Do We Need More Doctors, or More Patients?


Gerry Robinson was a famous troubleshooter in the world of business – he said most businesses fail because they don’t even know what they are trying to achieve. 

Britain has this problem with its border policies.

We waffle about immigration, asylum policy and refugee camps, without ever actually discussing what we are trying to achieve.

And without having agreed these basic principles, it’s really hard to know if all our efforts are appropriate to our goals. If the Left and Right cannot even agree on what we are trying to achieve, we will keep shouting past each other on this subject – if we are not trying to achieve the same goals, it’s not likely we will agree on the tactics and strategies we should be pursuing.

The first question we must ask and satisfactorily answer is “Should we discriminate between refugees, unskilled migrants and skilled migrants?”

Because listening to the modern Left, you get the uneasy sense that if someone presented them with this cardinal question, they might well answer “NO – let them all in”

At that point we must realise that the argument about dental exams is a long way from being purposeful – to someone that believes all should be welcome, dental exams seem like pointlessly racist and deeply insulting bureaucratic nonsense.

We have to go back to that cardinal question, because until it is asked and answered, everything else is just noise.

Let’s begin.

Modern Britain needs skilled migrants – to take just one example, if our foreign-born nurses all returned home, the NHS would instantly collapse. There are simply too few native Brits training as nurses, and it takes too long for them to qualify. We need immigrant nurses to meet the demands we place on our healthcare systems.

Now we could argue about the pressure migrants place on it, and we could argue about whether nurses need to be degree-qualified to provide basic nursing care, and we could argue about whether the NHS should be privatised.

But for now, Britain needs skilled migrants.

Nurses, doctors, engineers, scientists, computer programmers – our society is very advanced and a big chunk of our economic strength is based on advanced services that need skilled people like these. And there aren’t enough native Brits skilled in these areas – our demand outpaces our supply of people. We need lots of computer programmers and only relatively few native Brits are qualifying in computer sciences. And the shortage of young Brits taking STEM subjects is worsening.

So far so good – we need a supply of skilled migrants for the foreseeable future. Hopefully we can all agree on that.

Do we need unskilled migrants?

Because when people with no skills come to the UK, we suffer and so do they. They are either forced into crime, fall into modern slavery, or find themselves exploited working on the black market.

When they are forced into crime, we see more stabbings and rapes and burglaries and murders.

When they fall into modern slavery we see more people-trafficking, more forced prostitution.

When they are exploited, they are forced to work below minimum wage, and the jobs that young British teenagers might have taken are taken by those willing to work for a pittance just to stay alive. When they find themselves working in the black market, they pay no tax and have no protections.

Modern Britain does not need or desire these things – young people enslaved and forced to work for low pay, exploited, or forced into crime. These are profoundly negative developments for our society, and a grotesque abuse of people who were mislead into coming here for what they thought would be a new life.

Modern Britain does not need unskilled migrants, and should not enrich their slavers.

And that brings us to refugees.

Are there genuine refugees? Yes of course.

But we know what refugees look like – men, women and children staggering over the border into the nearest safe nation with the clothes on their backs and often not much else. Poverty-stricken and unable to return to the homelands, they throw themselves on the mercy of their neighbours. Refugees don’t abandon their families in war zones and travel thousands of miles alone. They do not have thousands of dollars to give to slave traders for a seat on their rickety barges.

What we see on the boats are not refugees.

They are mostly young men coming for a better life. And while we cannot begrudge them those intentions, we have already discussed why unskilled migrants cannot be welcomed here in large numbers. And unskilled migrants they mostly are, because skilled migrants come armed with work permits and speak the language. At the very least they have documentation to prove who they are, because being able to prove you are an Iranian heart surgeon is important. Being able to prove you are a penniless and unskilled Eritrean, who doesn’t speak English……………that’s not an identity worth retaining at a border check.

And so the Mediterranean sea floor is littered with their travel documents.

Genuine refuges stagger over the nearest safe border – we must help them if we can.

The unskilled migrants travel here in boats, trafficked by modern-day slavers into the underworlds of our nations. They may have hope in their hearts, but they are bringing misery into a society that cannot absorb them.

That needs doctors, not patients.
People who treat diseases, not carry them.
People who want to program computers, not steal them from our homes.
Above all, we need this modern slave trade to stop.

The Good Samaritan did not take the beaten man into his own home – he paid for him to recover at an inn. We must remain willing to provide financial aid to those that host refugees.

But we need skilled immigration into our country to rise.

And we need unskilled immigration into our country to cease.

If we can all agree that these are our goals, that’s the start of the conversation.