having taken it earlier (more £Ks). The extra year's growth (minus LTA) would have been tiny in comparison to the above. There was no option to take employer pension contributions as salary instead. I am indeed fortunate and have never complained about paying tax on my salary (including pension) at higher rates. That's only fair, and I am happy to do so. However, until you are in a position where earning more leads directly to you taking home less (marginal tax rates over 100%, which I had for two years) and where you have zero control over how much you contribute to your pension and are only told after the event how much you have exceeded the deemed limit, you may not fully understand the kafkaesque way this has turned out in practice. There is also a misunderstanding though when talking about "extraordinary high" salaries here. You really don't have to be on very high salaries to come a cropper with the AA, which is calculated in such a way that you are often now taxed on illusory growth that you will never receive because of the complex ways the pension scheme has evolved and been modified (eg many people are members of two schemes, and due to the way they are calculated, deemed growth may be positive in one and negative in the other, but the negative is always zeroed off and not offset against the positive). Of note is that the government DID recognise the effects on judges and changed things so that the pensions were tax unregistered (ie received no tax relief so didn't need AA/LTA to be applied). Bottom line - I am very happy to pay 40/45% tax plus 3.25% NI on everything. I'd be happy to only contribute up to AA and LTA to my pension, and to take the rest as salary. But where you set up a complex, uncontrollable system that disincentives working, and leads to marginal tax rates way higher than that, there is something wrong. Anyway, I am (mostly) out, looks that that is what the government wanted, good luck to the NHS.
|
|
|
Post by bernythedolt on May 30, 2022 1:26:29 GMT
High hundreds of thousands! Wow. As a retired middle-ranking civil servant I never moved in such elevated circles, but I do know that taking my 40 year modest little pension 5 years early at age 55 certainly wouldn't have made a difference anywhere near approaching the high hundreds of thousands of pounds! In fact it would have made zero difference and I'd have always been worse off leaving early. Like most people, I had no prospect of ever coming close to the pension Lifetime Allowance, or the £40k pension contribution Annual Allowance. If I ever had, I would have thought myself fortunate and recognised it's due to an extraordinarily high salary, where I would expect to be shelling out far more tax and pension contribution than others. Is there a chance the government knows exactly what it's doing and recognises it can no longer afford the inflated NHS salary bill, supporting so many 6-figure salaries, while, more importantly, storing up a MASSIVE pension commitment for the future as Lord Hutton warned? Somebody has to pay for that and presumably that somebody is current NHS staff, in the same way most pension schemes get funded? Could disincentivising doctors to leave early on a lower pension actually be a necessary ploy (and, thereby, a hardship on all of us) to keep the NHS merry-go-round spinning in the longer term? [...] The problems is - as I said - the incentive is to leave earlier because your pension is actually HIGHER by leaving earlier (as it gets index linked whereas salary is most definitely not, year on year). So you lose doctors earlier and give them higher pensions - is that what you think the government is trying to do? If I left just one year later, my pension would have been permanently less by several thousand per year (there's your first £100K of disincentive to stay on) and I would have lost a year of it (add some more £Ks) and I would have had to pay contributions at 15% (add some more £Ks) and I would have been liable for AA on deemed pension growth even though the pension would have been much less that having taken it earlier (more £Ks). The extra year's growth (minus LTA) would have been tiny in comparison to the above. There was no option to take employer pension contributions as salary instead. <snip> I went through the same process and calculations as I approached retirement age. The Civil Service pay freezes were even more stringent than the NHS, if that were possible, while pensions already in payment were increasing with CPI in the background as you say. Like you, I could see the value of my pension slowly eroding in real terms as I approached the "retirement vs. early retirement" decision time. With this background it's tempting to think pension is 'higher' by leaving earlier - I told myself the same thing - but is that actually the case? By leaving one year early, you have accrued one year less when it comes to the final Defined Benefit calculation. You also suffer (or my scheme did anyway) a lifetime penalty of approximately 5% actuarial reduction for each year you went early, to account for paying you that extra year of pension which they wouldn't otherwise have had to pay. Having wrestled with this and other aspects for some while, I finally decided any actuarial reduction was too painful to swallow, while the pay freeze was eating away too much of my pension's value. So I decided to resign at 58, parking my pension for two years until normal retirement date, knowing that at least for those two years it would be uplifted in background by CPI. That meant having to live off life savings for two years, but I was happy to do that to get away from such a toxic employer by that stage. Our experiences are different, but maybe not so different after all! If it's any help, I didn't regret a single moment of those extra two years of freedom, even if it did cost a little financially, and with hindsight I should have gone a year or two earlier still. You've probably timed it just about right! Nobody on their deathbed ever said, "I wish I'd worked two years longer...".
|
|
IFISAcava
Member of DD Central
Posts: 3,665
Likes: 2,989
|
Post by IFISAcava on May 30, 2022 9:12:04 GMT
[...] The problems is - as I said - the incentive is to leave earlier because your pension is actually HIGHER by leaving earlier (as it gets index linked whereas salary is most definitely not, year on year). So you lose doctors earlier and give them higher pensions - is that what you think the government is trying to do? If I left just one year later, my pension would have been permanently less by several thousand per year (there's your first £100K of disincentive to stay on) and I would have lost a year of it (add some more £Ks) and I would have had to pay contributions at 15% (add some more £Ks) and I would have been liable for AA on deemed pension growth even though the pension would have been much less that having taken it earlier (more £Ks). The extra year's growth (minus LTA) would have been tiny in comparison to the above. There was no option to take employer pension contributions as salary instead. <snip> I went through the same process and calculations as I approached retirement age. The Civil Service pay freezes were even more stringent than the NHS, if that were possible, while pensions already in payment were increasing with CPI in the background as you say. Like you, I could see the value of my pension slowly eroding in real terms as I approached the "retirement vs. early retirement" decision time. With this background it's tempting to think pension is 'higher' by leaving earlier - I told myself the same thing - but is that actually the case? By leaving one year early, you have accrued one year less when it comes to the final Defined Benefit calculation. You also suffer (or my scheme did anyway) a lifetime penalty of approximately 5% actuarial reduction for each year you went early, to account for paying you that extra year of pension which they wouldn't otherwise have had to pay. Having wrestled with this and other aspects for some while, I finally decided any actuarial reduction was too painful to swallow, while the pay freeze was eating away too much of my pension's value. So I decided to resign at 58, parking my pension for two years until normal retirement date, knowing that at least for those two years it would be uplifted in background by CPI. That meant having to live off life savings for two years, but I was happy to do that to get away from such a toxic employer by that stage. Our experiences are different, but maybe not so different after all! If it's any help, I didn't regret a single moment of those extra two years of freedom, even if it did cost a little financially, and with hindsight I should have gone a year or two earlier still. You've probably timed it just about right! Nobody on their deathbed ever said, "I wish I'd worked two years longer...". Look - I am probably oversharing, and the fact is I am in a fortunate place in many ways to have the options I do - I am not complaining about my position. But it absolutely is currently incentivised for me (and many others) to cut down NHS work sooner rather than later - and it is real problem for a government that values the NHS to have introduced a system that encourages senior doctors to leave 5-10 years earlier than they otherwise might. Now, whether this government does value the NHS, and/or has a strategy to rid itself of overpaid experienced doctors to allow room for lower paid unexperienced tick-box medical algorithm managers is obviously up for discussion.
|
|
IFISAcava
Member of DD Central
Posts: 3,665
Likes: 2,989
|
Post by IFISAcava on May 30, 2022 22:34:34 GMT
|
|
michaelc
Member of DD Central
Posts: 4,920
Likes: 2,774
|
Post by michaelc on May 30, 2022 23:15:30 GMT
5 or 6 years at medical school, 2 more years to get full registration, 4 more years to train as a GP and at least 6 (and usually a lot more) years to train as a consultant. Which would suggest the government ought to be trying to keep the doctors they already have. Instead there is now a disastrous (and massive in financial terms) incentive to retire early (complicated pensions stuff I won't go into here). Most experienced doctors are now in effect paying to stay past their mid-50s - the government has relied on them a) not realising it (they are starting to) and b) gaslighting them that they aren't in fact paying to stay (they are starting to see through it). Given how difficult it is working in the NHS at the moment, and how little effort is made to make doctors feel valued, it should be no surprise that senior doctors are leaving and that there is a looming staffing crisis. The government has a very small window to do something, but seemingly either doesn't understand or doesn't care. The impact of inflation is now massively exacerbating the pensions taxation issues too. So, on a personal level, I have taken my pension early at 55 - best thing I did financially (I will be several hundreds of thousands of pounds [or the equivalent in pension payments] better off by doing so, where several is not a low number) though I would never have dreamed of it without the huge financial disincentives to continuing working. I now work a fraction of the time I used to in the NHS - about 40% of what I was doing - and not sure how much longer I'll do that. It is utter madness, and no amount of increased NICs is going to change it - urgent (ie in the next few months) changes to the pensions taxation system is needed to avert a disaster. High hundreds of thousands! Wow. As a retired middle-ranking civil servant I never moved in such elevated circles, but I do know that taking my 40 year modest little pension 5 years early at age 55 certainly wouldn't have made a difference anywhere near approaching the high hundreds of thousands of pounds! In fact it would have made zero difference and I'd have always been worse off leaving early. Like most people, I had no prospect of ever coming close to the pension Lifetime Allowance, or the £40k pension contribution Annual Allowance. If I ever had, I would have thought myself fortunate and recognised it's due to an extraordinarily high salary, where I would expect to be shelling out far more tax and pension contribution than others. Is there a chance the government knows exactly what it's doing and recognises it can no longer afford the inflated NHS salary bill, supporting so many 6-figure salaries, while, more importantly, storing up a MASSIVE pension commitment for the future as Lord Hutton warned? Somebody has to pay for that and presumably that somebody is current NHS staff, in the same way most pension schemes get funded? Could disincentivising doctors to leave early on a lower pension actually be a necessary ploy (and, thereby, a hardship on all of us) to keep the NHS merry-go-round spinning in the longer term? In Ukraine (before the war and probably still now in Kyiv and further west), Doctors are rightly held in high regard. Unlike in the UK it is not difficult to see one as many are trained. No doubt many will be thinking "but would I really want to trust a doctor in Ukraine"? Well I would without a doubt. Why should I trust a doctor trained in India or the UK any more than I would seeing a doctor in a high end hospital in Kyiv? I have plenty of examples but they mostly relate to my children so won't give them publicly but suffice to say (for example) a 10 hour overnight EEG test with live specialist monitoring and recording in a private room in a pleasant environment is very modestly priced. When it comes to dentists I have first hand experience and have done a lot of research. Not only are practices more available, but complex procedures like root canal therapy which are typically done poorly in this country can be obtained there at a much higher standard. For example, my dentist in the UK will do root canal and if I'm lucky he will use a "rubber dam" (considered mandatory). He won't use a dental microscope as he isn't trained to use one. We do have "endodontists" who can do root canals to a high standard but there are not many of them and they are eye wateringly expensive. Here we have "general" dentists who do many jobs to an acceptable but typically not exemplary standard. In Ukraine a typical surgery will divide these tasks among appropriate specialists (endodontists for root canal, periodontist for gums etc). A RCT here will be a couple of vists of maybe an hour each if you're lucky. In Ukraine where my endodontist saved two teeth by re-doing the roots, it was an hour _per root_ plus an hour. So for a 3 root tooth thats four hours. Most in the UK can't afford to pay even a general dentist for 4 hours of work. And that is Ukraine - a fairly poor country. Why is it so bad here ?
|
|
adrianc
Member of DD Central
Posts: 9,045
Likes: 4,841
Member is Online
|
Post by adrianc on May 31, 2022 7:40:35 GMT
And that is Ukraine - a fairly poor country. Why is it so bad here ? What's an NHS dentist? I remember those... The "very modest price" you refer to - is that within the affordability of the average working-man Ukrainian? Or just very cheap to Western pockets? A friend of mine lives in Bulgaria. He's a Westerner, employed by a Western company on a Western salary. His lifestyle is dirt cheap. But most things are hideously expensive to the average Bulgarian, for whom the net minimum wage is a bit over £200/mo. Recent example... One of our cats had two days of B&B and monitoring at the vet's the other week, on top of a vacc booster. Damn near £500. One of his cats had an emergency operation on a Sunday night, after losing a fight with something considerably larger. Two vets working for several hours. £30. And Bulgaria is wealthy compared to Ukraine...
|
|