I’d bet both.
Diversity hire, always backfire.
They have many cover-ups involving forged qualifications, abuse cases and simple laziness, so they turn up and don’t do their job and expect to get paid or cry Racism! But all the money’s going to useless admin who hired them (cheaper than training) or retired NHS pensions (including more self-congratulating admin). The system is already overburdened, it was designed for something like a tenth of this population. It cannot survive.
People frequently die in A&E from preventable causes. That’s assuming you don’t get ill from the hospital itself.
A random club slut with an STD gets seen quickly, the kid with cancer is told “we can’t afford your treatment.” One is likelier to vote. There are literal death panels that decide these things, it’s all PR spin. All of it!
In answer to “why don’t more Brits have kids?”
They don’t wanna DIE???
In many areas, it’s like giving birth in a Third World country. Preppers have no idea. It’s that bad NOW. And if you think white women get better treatment, especially if they hear you’re a Christian, you don’t know much about Third World healthcare.
Then there’s post-partum scarring (lifelong), injury (bye bye sex life) and death from “complications” (common with C-sections, and you can’t get just one).
They “run out” of basic supplies! Needles! Pain relief! Cleaning alcohol!
It’s already at around Victorian level in places, at least they had pain relief, on track to be Middle Ages.
And you wonder why the smart people are saving to go on private? No use conceiving if the hospital will kill or kidnap it (to be abused).
Americans need to mind their own business when they don’t understand foreign systems.
And they don’t give out IVF to young, normal people. You need a PC reason. You need to be single, or getting a “sex change”, or really, really old. There are plenty of young men who think supplements in a drink once a day will magically keep them fertile when they’ve already lost and continue to lose fertility (while “young”, so in medical terms under 30-35) from the modern world – bike riding, phone radiation, smoking, drinking, promiscuity and STDs. This is not theoretical and they don’t know until years later, when the damage is mostly done and they wrongly blame “age”. The external nature of the male system makes it incredibly vulnerable to environmental factors!
And men are told they shouldn’t care about their fertility (red flag) and just assume it’s fine.
Bachelor culture shames them for admitting they care about their health!
They’ll shame a man for being infertile too. You’re trapped.*
Don’t get me started on the ones who are stupid enough to supplement hormones (one, let’s be honest) for vanity without constant supervision from a doctor, those ones deserve it. Magic beans don’t work.
“Lifestyle choices” PCspeak for the wages of sin.
*Reminds me of how the manosphere shames everyone about suicide rates but never talks about suicide prevention (seriously), or they shame abortions like it’s a purely female cause with immaculate conception and not the cult of promiscuity that led to it. There’s a disconnect where even the people online who pretend to notice, only address the symptom (controlled op?) and ignore the cause like it’ll fix itself by magic or because it’s “judging” – what, and judging symptoms of moral decay isn’t?