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.
Students, Strategy and Style – Sunday Links
In today’s Observer Barbara Ellen gets the issue of the Coalition’s plans for tuition fees spot on. Firstly she rightly insists that for too long the student community, traditionally a proactive, revolutionary portion of society, has remained dormant on the issues of the day. Even before the programme of cuts now being initiated there were challenges like climate change that a youthful generation ought to be passionately highlighting en masse. Finally on Wednesday students will march through London and I will be among them. Those who dismiss the march as futile miss the point. If you cannot be idealistic and stand up for lost causes as a student then what hope is there for the rest of society? And as Ellen points out, the rest of society is about to feel hard-hitting cuts too. Crucially though she insists that the government strategy of portraying students as some sort of better off elite that should cut back with everyone else is misguided and wrong. Yes students may not feel the bite of recession as strongly as some more deserving groups of the poor and deprived, but this does not mean we should accept a deal that is still unfair to students and does not even fix any problems. The withdrawal of public funding for universities announced in the Spending Review means that the rise in fees will simply plug a gap and not secure the future high quality of British higher education. The Coaltion’s constantly repeated promise that greater help than before will now exist for the poor under the new system also misses the point and is simply a smoke screen. The wealthy politicians at the heart of Coalition policy cannot comprehend how fees and debts of £9,000 a year could put off a potential student. It’s also a harsh reality of such means tested funding for poorer students that some genuinely deserving talented scholars will miss out and others who do not need the money will find some way of benefitting. It also ignores the bulk of students from ordinary families who will be too well off to qualify for financial aid but nowhere near the sort of level where they can comfortably pay their own way. The heaps of additional stress alone added to the application process will deter sixth formers from applying. Ellen makes so many good points and destroys the coaltion argument as to why these proposals are necessary and fair. They neither do what is necessary or ensure fairness. Even the raising of the salary threshold, above which debts must be paid back, to £21,000, is not as progressive as the government would have us believe. This is still an average wage and aren’t graduates meant to lift themselves above average? Surely they should only start paying back when their education has delivered its promised benefits? Read her article, which expresses far better than I why students should march in outrage at the creation and protection of elites.
http://www.guardian.co.uk/commentisfree/2010/nov/07/tuition-fees-jon-snow-kate-middleton
A leading article in the Independent on Sunday points out the highly risky phrase “we’re all in this together” frequently deployed by the Prime Minister and his Chancellor. As the tuition fees situation and other cuts show, we simply aren’t all in this together. If cuts and taxes have been aimed at the rich, they have been balanced by other concessions to soften the blow. For example the bank levy is a token gesture when the savings the banks will make from a cut in corportation tax is considered. And as this article points out the Prime Minister must be more considerate in his decision making at a time when millions will feel the pinch as a result of his cuts. Paying a personal photographer is a luxury; the sort he has ranted against, an inefficiency that shows his detachment from the reality of most voters.
http://www.independent.co.uk/opinion/leading-articles/leading-article-tread-carefully-mr-cameron-2127297.html
Matthew d’Ancona also discusses Tory strategy in The Telegraph and insists that the failings of their plan at the last election highlight why those hoping for a right wing replication of the Tea Party activism gaining success in the States right now will be disappointed. He is spot on when he points out that Cameron’s popularity surge dissipated when the Tories switched tack to warning of the deficit and an age of auterity to come. At the time I viewed the sudden shit in rhetoric as a shameless u-turn, when in Opposition Cameron had often supported Labour’s actions to avert financial meltdown and had not mentioned the deficit before. In his attempts to distance himself from Labour and simply offer the change, any change, that the electorate so desperately wanted, Cameron moved his modern, detoxified Conservative party to the right and this may have cost him outright victory. There will be no repeat of the Tea Party here, not a credible one at least, and the Lib Dems ought to halt any drives to return to radical Thatcherism, or what is perceived to have been her legacy.
http://www.telegraph.co.uk/comment/columnists/matthewd_ancona/8114949/The-Tories-need-to-be-more-Michael-Palin-than-Sarah.html
My final link is a well written investigation into the resurgent popularity of the flat cap and its history over the years. I recently purchased one and I’m planning to team it with my scruffy beard for the student march on Wednesday. I’ll probably look more like the farming yokel than the celebrities seen sporting them though.
http://fashion.telegraph.co.uk/article/TMG8108321/If-you-want-to-get-ahead-get-a-flat-cap.html
Have a good Sunday, hope everyone has enjoyed the fireworks.
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