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Britain's much vaunted free health care system, the National Health Service (NHS), has basically shut down for the month of January due to an inability to cope with rising demands and falling staff morale. This means that hundreds of thousands of "non-urgent" operations and procedures will be postponed and delayed until after January.

The health minister Jeremy Hunt and Prime Minister Theresa May have both apologised for the shambolic state of the NHS, with some doctors comparing conditions in hospitals to those in the Third World. 

Dr Richard Fawcett, a consultant in emergency medicine at the Royal Stoke hospital, tweeted on Tuesday (2nd Jan): 
"As an A&E consultant at University Hospitals of North Midlands NHS Trust I personally apologise to the people of Stoke for the 3rd world conditions of the dept due to #overcrowding."
Actually that's a big clue, as many of the NHS's staff actually come from the Third World or from Third World backgrounds.

Officially, around 138,000 out of 1.1 million staff report a non-British nationality. This is around 12%. Of this group, somewhat less than half (5.6%) are from the EU and are therefore largely White. 

But the problem is with the so-called "British" staff, a disproportionate number of which are Black and Minority Ethnic (BME). Overall, 40% of doctors in the NHS are from a BME background, while around 20% of NHS nurses are. Typically these doctors are Indian, while the nurses are Black. In short, large parts of the NHS are staffed by people from the Third World. 

This has a number of different effects that undermine efficiency, especially when the NHS is put under great strain, as it usually is in the Winter months. 

Firstly, a large number of the staff have a "southern" work ethnic and will relax and neglect their duties, treat them casually, or fail to increase their work rate to meet surges in demand. 

Secondly, having different racial and ethnic groups creates various kinds of disunity and division, making it hard to impose "White standards," while also undermining morale in a number of ways. 

Thirdly, in a situation where there are different racial and ethnic groups in a large organisation, a tendency will emerge for all groups to begin working at the rate of the slowest and laziest, so as not to end up "carrying" the lowest performing group. 

This means that even a relatively small number of Third Worlders in the system can create "creep" towards Third World conditions." 

With the NHS practically closed down for the whole month of January, this appears to have already happened in the UK.

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