Meeting Dan and Introduction to UBI

This text has English at a high level: It will be a real challenge!

During a GoodGym event, I met Daniel Mermelstein, who intrigued me with his advocacy for Universal Basic Income (UBI). Dan lives in North London’s Finchley area and has been actively campaigning for UBI. He believes in spreading awareness about financial security for all. “The idea of basic income is really all about financial security,” Dan stated. He emphasized that true UBI has five key characteristics: it must be cash-based, regular, individual-focused, unconditional, and universal.

Defining Universal Basic Income

Dan explained that UBI is designed to provide everyone with a floor of financial security, ensuring no one falls below a certain economic threshold. It’s meant to be a platform from which people can lead better lives.

The Motivations Behind Dan’s Advocacy

Dan’s interest in UBI began with his fascination with money and systems like cryptocurrencies. He realized how radical yet practical the concept of giving people money without conditions could be. Comparing it to existing systems like state pensions and child benefits, which are already somewhat universal, he saw the potential for UBI to transform societal structures. “This idea of just giving people money as a right felt radical but also very logical,” Dan noted.

Historical Roots of Universal Basic Income

Interestingly, UBI is not a new idea. Dan shared insights from Thomas Paine’s 18th-century essay ‘Agrarian Justice,’ which argued that land should belong to all humanity and proposed paying everyone from collected rent. This concept laid the foundation for modern basic income movements. Over centuries, figures from both left and right political spectrums have supported UBI for various reasons—from addressing economic inefficiencies to correcting injustices. This broad support underscores the idea that basic income is neither left nor right but forward-thinking.

Funding Universal Basic Income

One common question is how to fund UBI. While some propose taxes on robots or carbon emissions, others suggest adjustments within the existing tax system. Dan emphasized that making the case for UBI is crucial before delving into funding specifics. He pointed out that during crises like the COVID-19 pandemic, governments found ways to support citizens financially—showing that political will can drive funding solutions when there’s a clear vision.

Impact of UBI on Employment and Social Welfare

A major concern about UBI is its impact on work incentives. Trials have shown that most people do not stop working when they receive a basic income; instead, they use it to improve their quality of life—spending more time with family or pursuing education. For instance: – **Mothers** often spend more time raising their children. – **Students** may focus more on their studies. Dan argued that UBI helps people stand up against exploitative employers because they are not forced into poor working conditions out of fear of poverty.

Trials and Future Prospects

Discussing trials like those planned in East Finchley and Jarrow, Dan highlighted their importance despite limitations in scale and duration. These trials aim to measure qualitative outcomes such as health improvements and job prospects by providing selected participants with regular payments over two years. The goal is to gather data supporting the larger implementation of UBI. The excitement around these trials showcases a growing interest in exploring how UBI could reshape economic security for communities.

To explore Universal Basic Income and its transformative potential in depth, tune in to our latest podcast episode, which features campaigner Dan Mermelstein.

https://linktr.ee/TheBroadestChurch

Upper Intermediate/Advanced text- Health economics: A Conversation with Nishma Patel

Join us as we delve into the intricacies of health economics, exploring how cost-effectiveness analyses shape medical interventions and impact public health policies.

•Reading time: 2 minutes

In the health economics podcast, I had a deep dive with Nishma Patel, an expert in health economics, about her work on making CAR T-cell therapies more affordable and effective. We discussed the importance of understanding health inequalities, the cost-effectiveness of medical interventions, and the future of healthcare.

Table of Contents

  1. 1. Meet Nishma Patel: Researcher in Health Economics
  2. 2. The Journey into Health Economics
  3. 3. Demystifying Health Economics
  4. 4. Cost-Effectiveness in Preventive Medicine
  5. 5. The High Stakes of CAR T-Cell Therapies
  6. 6. Challenges and Future Directions
  7. 7. Health Economics: Shaping Future Healthcare

Meet Nishma Patel: A Veteran in Health Economics

In the health economics episode, I had the pleasure of interviewing Nishma Patel, a seasoned health economist with over two decades of experience. Currently working at UCL, Nishma specializes in CAR T-cell therapies and groundbreaking blood cancer treatments. She enjoys playing tennis, baking, and knitting when she’s not immersed in her work. Even though she is dedicated to her work she still makes time for hobbies

The Journey into Health Economics

I was curious to know why Nishma chose to venture into health economics. She explained that her journey began during her BSc in Economics when she studied social inequalities. She loved the idea of working in a field which catered for a societal need and addressed health disparities. According to Nishma, it’s all about identifying health inequalities and bringing new therapies to meet patient needs. This focus on policy early in her career continues to drive her passion today.

Demystifying Health Economics

One of the common questions Nishma encounters is about what exactly health economics entails. She explained that it involves assessing the cost-effectiveness of medical interventions such as drugs, devices, and vaccines. For example, she might compare a new paracetamol formula against an existing one to evaluate additional costs and benefits. This process helps determine the most efficient allocation of resources within the healthcare system. The ultimate goal is to maximize health gains while considering budget constraints.

Cost-Effectiveness in Preventive Medicine

We also touched upon how QALYs (Quality-Adjusted Life Years) are used not just for drugs but also for preventive measures. Nishma provided insightful examples like weight loss programs that can prevent costly surgical interventions. She emphasises how economic evaluations can influence public health strategies by comparing programs like Weight Watchers and simple community-based initiatives. These comparisons help ensure that preventive measures are both effective and economical.

The High Stakes of CAR T-Cell Therapies

A significant portion of our conversation centered around CAR T-cell therapies. These treatments are revolutionary but come with high costs ranging from £282,000 to £350,000 for a single infusion. Nishma highlighted the tough decisions that must be made due to limited funding within the NHS. When considering costs number of lives saved or quality of life years needs to be factor in as therapies such as CAR T-cell therapies are expensive.

Challenges and Future Directions

Nishma also discussed some challenges related to CAR T-cell therapies like manufacturing complexities and supply chain issues. Despite these hurdles, there are long-term cost savings due to reduced hospital stays and improved patient outcomes. The conversation then shifted towards making these treatments more accessible beyond urban centers, raising questions about future healthcare delivery models. Moreover, research is now extending beyond blood cancers to explore CAR T-cells’ efficacy in treating solid tumors.

Health Economics: Shaping Future Healthcare

Towards the end of our discussion, we delved into how health economics can predict future healthcare trends. Nishma emphasized that economic evaluations are not just about finding cost-saving measures but maximizing overall benefits, even if they come at additional costs. Collaboration between researchers and public bodies like NICE ensures that unmet patient needs are addressed comprehensively. As long as there is a need for new medical interventions, health economics will play a pivotal role in guiding policy decisions.

To gain deeper insights into how health economics shapes our healthcare system and the future of medical interventions, don’t miss this episode of our podcast.

Rachel is interviewed (the reason why I am not blogging till July) (B1/B2)

I had an interview part way through May, tbh it was more of an informal chat than an interview. I got through the informal chat and am now preparing for a trial day. So there are a few things that were interesting in terms of the recruitment process:

Firstly the job was aimed at neurodiverse people. Employers aren’t that open to taking on people from neurodiverse backgrounds (especially those on the Autistic spectrum). So it’s good to have employers that champion neurodiversity. 

Secondly, it was an informal chat and not an interview, which is good for those on the spectrum. People on the spectrum tend to do poorly at interviews due to the following:

  • nerves-anxiety is a big issue for a lot of Autistic folks
  • our condition makes our work history a bit shaky
  •  some people can have a problem with taking things too literally (not an issue in my case) 
  • problems with knowing what the interviewer is looking for when they ask a particular question. 

Interviews aren’t the best form of recruitment for candidates in general; they are about as much use as tossing a coin. As interviews fail wrt choosing the right candidate, they are a waste of resources. 

Thirdly instead of drilling you at an interview, they have a trial day to assess your suitability which seems fairer.

The trial day is in June, so I am taking June off to ensure that I am as prepared as possible. 

So the final thing: if I get the job, I will still blog, but it will be once a month. See you in July, and I’ll update you then!

5 mins to 10 mins stunt man interview

The work kind of picked up after that-this means he started to gain more work.

All I wanted to do was make a living from it-earn money to pay for bills, accommodation, and food.

What are the perks of the job-what is are the advantages and good things that come with working in that job.

Amazing sets/amazing scenery– set: film sets, where the film scene is shot. The scenery can be part of the set and also just located outside generally, e.g., the scenery in the countryside was amazing.

I’ve found I’ve had no end of stitches– something which sews the edge of a wound together.

In my downtime– downtime is time spent not working, this usually refers to weekends or holidays but can refer to time in between jobs when the work is on a contract basis.

I rehab everything- to rehabilitate, in this case, rehabilitation after injury.

Keeping myself fit-in this case, in good physical shape and strong.

That’s the pinnacle– a high point in the career of a stunt guy.

An interview about Careers and teaching-phrases/specialised vocab

Academically gifted-in this case it means you excel in terms of academic performance

Academically inclined-its part of your personality to want to study academic subjects, maybe you are curious about a certain subject are or you just like to have a certain type of intellectual challenge

Core subjects-those subjects which are compulsory throughout each key stage of the curriculum

Peer pressure-pressure from ones peer group, a peer group is people who are the same/similar in one aspect such as age, background or social status

Qualifications-an exam, which is recognised as showing a certain level of ability or conferring on someone professional status

Aptitude-a natural ability in a certain area

Tone deaf-in this case, it means problems recognising different musical pitches

Innate ability-something someone is born with, aka natural ability and natural aptitude

Tell on you-in this case; it will have a negative impact

Mortgage-loan towards buying a house

Crop up-to appear

Switch off-to not pay attention to your work and to take a break

Apprenticeship-a programme which trains someone for a particular trade

Pastoral-emotional and social support

Special needs-disabilities that may be mental, psychological or emotional