Super Bigote
pfm Member
At a less extreme level there will surely come a point where high levels of public sector employment and relatively high wages in that sector impact private sector activity and profitability.
Yes, that is the crowding out effect. A nurse can't work at an NHS hospital and at the same time work in a private hospital or manage a branch of McDonalds. This isn't so much of an issue now because of mass unemployment but it starts to become an issue as full employment approaches and there isn't enough resource to go round. The government has to pay more to entice a nurse from the private sector and inflation is the result. Inflation isn't good.
So the choices are:
1) Don't employ the nurse and forego her services with the NHS
2) Curtail the private health system by burdening it with extra taxation causing nurses to be released
3) Stopping the private health system from trading in certain areas causing nurses to be released
4) Entice more people to become nurses by training them and improving conditions so that they prefer that job to managing a MacDonalds branch.
5) Increase general taxation which will create unemployment and entice the newly unemployed to train as nurses.
6)Other stuff I haven't thought about off the the top of my head.
In other words, there are plenty of choices available, and none of them are constrained by the fairy tale Magic Money Tree. The issue to face up to is do you want that nurse to be working for the NHS, private health or McDonalds? This is the sort of choice which should be presented to the electorate.
The better provisioned the government sector is, the worse provisioned the private sector is, and vice versa. In a democracy we should be able to choose how we want that split to be. We do not have that choice now because 'there is no money available' or as KS234 says 'TINA'.