Words alone cannot describe this programme or the issue it addresses. Or rather my words can’t. The people Discworld author Terry Pratchett meets in this unforgettable hour of television, and indeed Pratchett himself, do their best to talk eloquently and straightforwardly about an impossible subject. Even those living through terminal illness and speaking from experience admit that all they can really do is sum up why they came to make their own individual decision though.
Because words cannot come close to summing up Pratchett’s journey to Dignitas in Switzerland and his own personal battle with Alzheimer’s, which is robbing him of his ability to write and communicate, I shall not say much. If you can steel yourself enough you should watch it because this is really educational, as well as moving and powerful. However of all the emotions associated with the controversy of this documentary I am left with one; anger.
I find myself gripped with fury at those that have denounced Pratchett’s documentary as needlessly inflammatory, wrong and self interested propaganda. Have these critics even watched the thing? Because they come across as ignorant in the worst possible way. Pratchett is clearly coming to terms with his own illness throughout. He does not begin with a “hooray for Dignitas and euthanasia” agenda. The opposite is true; he has grave misgivings but also does not want to die a shell of the man he truly was.
I studied euthanasia in both Law and Philosophy and Ethics at A-Level. As a result I have a very basic understanding of its illegality and the opposing moral cases. I would say that despite the seemingly inhumane law which could prosecute caring spouses who assist or travel with their loved ones to Switzerland, the sensible judgement of judges and prosecutors should not be underestimated. In reality there have been no instances of imprisonment in such cases. It is just possible under the law.
My instinct, as is that of both Pratchett and the very English couple he accompanies to Dignitas, is that there is something wrong about assisted dying. As long as each case is judged sensibly it should remain wrong in principle. But this programme opens my eyes to the other options. Whilst those that are merely “weary of life” should never be assisted to die, in fact they should be helped to live, those with genuinely debilitating illnesses and of sound mind, should get the choice. It would not open up a “slippery slope” to Holocaust style cleansing to clarify somehow in the law that people doing it properly would not be harassed about it.
There are of course the ones left behind. As I said words can’t cope with the enormity of this. I can’t get my head, or indeed my heart, around the issue to express what I feel about it. It certainly seems to be right for some though, there is no denying that. Even if you’re strongly opposed your tears as you watch this will not feel any form of malice towards the bravery of those that choose to go.
I will end with a few, again inadequate, words on bravery. Those mindlessly and excessively labelling this sort of television as evil are simply cowards who don’t know the meaning of courage. Some of them might criticise from a good place because of reasonable concern. But many do not. Many kick up a fuss and complain because they are too scared to even allow others to have the debate. And that is wrong. They must have known what they were watching; the title is not ambiguous. If you really disagree don’t watch, it’s harrowing stuff. But it is also heartfelt. This debate is real and needs to be had. I am angry on behalf of the immensely brave, truly brave people, who took the time to share their stories with the BBC.
Posted in Uncategorized
Tagged 2, 9pm, A-Level, alternatives, Alzeheimer's, amazing, Andrew, anger, BBC, bravery, British, careful, choosing, chronic, City, controversial, controversy, courage, cry, death, debate, degressive, dementia, depression, die, Dignitas, Discworld, English, enormity, ethics, euthanasia, favourite, fear, god, gripping, harrowing, heartbreaking, Holocaust, hospice, humane, immoral, impossible, internet, iplayer, issue, journey, kill, law, legal, love, manners, meaning, medicine, mind, monday, moral, motor neurone, moving, MS, Nazi, necessary, of life, passionate, Peter, philosophy, polite, Pratchett, proud, purpose, religion, reserve, sancity, sanctity, schedule, slippery slope, Smedley, Sunday, Switzerland, tears, Terry, To, touching, Tuesday, tv, wrench, Zurich
Like it or not, love him or loathe him, David Cameron has proved himself to be a competent and capable leader in his first year in Number 10. He has shown himself to be easily the most adaptable Prime Minister of the 21st century and perhaps the most versatile and formidable party leader too. He has embraced the unique hurdles and challenges of coalition government to at once deliver radical policy his party believes in and please the electorate. He has vowed not to make the mistake of Tony Blair’s early years, in which political capital went unspent. He’s taken a blitzkrieg approach to numerous important issues and departments, somehow taking most of the country with him through a combination of confidence and yellow human shields.
Ed Miliband on the other hand, has been constantly under fire from both the media and Britain as a whole, and his own party. His leadership is generally, and not unjustifiably, characterised as ineffectual and inactive. He has more often than not chosen to stand by and do nothing but protest vocally at government plans. He has claimed to be the voice of Britain’s ordinary people and its “progressive majority”. His critics say that this majority doesn’t exist and even those that think it might, recognise that it has to be earned and forged from blood, sweat, tears and most crucially of all, policy.
Labour under Ed Miliband has produced almost no policy. His supporters and aides will argue that he’s been focusing on healing Labour’s image, bruised and battered by thirteen years of controversial government. But there has been no clear rebranding or change of direction either. The publication of elder brother David’s would-be acceptance speech last week highlighted just how much more Ed could have done from the start. I was critical of David’s lazy leadership campaign and even praised Ed’s more concrete vision. Looking at David Miliband’s speech though, it’s hard to argue with those who say he would be doing better as leader right now.
The speech sets out the deficit as Britain’s key political argument. It simultaneously does more to defend Labour’s record in government and admit its mistakes than Ed has done. It systematically addresses key areas with attractive focus; Ed’s speech tended to waffle more generally, focusing on alerting the world to the fact that he was an alright sort of guy. Well now we all want to know what he’s going to do to prove it.
To make things worse for the victorious Miliband, his shadow cabinet has hardly had time to settle. Alan Johnson didn’t last long as Shadow Chancellor. There has already been more than one reshuffle. Ed Balls, finally in the role he has craved for so long, is Labour’s only ray of activity. Last week he announced the one concrete policy they have in opposition; increase the bonus tax on bankers. Balls intends to gather support from rebellious Lib Dem and even Conservative MPs to push a Bill through Parliament that would take more money from the banks to fund employment schemes for the young and house building projects; to stop the rot on growth.
Now it’s obvious that one of Miliband’s weak points has been his inability to do much else besides bash the banks. Credible Prime Ministers cannot afford to make such powerful enemies or be defined by the one headline grabbing policy. But the plans of his money man Ed Balls are exactly the type of thing Labour should be doing more of. The government’s refusal to invest in the economy or change course on its programme of cuts is doing lasting damage. Labour cannot afford to just talk about this. They should hit the coalition where it hurts; by acting to safeguard the national interest it claims to be working for.
And Miliband could go further. He could say that a Labour government would not just build homes for struggling first time buyers but insist that they are all green. Labour needs a new stamp that marks out policy as theirs, which goes further than simply investment vs. cuts. As David Miliband set out, Labour has to acknowledge that it will tackle the deficit; the question is how will it do it differently?
Ed should make it abundantly clear that he is proposing policies for consideration now, intending to pass them now because to act too late would let the state of the economy and the government’s initiatives do irreparable harm. More house building would kick start the construction industry; more homes would get the property markets moving and add stability to a fragile, slow recovery.
Miliband has continually fallen back on the fact that the party in opposition traditionally keeps its cards close to its chest until an election. People should not be expecting him to be outlining detailed policy now, he says. I defended criticisms of him early on by using the argument that he shouldn’t rush through thinking about such important issues. But he has had time now. He must have some ideas. And he needs to start sharing them.
This is not an ordinary government. The coalition can be stalled, halted and persuaded on almost any issue. Parliament is not a sea of blue and carefully selected opposition proposals could become law. The NHS “listening exercise” and the rethink of Ken Clarke’s justice reform are examples from the past week alone where Cameron has been swayed enough to track back. Ed Miliband needs to do something bold to win the respect of voters. Disclosing genuine alternatives in full and frank detail will show that Labour care enough to act in the country’s interest, not their own.
I write just hours after both leaders in the contest for the nation’s political affections made important speeches on policy. As is the trend of late, it was David Cameron’s that made the greater impact. Speaking to a meeting in London of a foundation called GAVI, backed by Bill Gates, which provides vaccines for the world’s poor, the Prime Minister would have won over voters usually hostile to all things Tory.
His detoxification of his party has been enormously successful and pledging £814 million (the biggest donation of any nation) to an effective charity, goes a long way to satisfying his own voters, thanks to a clear strategy, and others in the electorate. With one speech Cameron scored moral points as well as talking convincingly about finding a clear foreign policy role for Britain based on duty, encouraging private sector growth and stable, democratic government.
Miliband’s speech was also important. It aimed to win back the agenda of community from Cameron, who has dominated the thinking of voters even with his unsuccessful Big Society idea. Miliband talked of responsibility and made surprisingly tough statements about those who didn’t give back not receiving welfare support. There were strong strains of the Blue Labour ideology Miliband recently endorsed, which focuses on democracy and accountability at the grass roots. It was about the overall narrative direction of Miliband’s leadership and designed to answer critics.
However whilst it’s important Miliband finds a stronger and more defined guiding vision for his party, action is what the public wants from him now. For an opposition leader options are limited, so action essentially means policy announcements. The Labour leader needs to be braver and take some gambles with his leadership, to both win over the country and protect it. No one will reward him for waiting until the election.
Posted in Uncategorized
Tagged 0.7%, acceptance, accountability, AID, aim, Andrew, argument, Balls, Bank of England, Big Society, Bill, Blue Labour, bonus, Cameron, Case, Clarke, Clegg, Coalition, Community, concrete, Conservatives, construction, cross party, Cuts, David, debate, deficit, defining, deflation, detoxification, development, DFID, economy, Ed, efficient, electorate, Energy, figures, firms, first time buyers, Foreign, Gates, GAVI, GDP, General Election, government, Green, growth, guiding, health, house, human, immunisation, industry, inflation, interest rates, international, investment, jobs, jobs fund, justice, Ken, Labour, Lansley, Lib Dems, listening exercise, lives, Microsoft, Miliband, Mitchell, modern, Money, moral, national interest, nature, new, New Labour, NHS, Nick, of, Opposition, Parliament, policy, Politics, power, prices, private sector, proposals, public sector, rebranding, reform, reinvent, reinventing, responsibility, role, self-interest, shields, speech, tax, The, Tories, Tory, traditional, transparency, unemployment, vaccines, vision, voters, welfare, yellow, youth
The result was crushing. A firm no to electoral reform and a pummelling at local level for Lib Dem councillors is a devastating double whammy. The road back to even slight popularity will be rocky and steep, with huge risks of even further falls on the way. The media were quick to pounce on the misery of Clegg and the tensions within the coalition. Whilst exaggerated, there is no doubt that the coverage accurately reflects a permanent shift in the dynamic of the parties in partnership.
Firstly then why was the defeat so bad? And why did the Conservatives not only escape punishment but considerably strengthen their position with gains? In many ways it is pointless to dwell on the results. What’s done is done. Liberal Democrats across the board are declaring the need to move on and get on with the job, seemingly out of bitterness, but also out of practicality and necessity. It is perfectly understandable however that some big names, such as Cable and Huhne, have lashed out at their Tory coalition partners in the dizzying spiral of disappointment and defeat.
They feel, rightly, that their party has become a human shield. They feel that they are victims of immense unfairness, ironic given that the core of their policies on tax, education and indeed the voting system, are intended to increase fairness. The Liberal Democrats had to enter into coalition with the Conservatives. Labour was never a viable or democratic alternative. A minority Tory government would have been ineffective and lacked any Lib Dem input on policy, whether as a restraining or creative force.
They were damned if they did and damned if they didn’t. Clegg would never have been forgiven had he passed up the chance to introduce a host of coveted Liberal measures. As I’ve argued before Clegg also saw an opportunity to open up politics. By showing that coalitions could work, the old seesaw between Labour and the Conservatives would be challenged. Consensus and cross party collaboration would produce broader ideas and solutions to the bigger issues, in a 21st century where ideology is far less important than results, to voters at least.
Where they went wrong is debatable. There are obviously a range of reasons. But primarily it seems to be that too much eagerness and what’s been described as “personal chumminess” between Cameron and Clegg, was on display. The broken promises therefore appeared to be callous and genuine deception, rather than an inevitable concession from the minority partner in coalition. On tuition fees the Lib Dems made the mistake of trying to claim that the new policy was a better one because of changes they instigated. They needed to make a greater show of their overwhelming reluctance to charge fees at all, whilst still championing the restraining measures for fairness that were their doing.
Ultimately it all comes down to Clegg’s economic gamble though. I am still not sure just how fully he buys into George Osborne’s interpretation of the crisis and his drastic solution. It may well be that privately Clegg still stands by his pre-election comments, that the deficit should be reduced gradually with a focus on growth in the short term. Adopting the Tory approach could be the primary price of going into government for the Lib Dems. But publicly he has signed his party up to comprehensive cuts in public spending that are at odds with the instincts of most Liberals. And you’d have to say that Clegg must believe the Conservative plan will eventually lead to growth, because if it doesn’t his party will be battered once more come the next General Election.
Certainly earlier this year I wrote about a speech in which Clegg made the most compelling argument thus far in favour of extreme deficit reduction, which essentially boiled down to longer term sustainability and strength in diversity for the economy. I still think he may be torn though and that he might accept some of Labour’s arguments that claim a slower pace of cuts would have restored greater growth sooner.
With regards to the referendum on AV Clegg clearly made an error when choosing the date. The key reason for Yes2AV’s failure was that their argument became inseparably embroiled with party politics and the local elections. Clegg’s personal unpopularity rubbed off on the campaign for reform, mainly because of dirty tactics from the No camp. Yes2AV also made ridiculous unrealistic claims about accountability, rather than keeping their argument simple. Celebrities made a late push for reform at a rally but by then it was too late, the argument should have been made more forcefully outside of the political sphere weeks before May the 5th.
Of course the important and interesting question now is what do the Lib Dems do to recover? And how will this affect the coalition? Paddy Ashdown, the former leader of Britain’s third party, was on Question Time on Thursday. He spoke eloquently and with reason on foreign affairs, prompting cheers and claps from the bulk of the audience. But when it came to domestic politics he found himself bogged down by the harsh public opinion of Clegg, so very different from the polls after the TV debates over a year ago. He valiantly defended the courage of his party’s leader under fire but could only react with frustration when the audience flatly refused to hear him out.
Clegg continued to show that courage in an interview with Andrew Marr on Sunday. Given the pictures of his gloom and the mountain to climb left by the results, Clegg gave remarkably assured answers and honestly asserted that he’d misjudged things, and that the Lib Dems needed to have a “louder voice” in the coalition. He spoke of the need to sing about the unexpectedly high number of Lib Dem manifesto policies being implemented. But in many ways all this was predictable and necessary.
The efforts to give his party an individual and distinctive again will undoubtedly begin to heal the wounds of defeat. He needs to show greater reluctance when he must go along with Conservative plans, pick the Tory policies he does oppose carefully for maximum impact and point out measures that perfectly illustrate the moderating influence of his party. Clegg has already worked out that NHS reform is the best way to begin a recovery, threatening to block it and demanding changes are made to meet concerns. However what would really give the Lib Dems a distinctive voice back is to propose and explain policies they would be implementing without the Conservatives.
What I mean by this is to set out policies, on tuition fees for example, that the Lib Dems would implement if they had the ideal (but unlikely) scenario of a majority government. These policies should be calculated to appeal to Labour voters and those within Labour potentially open to coalition. The Lib Dems need to reach out to Ed Miliband or those around him with influence, to stop him pounding the human shields of the coalition as opposed to those in the driving seat. A senior figure in the party, perhaps likeable President Tim Farron, should be chosen to run what would almost be an alternative Lib Dem opposition.
I accept this would be difficult to handle and could shatter trust and cooperation with the Tories. Many might say it’s impossible. But as long as Clegg and key Lib Dem ministers weren’t directly involved, the group did not challenge specific government policy and simply proposed Lib Dem alternatives not covered by the coalition agreement, there would be little the Tories could do to stop it. AV may be lost but the Lib Dems have plenty of arguments they can still make that are unique to them. They must take the philosophy behind AV, choice and fairness, and tie it to attractive policy. For example their manifesto went further on tax, transport, energy and the House of Lords. Choice is the key to freedom in a modern society and the Lib Dems must make the case for the state actively empowering individuals. The Liberals must show how they would liberate.
It’s probably better for Clegg to keep his head down for a while and continue to soak up pressure whilst his party recovers independently. Clegg’s popularity will take longer than his party’s to heal. But this does not mean he is the wrong man to lead it. He has for the most part taken bold decisions both in the national interest and to achieve greater fairness sought by his party’s voters. He has had to concede costly economic compromises, but to overcome these he must be bold again. Frankly after the tactics of the No Campaign, so wholeheartedly backed by Cameron, Clegg must dirty his hands a little. A louder voice will only convince dispirited voters if it hints at what the coalition is doing wrong because of the Conservatives, as well as what it’s doing right because of the Lib Dems.
Posted in Uncategorized
Tagged 10, 2010, 2011, 2012, 2015, accept, Alexander, alternative opposition, Andrew, argument, AV, BBC, blogger, broken, Cable, Cameron, capture technology, carbon emissions, Chancellor, Chris, Clegg, CO2, coal, Coalition, collaboration, Comment, compelling, Con-Dems, consensus, Conservatives, constructive, councillors, councils, critic, Cuts, Danny, David, debate, decisions, defeat, deficit, demo, Democrat, Deputy, Dimbleby, dirty tactics, disappointment, Downing Street, economic gamble, economy, Ed, Edinburgh, Elections, electoral reform, embarassment, Energy, explain, failure, fairness, Farron, Fawkes, Fawks, Festival, Fringe, frustration, Fry, future, gains, General Election, George, government, growth, Guardian, Guido, honest, Huhne, humiliation, Ianucci, ideas, interview, issues, jobs, John Reid, Labour, Lib Dems, Liberal, local, London, losses, louder voice, Marr, May 5th, media, Miliband, ministers, misery, Money, Nick, NO, No2AV, nuclear, Observer, One, opinion, Opposition, Osborne, Parliament, photos, pictures, PM, policy, Politics, polls, popularity, prediction, presenter, President, Prime Minister, problems, promises, proposals, Question Time, Rawnsley, recovery, referendum, road, Scotland, seesaw, solution, Spending Review, Spin, Stephen, Sunday, supporter, sustainable, tax, Telegraph, Thatcher, Tim, Times, tuition fees, TV Debates, Twitter, UK, Vince, vision, vote, voter, what next?, wind, Yes2AV
This week super injunctions have once again, ironically, been in the news, largely thanks to a confession from the BBC’s Andrew Marr. He believes the balance has strayed too far in favour of gagging the media, despite having his own super injunction to conceal an affair. He supports the call of many to put the rules back in front of MPs for debate. Why should such extreme privacy only be available to mega rich politicians, TV stars or footballers?
They may be able to keep a lid on certain stories with their fat cheques but they can’t stop us discussing the issue itself. And it’s a difficult and ethically complex problem. On the one hand we can’t have censorship coming before free speech, but to live in a free society privacy is also important. Continually we are told that if a story is in the “public interest” it shouldn’t be hidden away under lock and key. But what does that actually mean? The hypothetical (but all too common) “footballer and a prostitute” scenario, is wheeled out by both sides of the argument again and again.
Those speaking up for the principle of super injunctions argue that what anyone does sexually is their own business, just as their health or bank details are. Footballers are private individuals that just happen to be prominently in the public eye. But the reason they are so closely studied by the media and their fans is not what they do off the field, but on it. Any personal problems they may have, whether it’s the fallout from shagging Imogen Thomas, an addiction to scratch cards or a fear of candyfloss, should be resolved in their own time and space without intrusion.
On the other hand of course the opponents will bellow in outrage that footballers are role models for our children and should behave as such. They may be talented but with such lucratively rewarding contracts they should act responsibly in return, and concentrate on delivering the best performance they can, week in week out in a professional manner, without the distraction of off the field turmoil. Season ticket holders, investors and fans in general may all feel justified in wanting to know whether their star striker is wasting his wages and fitness on whores after training sessions.
I have to say I have more sympathy with the pro-privacy side of the argument, when it comes to footballers and their whores at least. Of course with the ludicrous money they’re earning they should be focusing on giving our clubs’ the best they can offer on the pitch every weekend. But frankly I don’t care about their numerous and identical scandals. It’s an inevitability that young men, their wallets brimming with cash, end up disgracing themselves and living dangerously. If they can play brilliantly and indulge their dirty hobbies in private, then so be it. I don’t watch football to judge morality.
It’s only when the scandals are published that they become disgusting influences on our children, when the role models become corrupted and misery heaped on the club and the player’s personal life. And as for the “public interest” argument, there are minimal grounds for exposure for the genuine good of the population. The public’s interest in rumour and gossip is another matter altogether to their wellbeing and rights.
Ignore what I just said though. I may not be at all interested in hearing of their latest filthy fumbles, but for everyone to turn a blind eye would mean the disrespectful bastards get away with it time after time. Enough of them already escape the consequences by wielding their wealth for a super injunction or a quiet payoff for the mistress. Countless clowning cocks lucky enough to play football for a living probably simply get away with it because they’re not good enough, or famous enough, for anyone to care if they cheat on their wives and the mothers of their children.
There will undoubtedly be cases when it’s best and fairest if privacy is maintained. There will be others with a real and pressing “public interest”, far more vital than a lustful midfielder’s latest lay, that must see the scrutinizing light of publicity. The only sensible way to deal with the issue is on a case by case basis.
When it comes to football though, like it or not, there is a paparazzi culture for finding out the bedroom deeds of the Premiership’s so called “stars”. The players know this is a fact of life as much as we do. If they want their right to privacy preserved the only way forward is for them to start behaving gratefully and respectfully. They should appreciate what they have enough not to jeopardise it. There’s no need for super injunctions without scandal in the first place.
Posted in Uncategorized
Tagged 2010, 2011, action, adultery, Andrew, appreciate, attitude, balance, barristers, bastards, behaviour, Big Questions, Britain, British, candy, cards, cash, Caught, Caught Offside, censorship, cheats, cheques, children, clowns, Coalition, cocks, Comedy, courts, debate, dressing, England, ethical, ethics, exposure, fair, field, floss, football, free, free speech, gagging, Giggs, goals, grateful, history, hookers, Imogen, injunction, injunctions, intrusion, invasion, ironic, ironically, issue, John, Labour, lawyers, Liam, libel, liberty, London, loser, love, Marr, media, models, Money, mother, MPs, new, news, newspapers, oddly, off field, Offside, on field, order, paparazzi, Parliament, performance, philosophy, pitch, play, player, plot, press, privacy, problem, professional, prostitutes, QC, respect, rethink, Review, role model, Room, Rooney, Ryan, scandal, score, scratch, sensible, sex, slags, soccer, story, style, Sunday AM, super, tabloids, Terry, The, The Andrew Marr Show, Thomas, thoughts, topical, Trim, tv, UK, unfair, Verdict, Wayne, wealth, whores, wife, Will, winner, writer, writing
Cast your minds back to the days of the last election. All the talk was of cuts and the campaign was curiously short on optimism. Nick Clegg rocketed to popularity because of his outsider status and a rare ability to sound slightly hopeful about the odd issue. Cameron and Brown battled over grim details, tainted by all that had gone before. One of the few rays of hilarity to shine out of the darkness was the very British ridicule of one of our current Prime Minister’s key policies and publicity stunts.
I’m referring, of course, to Cameron’s notorious airbrushed poster campaign. The abnormally clean image of the old Etonian presented on billboards everywhere to the entire nation, took the Tory drive for renewal to the laughable extreme. Dave was not wealthy and out of touch, merely handsome and approachable. As funny as the image and tactics themselves were however, it’s the snappy quoted message alongside his shiny face coming back to haunt the Prime Minister now.
I certainly do not pretend to even partially comprehend the reforms to the NHS this Conservative led government is proposing. Indeed the lack of understanding from its own ministers seems to be a large part of the problem. And it’s no secret the Conservatives have long planned a shake-up, fuelled by the steadfast belief of their long serving top dog on health, Andrew Lansley. However whilst the faults and flaws of the plans that are becoming clear are extremely important, in terms of political capital and strategy for Number 10, they are in many ways besides the point when it comes to that infamous election promise.
“I’ll cut the deficit-not the NHS” translated for voters to “This is a new kind of Tory party that treasures the NHS above all else. We will not mess with it anyway.” Cameron will argue his promise did not say he wouldn’t change the NHS and that it needs modernisation for the better. But he knew the implication of his promise and the votes it would win him. His protestations about the benefits of his reforms will therefore mean little to those his promise swayed.
It’s also especially hollow given that the Prime Minister has since watered down and diluted that concrete pledge, which formed the symbolic heart of his campaign, again and again and again. First it became merely a safeguard for frontline services and then promised improvements, like an increase in the number of midwives, were scaled back and ultimately scrapped altogether, with even plans to maintain current numbers reversed. Fears about privatisation which the reasonable man might have attributed to overzealous, sensational leftist press, are now emerging to have hard evidence behind them. 50,000 jobs are set to be cut. How exactly is this not cutting the NHS?
If the workers within the system themselves were in favour Cameron would have a much stronger argument. But countless GPs have written to newspapers, as well as other types of professional, warning against the changes as unnecessary and damaging. The Prime Minister continually insists that locals have the right to opt in our out, but what are those that oppose and don’t sign up to the scheme meant to do? Even in my quiet rural area GPs feel overworked and many local people distrust the vested interests of certain doctors. Is handing over the biggest budget in the country to them really a good idea and what people want? It’s doubtful if the new system will even be able to produce what the public need.
Another argument constantly wheeled out by the Tories is the pressing need for modernisation and reform, which make it necessary. There is nothing necessary about these plans though. Whilst the health service has its flaws, the current system leads to a mostly positive service. There are undoubted challenges in health care such as an ageing population and emerging drugs, which often seem insurmountable. Government proposals do not do enough to ease the burden and according to many that know, they actually complicate the fight. For a leadership so keen on cutting the deficit, you would think that such costly, ideological plans could wait for better times.
It would also do more good in the long run, and reduce the deficit substantially, to work out some realistic spending priorities centrally. Vital areas and treatments need to be protected nationally and things the NHS can’t afford to provide should be phased out. The private sector does have a role but it should grow independently of the NHS and take up the slack for treatments it shouldn’t be wasting resources on. Taxes and other initiatives should encourage healthier living. Devolving decisions to GPs is no magic pill, no silver bullet and it doesn’t even equip the NHS for the critical, worsening challenges it will face in the future. It would be a far more sensible decision for the government to begin a nationwide debate about what we expect, want and need from our NHS now. It would fit with the “new politics” of plural cooperation and potentially produce actual solutions.
Perhaps the main reason the government looks less likely to bow to pressure from the public on this issue is the Prime Minister’s ego and pride. He’s been happy to recognise the weaknesses of coalition and concede on issues like the forests and sport in schools. But the NHS plans are too inextricably linked to Cameron’s personal brainchild; the Big Society. Its philosophy of localism and choice in the community over centralised solutions marries nicely with Lansley’s ideas for health. The health reforms open the way for the sort of community cohesion and interaction, fuelled by voluntary, charity involvement, that Cameron wants to see. He genuinely believes it’s the path to a social recovery for Britain that’s sustainable and empowers government to do what it does best, as well as liberating people from the state. He’ll continue to be blind to all the irreversible wounds the “reforms” will inflict on the NHS itself and his popularity with the people as long as it remains tied to his vision. His recent attempt to re-launch the initiative demonstrates his huge commitment; it cannot afford to fail.
The real shame for the country and even the Conservative party, is that Cameron’s election pledge could have been a clever way of dumping a responsibility and challenge for maximum political gain. His implicit promise of not touching the NHS meant it could have been left as it was, a gargantuan issue for a future administration to tackle, ticking over just fine for the time being. There are after all, enough problems for the coalition to face. If this government had done mostly nothing on health, the public would have thanked them for it, the Conservatives especially. But Cameron is so determined to be radical and appear to be so, that he will press on, regardless of the consequences. It may prove to be the well meaning project that took his remodelling of the state too far.
Posted in Uncategorized
Tagged 000, 50, abroad, ageing, airbrushed, Andrew, arguments, BBC, Big, billboards, brainchild, Brown, Cameron, capital, care, central, challenge, Chancellor, Clegg, Coalition, Community, complaint, Conservatives, Cuts, David, debate, deficit, Dems, devolved, Doctor, ego, election, enough, Eric, far, faults, fifty, flaws, Foreign, front line, future, General, genuine, Gordon, GPs, health, hospitals, huge, ideological, implicit, important, improve, jobs, Labour, Landell, Lansley, letters, Lib, local, localism, marketting, Marr, midwives, minister, ministers, modernisation, Neil, NHS, Nick, not, Number 10, nurse, nurses, objections, Opposition, Osborne, parties, Party, pay, personal, Pickles, plans, pledge, PM, political, Politics, population, power, Prime, priorities, private, privatisation, professionals, project, promise, proposals, public, quote, radical, reform, Robinson, sector, service, shake-up, Show, Slogan, snappy, Society, spending, state, strategy, The Guardian, The Independent, The Mail, The Mirror, The Telegraph, The Times, thousand, Tories, Tory, treatment, tv, update, vision, voters, Westminster, win