Showing posts with label British Medical Association. Show all posts
Showing posts with label British Medical Association. Show all posts

Saturday, 19 May 2012

Student Debt

Top news story on the BBC today was student debt who ran with the headline "Debt 'putting off' medical students, BMA warns" (http://www.bbc.co.uk/news/health-18128637).

Let me do the maths for you.
Every medical course at a British Universities will cost £9,000 per year for tuition fees by next year (September 2012). A medical course, for an undergraduate who has the correct A-levels and does not need to do a Foundation year, can last either 5 or 6 years depending on whether an intercalated degree is undertaken.

The NHS provide financial support whereby "from year five onwards, tuition fees will be paid by the NHS Student Bursary Scheme" (http://www.nhscareers.nhs.uk/details/default.aspx?id=557), so year five and year six of the degree will be paid for. Therefore in terms of tuition fees it will be £36,000 for the course. Of course the living costs at different universities varies so you could be looking at vast differences; for example London and Aberystwyth. Lets say a general £500-£600 per month which is £6000-£7200 per year.

Tuition: £36,000
Expenditure (Accommodation and Food):£36,000-£43,200 (6 years) OR £30,000-£36,000 (5 years)
Total Cost (in the region of) £75,600 (6 years) OR £69,000 (5 years)

From these figures (don't quote me on the expenditure figures because they depend entirely on location and the student lifestyle) we can see that it is indeed very expensive to attend medical school; but I wouldn't let it put you off and you will see why.

1. I was informed on a conference I attended that it costs around a £250,000 to put a student through medical school so the cost payed for tuition is not even 15% of the total cost of the degree.
2. If you want to become a doctor then surely there is nothing that will stop you doing what you most want to do in your life and inevitably is what you will spend the rest of your life doing.
3. When you pay back your student loan, even though it is a huge amount of money and you may be paying it back for a lot of your working life, they won't take so much away that you cannot live or sustain yourself. They also don't start taking money out of your pay until you reach a threshold of £21,000 and if you don't end up paying it off it is wiped at the age of 68.

But if your not convinced and you don't think it is right to be paying so much then there are other options. You could study abroad where the fees are less, for example Holland or other European countries but be aware that the British student loan companies do not provide loans for students studying abroad. But if you don't fancy that then you can do a different course such as a Biomedical degree that you can do Medicine afterwards/not at all. But also be aware that student loan companies do not provide loans for your second degree.

Tuesday, 31 January 2012

Should Doctors Strike?

Although it’s a dull story, it is an important ethical issue in the medical world on the basis of whether doctors should ever strike or withdraw their services.

Both Unite, “which represents 100,000 NHS members” (http://www.bbc.co.uk/news/business-16790168) and The British Medical Association (BMA), “the professional medical association and trade
union for doctors and medical students” (www.bma.org.uk) have rejected the new pension reform set out by the government. “Unions point out that, overall, public workers must pay more and work longer” (http://www.bbc.co.uk/news/business-16790168) but the government have said that it is the “final deal on the table, and that it is fair” (http://www.bbc.co.uk/news/business-16790168).


So, what actually is the bare outline of the new pension scheme?
The people in the health service who will be spared from the pension reform are, the "530,000 NHS staff earning between £15,000 and £26,557" and "those less than 10 years away from retirement" (http://www.bbc.co.uk/news/business-16259238).

But those who earn more than £26,557 will be expected to pay more towards their pension; as reported on the BMA website, "currently doctors pay 6.5%, 7.5% or 8.5% depending on what they earn" but "by April 2014 individuals who are currently paying 8.5% will have to pay 14.5%" (http://tinyurl.com/6umt56a). On top of the increase in rates that doctors will have to pay towards their pension, they will also have to "work to the age of 68 to be able to draw a full pension" (http://tinyurl.com/6umt56a), up from 60 on the 'old' pension scheme.

Some surveys were carried out by the BMA which showed that "8 out of 10 association members thought the NHS pension scheme proposals were unacceptable" (http://tinyurl.com/78rsmqm). The new scheme has lead to doctors "saying for the first time in a generation, they would be prepared to take industrial action" (http://tinyurl.com/78rsmqm).

In this story there are a number of talking points;
Firstly, the fact that the amount that a doctor will have to pay towards his pension will rise, as illustrated in the statistics above, which means that they are therefore not getting paid as much from the government at the end of their careers by the government, but are funding a lot more of their pensions themselves.

Secondly, raising the age of retirement means that the average doctor will spend around 44 years in the medical service (assuming they graduated at 24 years of age and then started their foundation years immediately after graduation). That is a staggering length of time to sustain the high demands of time, learning and commitment that is necessary for a doctor.

Thirdly, the ethical issues of strike action by doctors. This is surely the most important talking point that has resulted from the governments new plans on pension reform. Doctors have said that they would be willing to take industrial action against the new reforms. But what could that mean for the patients, and is a dispute over pensions a justifiable reason to withdraw their services from the public domain. This argument was summed upon the BMA website; "the BMA will now draw up detailed plans on taking industrial action, with all attempts being made to minimise any risk of harm to patients" (http://tinyurl.com/78rsmqm). So it shows that they are being cautious in the matter...

It would be great to hear your points of view on this matter by posting a comment underneath or even sparking a good discussion based on what you think should happen or what is best for the community.