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.
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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.
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Not a dusty cave but a million dollar mansion. The intelligence has been meticulously gathered, the courier watched, followed and watched again. A highly trained team of professionals swoop in by helicopter and penetrate the hideout, at long last. Shots are fired and echo in the night; of course there is resistance. He won’t come quietly and perhaps they don’t want him to. After an intense fire fight, only deep silence reigns. The bullet battered body is bittersweet treasure. The hunt is over and the operation a success. No American casualties.
President Obama’s dramatic, triumphant but restrained announcement was long overdue. His predecessor had launched a largely misguided military mission across the world, with the objective to wage “war on terror”. Since the daring and devastating attacks of September 2001 though, the primary target has always been the apparent mastermind, Osama Bin Laden. There can be no doubt that his eventual death, and the American managed manner of it, will have widespread political ramifications. The significance of these, particularly in relation to the future threat of Al-Qaida, remain up for debate.
The first consequence commentators are quick to highlight is the boost to Obama’s presidency. Many are already saying that the deliverance of justice and his apparent personal involvement will prove the vital factor in tipping the balance of next year’s presidential election his way. Obama will already be the favourite and confident of securing a second term, mainly because of the meagre Republican candidates standing in his way. Sarah Palin’s ridiculous volatility makes her unelectable, whilst Donald Trump just seems ridiculous. The election will probably boil down to economic performance, as they always tend to do. But for independent voters and the more patriotically minded American, retribution for 9/11 could prove the difference between a Democrat and Republican vote. After all Bush failed to get real results and what would the new candidates offer, besides perhaps more foolhardy wars putting Americans in harm’s way?
The more globally contentious result of Bin Laden’s assassination, for that is what this was no matter how jubilant some people are, is what the future of Al-Qaida as an organisation will now be. Prime Ministers and heads of state are quick to urge “vigilance” and that the battle with extremism is not over. In a statement Tony Blair made this his key message in reaction to the news. Indeed security chiefs have even warned that the world should be on high alert and ready for a backlash; Al-Qaida will be invigorated to act soon through furious grief. But other experts are saying that apart from an initial anger driven response, we no longer have as much to fear from Al-Qaida. They are already a fading force and Bin Laden’s death is the final symbolic nail in their coffin.
Some articles are pointing to the peaceful dawn of the Arab Spring. Across the Middle East and North Africa, supposed Al-Qaida heartlands, revolutions are in full swing that are driven by peaceful protestors calling for democracy. Al-Qaida and indeed other extreme Islamists have failed to hijack the will of the masses in these revolts. If they cannot grasp the initiative and seize control in such turbulent times, what sort of a threat do they now pose? The evidence suggests their strength is severely diminished. Times are changing and this is a new decade of the 21st century.
I am no expert on Al-Qaida and it might be true that the evidence seems to suggest the organisation itself is growing weaker, despite Bin Laden’s encouragement of autonomous cells in numerous cities. I also listen to leaders using the word “vigilance” and can only think how hollow it sounds, how meaningless to the life of the ordinary citizen. I am inspired and awestruck by the historic peaceful stands in support of freedom being made in a growing number of Arab countries. But anyone can see that these peaceful protests are not the end of the story and they certainly don’t herald the end of extremism.
Extremism, by its nature, is pursued by ideologically brainwashed or ignorant individuals in the minority. This has always been a fact, always be known to the reasonable man, but occasionally obscured by reckless, inflammatory rhetoric and foolhardy foreign policy. The Arab Spring is driven by democracy because the majority of Arabs and Muslim share our desires, dreams and aspirations for rights. It’s not a new phenomenon, even if their sudden decision to act has created a shocking domino effect. The uprisings are a cause for immense hope and a huge step forward but they do not signal the end of extremism in these countries. And just because extremists are yet to influence the process, doesn’t mean that they won’t.
The ethical dilemmas of these conflicts and potential civil wars are already plain, illustrated best in Libya where we may or may not provide the rebels with weapons. History shows us what happened in Afghanistan where the people were armed against the Russians only to morph into the Taliban. It is difficult to know where and when the West should get involved for the best outcome. Why not Syria, right on the borders of Israel, when we’ve given support to those championing democracy in Libya?
For me the most worrying thing about the Arab Spring is what happens next, after the apparent victory and the departure of the news crews. If Gaddafi falls, hooray for Libya, but what takes his place? As rebellions ignite and swell everywhere, the outcome of the Egyptian rebellion, one of the most vital and influential countries to be gripped by trouble, is consigned to the past. Why are we not tracking the progress of democratic reform there, ensuring that something worse than a dictator cannot step into the vacuum? Why are we not helping the Egyptians achieve the democracy they covet and fought for?
Ok of course someone, somewhere is doing this job. People at the UN, in our own foreign office, are probably involved in the process. But the story of what happened next to Egypt and any other nation successful in overthrowing a long entrenched dictator is not being told in the news. And it should be. If leaders are serious about vigilance then that must be a part of it, keeping the spotlight on reform and not letting dangerous reactionaries creep in from the shadows. The public and the media should be aware of what’s going on and care beyond the drama and the headlines. I’m not saying Al-Qaida will revive in the thawing of the Arab Spring, but if we stop paying attention we can hardly complain when we find something or someone we don’t like with the reins to power and oil.
Bin Laden’s death is symbolic, perhaps as important as the Twin Towers bleeding smoke, and as Hilary Clinton said today, a time for renewed optimism and hope. It is not a time for barbaric and inflammatory jubilation, but for justice, relief and remembrance. And of course we must keep up that so called “vigilance”. Ordinary folk like us can do something more than being unnaturally wary in public places by keeping up the pressure on our media to show us the ongoing ends to their stories, not just the thrilling battlegrounds and premature triumphs.
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I’ve never been a library lover. I’ve never taken to sitting there, in some dusty corner of my local archive of books, losing myself not just to the act of reading but the musty, hushed atmosphere of the place itself. I don’t depend on libraries for my books. I haven’t been to one in years.
When it was announced that libraries across the country would be closed down, I was frankly unmoved and more concerned about prioritising the threats of more devastating cuts to public services and investment. Reading will not end without libraries. In many ways they are outdated and unappealing. The future of reading, writing and knowledge lies elsewhere.
But recently I’ve been thinking about the issue again. And it’s certainly wrong that the Coalition are getting away with the quiet removal of libraries and other amenities, just because they happen to be less important than other areas in danger of being swallowed by the avalanche of cuts. The government is constantly striving to be radical, often for no practical reason. In all their years of opposition our current leaders appear to have built up such extreme levels of restless energy that they desire to drastically change everything, regardless of its merits. Some things are less broken than others; they should stop wasting time and money by meddling in too many areas.
I’m not saying libraries do not require government attention. Part of my attitude to them is down to the problems of the system. However they are also something that democratic, educated, developed nations, ought to be preserving rather than eradicating.
As I’ve said, my view of libraries is largely passionless. But once, reading both the novel Fahrenheit 451 and an explanatory introduction from its author, Ray Bradbury, I was entranced by the power, mystique and heritage of the institution that is the library. Across the world they have been the foundations of our knowledge, the records of our history, for centuries, if not millennia. Particularly in modern Britain they are vital bastions of cultural identity and heritage; a heritage the government is unthinkingly decimating with its deficit hacking cuts. Most of the cultural organisations hit by the government’s spending plans require little funding but produce massively disproportionate benefits. The case for the pluses of cutting them is wafer thin.
I began by stating that I had never been a library lover. This isn’t 100% true. As a boy, my attachment to reading began with the free books of the local library. Back then I discovered that an hour is better spent with a book than a games console, and that hour would be unbeatably absorbing. I only read trashy children’s and teen fiction, detective stories like the Hardy boys for example, but gazing around at the shelves it was then I knew that the written word and the ability to devour them was the gateway to entire worlds and experiences and information.
I still didn’t like reading in the library itself, an unattractive mid 20th century building, but I liked taking the books home. I liked that it was free and always remembered that reading needn’t be expensive from then on. I liked learning how to interact with the librarian and make my choice. It taught me more than just the importance of reading. Of course then I didn’t realise how meagre and disappointing the choice at my local library really was. That’s the main reason I abandoned it at quite a young age, and the same factor behind me shunning my school library as a source of information and a place of work throughout my school years.
I still think that only the most wonderfully impressive libraries retain a magical air; provide the sort of feeling I got for them reading Fahrenheit 451. Great historical libraries with their own stories and vast collections are beautiful, captivating buildings. Even an ordinary academic library, when devoted to your favourite subject, can be inspiring. Whilst regular local libraries lack the architectural magnificence and legacy, they remain vital lifelines, if only for a handful in the community.
David Cameron’s Big Society, “DIY” and “help yourself get on in life” message, is in many ways perfectly encapsulated by the library. And yet he cuts them. He removes hundreds of local centres for people looking to educate themselves, for children encouraged into reading and away from useless, sometimes harmful diversion. Instead of getting rid of libraries he should be increasing access to them and strengthening the ones that are already there; with wider stock and more attractive, better designed spaces. The Prime Minister’s political party no longer seem worthy of the name “Conservative” but the changes they propose are hardly for the better. I’ve made it pretty clear here that libraries have not been integral to my reading life for a long time. But it seems to me that the Big Society, if it is a real concept at all, would depend on community assets like the library for cohesiveness and development.
Obviously I don’t think we’re heading for quite the apocalyptic decline in information and knowledge vividly rendered in Fahrenheit 451. But Bradbury’s work highlighted that reading and access to learning can be a right as much as health care can be in civilized, fair society. And with the decline of independent bookstores and even Waterstones, libraries could have remained an inexpensive safeguard and positive starting point for the young. In a way the cuts have rallied some communities around their local library. But most will simply fade away, like so much else to be cut under this government. I feel part of a generation that is less widely read than any before it at times. So for me, for nostalgia’s sake at least, the loss of libraries is a grave mistake and a regrettable shame. They should not be allowed to die enveloped by the silence demanded within their walls; a nationwide, noisy debate about the future of reading should begin.
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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.
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