When you think about the sufferings of the precapitalistic age, it helps to have a vivid example in mind.
Think of teeth.
In ancient Egypt, dentists drilled holes through the bone to drain abscessed teeth. No anesthesia. Later, people learned that pulling teeth was the best way to deal with this and other problems. No anesthesia. Dental drills were an advance, but you had to keep the hole filled to keep the air out.
Those who had the tools did the work. For centuries in Europe, the same guy who cut your hair also extracted your teeth. In the United States, it was the blacksmiths who would make the kitchen knives, saw off limbs, and drill and pull teeth.
By the mid 19th century, the biggest advance ever came along: laughing gas to take away the pain, which is unthinkably horrible in all ages and all places.
Well, if you live in Britain and can’t afford high-priced private dentistry, you are likely to experience a blast from the past.
The system is socialized. Shortages and bad service are as universal under socialism as tooth pain was before the advent of anesthesia. But many in Britain no longer have any choice: they have to pull out their own teeth.