The dilemma of charities
...belief in restoring people to 'self-respect and self-support' has led compassionate conservatives to reject the de-humanising 'feed-and-forget' philosophy that has come to characterises the welfare state's attitude to its dependent clients. Compassionate conservatives want to see 'help-to-change' charities becoming an increasing feature of society's response to poverty.
Compassionate conservatives are then faced with something of a dilemma.
They want 'help-to-change' charities to receive more resources but they fear that they will lose their salty distinctiveness if they become too close to government. The most dynamic charities have always feared becoming dependent on a funding stream that is controlled by a bureaucracy. Experience teaches that the money may come with few strings in the first year but by years three, four and five, the conditions have begun to re-shape the charity's original mission. Catholic Chareities USA is held up as an example of a religious charity that has become little more than a 'government programme wearing a clerical collar'.
This is from Whatever happened to compassionate conservatism? by Tim Montgomerie, published by the Centre for Social Justice.
The corruption of charities by the state is something that has happened in a big way in Britain. The state originally was going to fund church schools but leave them pretty independent. That independence has since been so thoroughly eroded that there is not much left. Charitable hospitals were simply expropriated by the state in 1948. The King's Fund was meant to fund charitable hospitals. But after the charitable hospitals were taken over by the state, the King's Fund became a think-tank for the NHS. It receives government funding and generally takes a pro-NHS line. An organisation that was meant to fund charitable hospitals, now does not do so. I know of no reason why it should not, even now, help to establish and then support charitable hospitals.
Tim Montgomerie edits his own website now called conservativehome.com.
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Posted by James Bartholomew • Indexed in General • NHS • Welfare benefits
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'A life of service is a life of significance'
Who said this:
I leave you with this challenge: serve a neighbour in need, because a life of service is a life of significance. Because materialism ultimately is boring, and consumerism can build a prison of wants. Because a person who is not responsible for others is a person who is truly alone. Because there are few better ways to express our love for America than to care for other Americans. And because the same God who endows us with individual rights also calls us to social obligations.
Was it Martin Luther King? Or Lyndon Johnson? No, it was
George Bush in a speech to students at Notre Dame University in 2001. The passage is quoted admiringly in Tim Montgomerie's pamphlet Whatever happened to compassionate conservatism? published by the Centre for Social Justice. It is an interesting read for anyone concerned with public policy on welfare and other related matters.
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Visit to Miami
I will be flying to Florida today to give a short talk at a conference in Miami organised by the Heritage Foundation. I will be on a panel alongside Jason Turner, a man who has been there and done it - he reformed welfare benefits in Wisconsin and then was hired by Rudolph Giuliani to do the same in New York.
On Monday, I will be visiting the Mercy Hospital in Miami - a 483 bed Catholic hospital which offers subsidised and sometimes free treatment to the poor. This is the section of the hospital's website dealing with this aspect of its activities.
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Ruth Kelly's weasel words on reduced social mobility for the poor
State education was meant to improve the chances of the poor, but a here">new report suggests it is failing.
Among boys born in the poorest quarter of families in 1970, 38 per cent remained in the same bottom quarter of earners when they grew up. That is worse than boys born twelve years before, in 1958. Only 31 per cent of such children did not manage to go on and better themselves. It is an extraordinary indictment of 60 years and more of state control.
A system that was intended to give the poor an opportunity to rise in the world seems, instead, to be keeping them down.
Ruth Kelly, the Education Secretary, yesterday admitted there had been problems and said it was for "many reasons" - a weaselly response if ever there was one. She claimed the main reason was the expansion of higher education which had disproportionately benefited the middle classes. That could be a very small part of it. But far more fundamental is the fact that the poor are not being equipped by the state system to get into top universities in the first place.
Ruth Kelly argued that it was nothing to do with the grammar schools. Is that right?
Let's recall what has been done to grammar schools. In the 1960s, Tony Crosland, the then Education Secretary, famously - and obscenely - declared, "If it's the last thing I do, I'm going to destroy every f****** grammar school in England and Wales and Northern Ireland."
The grammar schools were founded well before the state took over British education. Most were created in the 19th century and before. Rich people endowed them with land and money to subsidise the education of poor children.
Then the state took control of most grammar - and religious - schools. For a long time, they held onto the standards of behaviour and academic excellence which they had developed over decades and centuries. They continued to do well for their children.
My uncle, now retired, came from a family of modest means. He attended one and went on to Oxford University and a top job in the civil service. A friend went to a grammar school and then to Cambridge and a fortune in investment management. Grammar schools were often more academically intense than private schools.
But three things happened. First, successive Labour governments, led by Tony Crosland, closed down as many grammar schools as they could. Second, their independence - and the independence of the religious schools too - was gradually undermined by governments of both colours. And third, because there were fewer top schools within the state system, the middle and upper classes struggled ever more determinedly to get their children into them. As a result, the poor got squeezed out.
Tony Blair, for example, found a way to get his boys into the London Oratory - one of the best state schools in London. At the London Oratory in 2002, nine of ten children got five or more good GCSE grades. Nearby, meanwhile, at another state school called Phoenix High, barely more than a fifth of the children managed the same. And who went there? The poor, including 18 per cent asylum-seekers.
Richer people move houses to get in the catchment areas of better schools. A house within the catchment area of a good primary school can cost as much as a third more than a similar home in the next street. Richer people have their children tutored to get into the grammar schools. The system is now manipulated for the benefit of the better off, leaving the poor with the 'bog-standard comprehensives", as Alastair Campbell, the Labour party spin-doctor once called them. It is not surprising, therefore, that among the lowest socio-economic group, a mere 1.7 per cent go on to receive a full university degree - a twentieth of the proportion among the top group.
It is an enormous contrast with what happened to one boy, brought up by his uncle, a cobbler, in a remote part of North-West Wales. While at his local school, he read Thomas Macaulay's History of England, Edward Gibbon's Decline and Fall of the Roman Empire and classic fiction including novels by Charles Dickens and Victor Hugo. He learned Latin and knew his bible so well that he was able to quote from it at will for the rest of this life. He became a successful lawyer and eventually Prime Minister. David Lloyd George went to a Church of England school before such schools were controlled by the state. What chance would a boy in such circumstances now have of achieving the same? Precious little. The average standard of schooling has deteriorated.
The best result would be achieved by a return to the independent system of the late 19th and early 20th centuries. For those who think that is 'politically impossible', there is another alternative. The recent report says that the opportunities for the poor in Britain are worse than in certain Nordic countries including Sweden and Denmark. These have less monolithic state education structures than we do. In Denmark, parents can take the money provided by the state and use it to send their children to independent schools. They can even start up new, independent schools. Parents, including the poor, have real choice.
Sweden, in 1992, allowed parents to take 85 per cent of the cost of state schooling and spend it at any kind of school they like. Grades have improved significantly.
We need to face the fact that our state education system is failing the poor. It is only through radical change in the structure that we will enable the poor of the future to have a better chance of success.
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Posted by James Bartholomew • Indexed in Education
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Why nurses leave the NHS
Why Joy Harper, a senior orthopaedic nurse, left the NHS last year:
The moment I knew I had to leave the NHS came when I spoke to a very dignified old man who had spent three days lying in a bed with a fractured hip. He was a war veteran in his 80s and his operation had been cancelled twice. He'd been lying there quietly, getting some pain relief, but otherwise unnoticed by the rest of the medical staff because they were too busy tryng to cope with the rest of the ward.
I was taking his temperature when he turned to me and said quietly, uncomplainingly: "I had been wanted to go to my veterans' day in Arnhem, but I suppose I will miss that now."
Something inside me snapped and I knew I couldn't carry on working in a system that was no longer helping such a man. The war vereran waited so long for his hip op' that he contracted a chest infection which turned into pneumonia.
He recovered and eventually had the operation.
I went into nursing to help people, but I ended up having to wake a senile old woman with cancer at 11pm to make her move wards because her bed was needed....
I routinely saw operations cancelled, people left on trolleys instead of beds and people who had been waiting over a year for an operation being told there was no room on the theatre list. A lot of cancellations were coverd up by managers, because they wouldn't have hit government targets.
This is from page 38 of the Daily Mail today, alongside the stories of three other nurse who have left the NHS.
One of them, Jodie Gange, 23, has resigned as a junior staff nurse at St Thomas's Hospital, London.
She says:
I wouldn't mind if the job itself was rewarding, but it's not. Basic nursing, which I was trained to do, is being squeezed out by bureaucracy. At the end of each shift, I have to write out a nursing evaluation and patient assessment forms. That can take up to three hours of the shift. It seems as if we have to write down everything we ever do to cover our backs, just in case someone makes a complaint.
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State schools damage the poor
If you were born in 1958 into a family in the bottom quarter of income earners then you had a 17 per cent chance of getting into the top quarter of income earners by the age of 30.
If you were born in 1970, that chance had declined to 11 per cent.
Peter Lampl, quoted in The Sun today.
Research by the Centre for Economic Performance is reported in many newspapers today. But this is the point at its most succinct.
State education was created to give children equal opportunity. Some even believed it would eliminate entirely the advantage of those who come from richer and better educated families. In fact it has done the very opposite. It has reduced the chances of the poorest to advance themselves. They have, instead, been condemned to the worst of the state schools where they have a very small chance indeed of getting an education that will give them the skills and the ambition to get to the top.
State education for the poor is now so inadequate and, in many cases, positively damaging, that probably the fastest growing trend in education today is for poor people to pay for private - usually faith-based - schooling.
The link to the report is here.
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Tax the workers!
The 'quality' papers failed to mention the following in their coverage of the Institute for Fiscal Studies report last week. However the Daily Mail and the Daily Express did. This is the relevant passage from the Express's coverage:
LABOUR has penalised parents who work hard to give their children a good start in life while handing huge subsidies to families where nobody bothers to get a job.
The findings shatter Tony Blair's claims that he is on the side of "hard-working families" and blew a hole in his re-election strategy.
Research by the independent Institute for Fiscal Studies found Labour's tax and benefit changes have boosted the income of a typical unemployed couple with children by around £2,500 a year.
But a working couple with children are around £750 a year worse off because soaring national insurance and other stealth taxes have wiped out the benefit they get from the child tax credit.
If this is true, it is important. I can well believe that the working couple with children has been hurt by Labour policies. But I am more surprised by the idea that benefits for the non-working couple have significantly increased. This needs further examination.
(I am grateful to Corin Taylor of the think tank, Reform, for supplying this cutting.)
Posted by James Bartholomew • Indexed in Welfare benefits
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The rising public-sector-worker national debt
According to Stephen Yeo, an actuary at Watson Wyatt, the bill taxpayers will have to pay for the final salary pensions of the five million public sector workers has risen dramatically in the last two years from £425 billion to £700 billion. That is nearly twice the size of the national debt, yet you will not find it in the Treasury's accounts.
From an article by George Trefgarne in the Daily Telegraph.
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'The NHS has meant 50 years of waiting lists', Labour.
Here is a Labour health minister, Lord Warner, discussing the record of the National Health Service: "We have had 50 years of very, very long waiting lists."
It is a curious thing that such an admission is made about the NHS by a member of the Labour Party which, simultaneously, is trying to argue that:
a) the Conservative Party is trying to destroy the NHS and,
b) this would be awful.
The reason he was willing to make his criticisms of the NHS was that he was trying to justify to British orthopaedic surgeons the Government's drive towards contracting out operations - mainly hip and knee replacements - to Independent Treatment Centres (reported in the Daily Telegraph today).
Immediately after his remark on "very, very long" waiting lists for the past 50 years, he said, "...we are talking about a Government that does not accept that. I realise that may be uncomfortable to people who have grown to love waiting lists."
Some the assembled surgeons booed and hissed. That was probably because of the apparent implication that these surgeons actually wanted people to wait and suffer on the lists in order for the richer and more desperate among them to pay the surgeons for private operations instead. In other words, Lord Warner may have been portraying the surgeons as greedy people unconcerned with the speedy curing of ill people. (Those among the surgeons even more wedded to the old NHS model than the Labour minister might have also been angered by the idea of undermining it by contracting-out operations. Some of them certainly also have believed that the contracting-out operations does not serve patients well.)
The sight of a Labour minister insulting doctors is a bit of a change from 1943, when the Labour Party produced its original pamphlet calling for a National Service for Health. The pamphlet is generally flattering to doctors and included these words: "The Voluntary Hospitals have rendered great service, and have been maintained by devoted effort, much of it unpaid."
But even then, there was a subtle sneer at the motives and backgrounds of doctors soon after: "Much of the medical work in these hospitals is done by "honorary staff" who receive no monetary payment, but who may thus gain prestige and reputation: generally it is those who can afford to take this road who find their way to Harley Street and to highly-paid consultant practices."
Not the use of the words "may" and "generally" to cover over the fact that this assertion (that the top doctors were greedy toffs) was far from universally true. Note, too, the way in which the pamphlet entirely glossed over the fact that through this system, poor people were seen by the best doctors in the world at no charge - and, of course, without the long waiting which the Labour minister now, 50 years later, admits.
And note, too, the way that it is suggested that an advantage through family wealth and education is wrong and that seeking to be well-paid is wrong. We have since seen dynasties of Labour politicians - the Benns and the Morrisons (Peter Mandelson is the grandson of Herbert Morrison). Mandelson is also someone who has become rich out of his politics, being handed a high-paying job at the European Commission by his friend and patron Tony Blair, who himself has been the recipient of many free, luxurious holidays and can expect a huge income from speaking engagements and his auto-biography. If family advantage and seeking financial gain is evil, what does that make the modern Labour Party?
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Mr Brown taxes the poor (another angle)
How much have the poor been taxed under Gordon Brown (see also posting below)? He portrays himself as a great friend to the poor and has created complicated tax credits to help them. How big has that help been?
I have just been directed to some figures published by Reform which were based on the Government's publication, Economic Trends.
In 1997/98, those people in the bottom income quintile had a very susbstantial 39.2 per cent of their income removed in tax. But after five years of the generosity of Mr Brown, in 2002/03, how much was removed? 39.0 per cent. So the poorest gained 0.2 per cent of their incomes. That was less than the average gain of the other four quintiles.
The figures include National Insurance but not, I believe, the taxation of dividends within pension funds. In any case, the figures suggest that Mr Brown's self-praise over his treatment of the poor is much exaggerated.
It also suggests that the bulk of his tax-raising has been focused elsewhere.
How, one might wonder, does he manage to extract such a large proportion of the incomes of the poor? Through indirect taxation -VAT, duties on cigarettes, alcohol, petrol and so on. These are taxes which the Labour Party used to decry as 'regressive' because they take up a higher proportion of the incomes of the poor than the rich. But now that Mr Brown relies on these 'regressive' taxes to remove income from the poor, the Labour Party seems to find nothing objectionable about them at all.
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Mr Brown taxes more of the poor
An extra half million people will be liable to income tax as a result of Mr Brown's budget last month (according to Revenue and Customs estimates reported in the Daily Mail). That is because, as usual, Mr Brown did not increase the tax-free personal allowance with earnings.
During his time in office, the numbers liable to income tax will have jumped by 4.7 million. In the final year of the Tories, 25.7 million were liable to income tax. Next year, 30.5 million are expected to be liable according to the government.
Mr Brown talks about the poor and talks up his tax credits. It is true that many of the people who are liable to income tax will claim tax credits, but not all - either because they are not entitled to them or they fail to claim them. It is simple fact that Mr Brown has made millions more poor people liable to income tax.
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Understanding the language of the election
Each election has its own language. After being away at the beginning, it is taking time for me to pick it up, but here is what some oft-repeated phrases seem to mean:
This is an appalling example of naked opportunism.
What a good idea, I wish we'd thought of it
(Spoken by Mr Blair.)Gordon Brown is the greatest chancellor of the past century.
Alan Milburn was a terrible campaign manager.
It is sickening to see Michael Howard playing the race card.
How many votes do you think I will pick up by saying this?
The NHS is not safe in Tory hands.
The Government increasingly pays for private hospital treatment and that is fine, but if the Conservatives help individuals to go private, they are destroying the fundamental principles of the NHS.
(Spoken by TV reporter.)The trouble with the Conservatives going on about immigration is that they may be perceived as a one-issue party.
At least I hope they will be, as long as I keep on asking about nothing else.
Apropos of which, I liked the comment of Danny Finkelstein on Newsnight earlier this week when he said something along the lines of, "In my experience, when Michael Howard holds a press conference he gets 12 questions on immigration and the thirteenth one is 'why do you keep going on about immigration?'"
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More manipulation of hospital waiting times
More evidence that the Government four-hour waiting time limit target for dealing with accident and emergency patients is manipulated as well as - or perhaps instead of - motivating hospitals to look after urgent cases within that generous time-frame:
Researchers from Sheffield University found, however, that one patient in eight is moved out of emergency departments in the 20 minutes before the four-hour deadline expires. While most emergency departments achieve their targets, it is increasingly claimed that patients are being admitted to wards inappropriately as a result.
Elderly people and mentally ill people were particularly vulnerable to the long wait and last-minute admission, one recent report said. The Sheffield researchers detected a flurry of activity in the last 20 minutes before the deadline is reached with "most impact on older patients and those being admitted to hospital".
Dr Suzanne Mason, a clinical senior lecturer in emergency admission, measured the treatment of more than 400,000 patients. "We found that with patients who were admitted and discharged there is a sudden leap in the number dealt with between 220 and 240 minutes.
Further on:
She added: "This study certainly raises a number of questions about how time targets contribute to the quality of patient care."
It also 'raises questions' about discrimination against the elderly and the mentally ill in the NHS. (The subjection of discrimination against the elderly is discussed in chapter 3 of The Welfare State We're In.)
The full article cited above is the Daily Telegraph.
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The growth of school choice in the USA
The Heritage Foundation in the USA has a new website covering 'school choice' - that is how parents in different states are able to make choices in schooling, whether in private or public (local government) schools.
The Foundation asserts that school choice is a growing trend in America.
Home schooling is an example of 'school choice' and has grown very dramatically:
Home schooling is the practice of schooling students at home by parents or guardians. Home schooling is the fastest growing form of school choice. From 1994–2003, the number of home-schooled students rose from 345,000 to 1,100,000.
Charter Schools did not exist at all prior to the 1990s:
Since Minnesota enacted the first charter school law in 1991, over 3,000 independent public schools of choice have opened their doors. A charter school is a public school sponsored by a local school board, university, state board of education, or other state governing body and operated by groups of parents, teachers, other individuals, or private organizations. Charter schools are granted more autonomy than district-run public schools and are held accountable for student performance. Because of the flexibility granted to them, charter schools may differentiate themselves by employing a curriculum that is different from the district’s, having a thematic approach, instituting a longer school day, requiring parental involvement, or using innovative technology. Like other public schools, charter schools are open to all students and are funded through tax receipts.
I was surprised to read that 11 per cent of American school children go to private schools:
According to U.S. Department of Education statistics, 11 percent of students are enrolled in private schools.
The source for this is a here but I have not found the precise reference in the document to check that the figure is not at all misleading. I had previously been told that Americans did not bother with private education except at university.
At any rate, it does seem as though school choice is a growing phenomenon in the USA. It would be good to understand it more fully mand discover, in Britain, what is the extent of the growth of fee-paying faith schools and of home-schooling.
These are examples of people fleeing the unsatisfactory welfare state delivery of services.
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Posted by James Bartholomew • Indexed in Education
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The coming hike in National Insurance that is deliberately omitted from Labour's election manifesto
As Gordon Brown has remarked, it is impossible to believe a word that Mr Blair says. He is going into this election with the knowledge that he will raise National Insurance, or other taxes, afterwards. But he won't admit it.
This is from the BBC online coverage of tonight's interview with Mr Blair by Jeremy Paxman:
...he was not about to confess to having misled voters about his intentions on taxation at the last election.
Four years ago, in a similar interview, he had rejected Mr Paxman's suggestion that it was clear from all he had said that he would raise National Insurance contributions if he was re-elected. (Which is what happened. JB)
There is another well-rehearsed answer to this one - he was only led to increase NICs after a post-election report indicated such levels of extra spending were necessary for the health service. (Surely nobody believes that.JB)
So couldn't he do the same again, if he wins a third time, when, for example, the Turner report into the pensions black hole is delivered.
He was not about to be drawn into mapping out budgets at this point, he declared.
Posted by James Bartholomew • Indexed in Politics • Tax and growth
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The day in the year on which you stop paying tax
From the Adam Smith Institute
TAX FREEDOM DAY HAS COME. Well, at least in the United States, where it occurred last week. Thanks to the Bush tax cuts, Tax Freedom Day this year was 18 days earlier than it was in 2000, under Clinton.
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Getting around the failures of state education
Over time, people will try to find ways to get round the poor and mis-directed delivery of services by the welfare state.
In education, since many schools are ineffective in their teaching, a large minority of parents now resorts to private tuition.
Since some schools are now places to be apprenticed in crime-craft, a small but fast-growing number of people - including those who are poor and thus condemned to the worst state schools - are moving their children to low-cost, fee-paying schools. These are often religion-based and teach good behaviour.
I wonder if the news that part-time further education has dramatically grown is another example?
This is from Guardian Online:
The number of part-time undergraduate students leapt by more than 80% last year, according to the first official figures detailing who went to university in 2003.
Numbers of part-time students increased from 13.1% of all undergraduates in 2002 to 23.2% in 2003, today's figures reveal.
In total, there were 188,360 part-timers studying for first degrees in 2003 compared with just 103,545 in 2002.
and again,
Today's figures show that 41.7% of all students in higher education now study part-time. And, while the number doing postgraduate courses has remained static at 31.2%, the bulk of those studying on a part-time basis are working to secure programmes for sub-degree courses, such as foundation degrees and higher national diplomas.
Part-time students are more likely to be women (62.4%) and are expected to be aged 30-plus (71.1%).
Previous studies have shown that more than half of part-time students chose to study that way so they can continue their careers, or advance their career prospects.
It could be that the sudden growth in part-time courses is a response to tuition fees. However, part-time further education was clearly a major part of further education even before that.
It seems that people who either never had further education, or else had what was prescribed by the Government and found it did not achieve what they wanted, now increasingly use education for something that they do really want: getting a better job. They may well be finding that when they choose the course themselves with a specific purpose in mind, that they get more out of it.
They are therefore, it seems, more willing to pay:
Part-time students' fees are already deregulated
This phenomenon, incidentally, of people fending for themselves and being prepared to make sacrifices for what they really want, suggests part of the answer to the paradox noted in a previous posting: that now the government controls the training and employment of doctors, there is a shortage, yet when doctors had to finance their own training (aided to some extent by donations) and they were employed by charitable and other hospitals, there was no shortage.
(The Guardian article, of course, is phrased in terms of how universities want more government subsidies but that could well damage the flexibility and quality of the courses and the commitment of the students.)
Wrap up extended reading.
Posted by James Bartholomew • Indexed in Education • NHS
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Six months wait for an MRI scan
According to research by Paul Burstow, the Liberal Democrat health spokesman,
- Patients are waiting for MRI scans for six months or more in 40 per cent of NHS trusts.
- Patients are waiting for CT scans for four months or more in almost a third of NHS trusts
- Patients are waiting for endoscopic investigations for six months or longer in over a quarter of NHS trusts.
This waiting for diagnostic tests is one of the reasons why the government's boasts about reduced waiting lists are wholly misleading.
The wait that people have between being seen by a GP and getting a diagnostic test is not included in the official figures. As Mr Burstow explains:
The government's waiting list figures neglect a major part of the patient journey - the time in between referral from a family doctor and diagnosis. The government's waiting times figures are calculated only, in terms of inpatient waitis, from the time a decision is taken to admit a patient to hospitals to the date the patient is admitted for treatment
.
This hidden waiting is just as dangerous to a patient's well-being and, indeed, life, as any other waiting that causes a delay in appropriate treatment. MRI and CT scans are used in the investigation of serious and life-threatening conditions such as cancer and heart disease. Inevitably there will be people suffering and dying because of these waits.
A fortune in extra money has been spent on the NHS over the past few years. The service it provides should now, if the NHS is a good model, should be up to international standards. The government boasts that the waiting lists have been reduced and that more doctors and nurses have been recruited. Most of the media is happy to accept the story.
It would be surprising if there had not been some improvement at least. But the money has been directed at the measures of performance which have become politically sensitive. Important areas of performance, as far as patients arem concerned, have received less money. Their performance is still very bad by international standards.
Mr Burstow's paper is here.
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Democracy - not much good at dealing seriously with serious matters
Democracy is a lousy system of government. It is just not as lousy as other systems. Here is Mike Baker, the BBC education journalist, pondering how it is that important issues in education are not being covered in the current election.
...general election news conferences are curious animals, much removed from ordinary journalism, not least because they are a televised showcase not only for the politicians but also for the star political journalists.
Sound-bite quality
It is almost as if they run to a pre-prepared script. The first question always goes to the political editors of either the BBC or ITV. Then it is the turn of their counterparts on Sky News, Channel Four News or Five News.
They ask good, tough questions - although sometimes the question is as much honed for its sound-bite quality as the answers are - but it is a badge of journalistic independence that they almost always ask about an agenda which is quite different to the theme of the news conference.
Of course, there are usually specialist journalists (education, health, or home affairs correspondents) at these events too. But they rarely get a look in as they are not regulars in this Westminster circus.
Indeed the specialist correspondents sometimes feel they are intruding on a private show. A specialist question, seeking clarification on policy, often brings a collective sigh of annoyance from the political journalists who, perhaps, see it as playing into the hands of the politicians.
In case this is sounding sanctimonious, let me add that I was certainly guilty of the same sort of thing
The trouble is that these daily news conference have become theatre. A gaffe here, a momentary loss of memory there, and that becomes the "story".
That is fair enough, up to a point, but the whole event often becomes little more than a jousting match between political correspondents and politicians.
In case this is sounding sanctimonious, let me add that I was certainly guilty of the same sort of thing when I was a political correspondent.
The truth is that Westminster-based correspondents do not know the ins and outs of policy in areas as diverse as education, health, and welfare. But tax and spend, and political personalities, are their bread and butter.
Clear choices
The only way issues such as health or education ever get to dominate these events is when there is the emotional appeal of a dramatic case study - a child denied an operation, a patient left on a trolley in a hospital corridor, or a parent facing the closure of their child's special school.
Yet surely issues such as classroom discipline, class sizes, and tuition fees are very important to many voters? There are clear choices on offer between the parties on each of these, and other, education issues.
Of course, voters can read the manifestos themselves. But the role of the media is not just to try to trip up weary or unprepared politicians but also to explain, compare and contrast policy issues.
One of the worst aspects of journalism is the pack mentality - it is safer to hunt together than to rove independently. If the big beasts of the journalistic jungle are going on one issue, others will follow.
And even the big beasts must feel constrained. They usually only get one question at these events (although they are usually canny enough to say "my question is in two parts...").
So, while they might like to test out the details of the class size policy, they dare not miss their one chance to try to wrong-foot the politicians on an issue that has cropped up elsewhere.
Many commentators are concerned by the public's lack of interest in the election campaign
I fear, and I speak as a television journalist, that this problem is largely the consequence of the daily news conferences being broadcast live on 24-hour news media. Journalists like to get their questions on the air almost as much as they want to hear the answers.
Indeed one or two political journalists, not necessarily broadcasters, produce long-winded statements as preambles to their questions. It is almost as if they are standing for election, not the politicians.
They are often witty, and occasionally they land a metaphorical punch on the politicians, but - call me old-fashioned - I thought the point of news conferences was for journalists to ask questions about the issues being presented to them, not to inject their comments into a memorable sound-bite question.
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Posted by James Bartholomew • Indexed in Education • Politics
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One of the ways the NHS wastes money
The star rating system for hospitals is being phased out. It has been a flop but that does not mean that money has stopped being spent on it. It also does not mean that money will cease to be wasted (often actually doing harm, in addition to the waste of money).
This from BBC Online:
"Star-ratings have had their day," said Michael Dixon, of NHS Alliance. "This year we will have star ratings without them being taking too seriously."
However the Healthcare Commission said the ratings were still relevant.
The last star-ratings will be published during the summer, but experts have said they will not be taken seriously because of the changes.
Star ratings, only introduced in 2001, have been overhauled after complaints they were too onerous and target-driven.
All 572 trusts faced three-yearly inspections, costing £150,000 a go.
Posted by James Bartholomew • Indexed in NHS • Waste in public services
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A Picker Institute report on the NHS
The government commissioned the Picker Institute to do a study of patient perceptions of the NHS. The report on this in BBC Online paints an improving picture. However there are two important things than are not in the BBC report - and perhaps were not in the Picker report either and perhaps were not in the Picker report because the government did not particularly want such things mentioned.
First, there is no mention of the Picker Institute having made - at the same time and in the same way - investigations of perceptions in other countries. In the chapter on the NHS in The Welfare State We're In, I describe some patient perception reports - including at least one by Picker - in which the same questions were asked in different countries. From this it became obvious that the British experience was seriously inferior to that of patients in other countries.
Second, patient perceptions should be used very cautiously when judging a health-care system. If a patient is asked, "did you get good care in hospital" they bring to the answer all sorts of assumptions. An American going to a hospital who was put in a ward with 25 other people might be appalled and answer "no". A Briton might take the large numbers for granted and answer "yes".
So assumptions about what level of care can reasonably be expected can strongly affect the result. Also, patients often do not really know whether they are getting good care. They often don't know what drugs, treatment, advice or operations they should be offered. So they don't know when they are not getting them. In view of these factors, the most valuable parts of these patient surveys are the ones in which a patient is asked more precise questions like "Did the doctor give you full advice about what you should do at home to minimise the chances of your medical problem recurring?". A further degree more reliable are factual questions like, "How soon after you first contacted the medical services, did you see a specialist?"
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How much for removing moles in Malta?
I have been on holiday in Malta for the past ten days and while here I have done a bit of medical tourism. I have had three moles removed.
My initial consultation was directly with the surgeon (no need to pass through the 'gateway' of a General Practitioner). Then, a few days later, I had an appointment to have the moles removed. The operation took place in a full-scale operating theatre which is sometimes used for much more serious orthopaedic operations. It had a large air control system with 'walls' of perspex descending a few feet from the ceiling. The system drew out air and blew in clean air. This is to reduce the risk of infection. It was not necessary for my minor operation. From memory the manufacturer's name was Howorth or something similar.
The local anaesthetics and the cutting and stitching must have taken about 20 minutes to half an hour.
What was the price?
The initial consultation cost Maltese pounds 15 (equivalent to about £24) and the operation, including both consultant's time and the use of the hospital, was Maltese pounds 100 (equivalent to about £160). Total overall cost, £184.
I wonder how much it would have been in Britain or elsewhere?
Incidentally, in some other respects, Britain and Malta are similar. Malta, too, has a kind of National Health Service. Despite this free medical service, private, paid-for care is thriving and appears to be growing in size? One hospital and clinic group, St James, has grown to the point where it operates from five different locations on these small islands.Why?
I asked a relative of mine who lives in Malta. He told me that he was told by his doctor that he was gong to need a lens for his eye. The doctor said he had better put my relative on the waiting list straight away because it was three and a half years' long.
Of course, if my relative was willing to pay, the lens could be supplied as soon as he liked.
Another reason is the usual incompetence and waste that take place when the state runs healthcare: a large new replacement hospital is being built in Malta called Mater Dei. The cost was originally estimated to be 80 million Maltese pounds. It is now expected to cost 200 Maltese pounds. (That sort of thing used to happen a lot in Britain. But the Private Finance Initiative, though it doubtless has some serious faults, does appear to have reduced that kind of overrun. The financial risks are run by the private company, rather than the government. I was recently told by someone involved in PFIs that the private companies involved make only modest profits out of them.)
Another reason for the modest cost of private healthcare here is that wages generally here are lower than in Britain. Also there is no shortage of doctors, as in Britain. Britain has had government planning of doctor numbers for decades and the training is paid for the government. As a result, instead of having a sufficiency, we have a chronic shortage. Why this is not also the case in Malta I am not sure.
But it is an interesting paradox. When doctor numbers were unplanned and the training had to be paid for and worked for, Britain had no shortage of doctors. It is only post-NHS, when there is planning and training is free that we have a shortage.
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Overcrowding and infection risk
The incident last week (see previous posting) does not appear to have been an isolated case. There was also a crowding crisis in February, as recently reported in the Epsom Guardian:
Patients were put at "serious clinical risk" when they were forced to stay in the day case unit at Epsom General Hospital instead of waiting for treatment in accident and emergency, according to official documents.
Desperate staff asked patients to leave A&E and go to the day unit or another room in order to hit Government A&E waiting time targets.
Among the patients was one described as having "copious diarrhoea" and another with an infected wound.
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What really happened at Epsom Hospital
I have been contacted by a medically-trained person who tells me that what happened in Epsom hospital last week was even worse than what Theodore Dalrymple referred to in the latest Sunday Telegraph.
My informant's account comes from a second medically trained person who works in the hospital:
Casualty was busy and there was a management determination not to breach the government target that people should not be kept waiting in casualty for more than four hours.
To make room for patients to be admitted, four patients were moved to the combined ante-natal and post-natal ward. This ward was told that the patients coming would be gynaecological patients. In fact, they were not.
"They were four elderly medical patients, including one with bed sores and on IVs [intra-venous drips] - an infectious risk. An agency nurse was sent to nurse them as the midwives did not have the experience to cope."
The transfer of these patients caused "idiotic risks" potentially exposing to infection new-born babies, their mothers and also women just about to give birth. My informant continues, "As to moving around sick elderly in the middle of the night - words fail me."
The next morning, the staff at the ante-natal and post-natal ward, including senior midwives and consultants, "went ballistic".
"The patients were moved out by 4 pm but the bay couldn't be used until it was disinfected on orders from the microbiology department."
Word about the danger to women about to give birth spread so that the department was taking calls from concerned pregnant women, working in the hospital trust, who had heard about it on the grapevine.
"The phone calls were naturally responded to in a downplaying way as it is natural to try and calm troubled waters. Explicit orders were not given, nor had to be as one tries not to upset the boat. Any midwife who blurts out the truth loses her job/prospects fast - it's a true culture of fear."
"All this came about because of the four hour rule."
My informant urges me to maintain strict confidentiality. The story has been told to me because of concern for patient safety. But this sort of thing is normally kept quiet. Those who know what has happened fear for their jobs if they tell the press. This is an occasion when a member of the medical profession has felt strongly enough pass on the story. As my informant concludes,
"These things need to be told."
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MRSA and incentives
An interesting sidelight on why it is that MRSA kills thousands of people a year in NHS hospitals but none in those private hospitals run by BMI Healthcare:
"There is no financial imperative in the NHS to find a solution to superbugs," Mr Adams said. "That's because if you get sued the litigation all comes out of a central fund."
The Mr Adams in question is chief executive of Bioquell which makes a device that uses hydrogen peroxide to clean hospital rooms. He was quoted in the business pages of the Daily Telegraph.
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More ways in which waiting lists are manipulated
The excellent Sunday Telegraph package on the NHS last weekend included an article by Theodore Dalrymple.
He included two ways in which waiting lists are manipulated:
1. "asking local general practitioners to delay referral to specialists."
2. "not ...put[ing] patients on such [waiting] lists until they have replied to a letter from the hospital telling them that they have been referred. Since a substantial number of people reply late, or not at all (some because they are too ill to do so), waiting lists are substantially reduced."
These methods should be added to those mentioned in chapter three of The Welfare State We're In .
The government waiting list figures are lies. We don't know what the real number waiting is. The fact that we have a government that knowingly lies with its statistics reflection extremely badly on it. A judge the other day referred to Britain being like a 'banana republic' because of the absence of proper attempts to prevent electoral fraud. Britain is again like a 'banana replublic' in that official statistics are no longer trustworthy.
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Do the railways prove that private provision does not work?
A visitor to this site, emailed me the following:
James,
I have been reading your book “The Welfare State We’re In” with much interest.
Whenever I present the ideas in your book (to friends and colleagues) almost inevitably the reply comes “It didn’t work with the railways,” how do you best counter this argument?
Many Thanks,
[J.G.]
This was my reply:
Of course, the railways were not and are not a part of the welfare state. Nevertheless, the more general point might be that private or market provision does not work.
In which case, presumably those who say 'what about the railways?' can think mainly, or only, of the railways as an example of private supply 'not working'. They appear to accept that the vast array of other products and services provided by the private sector are fine (to just start a very long list: house-building, supermarkets, manufacture of computers, manufacture of digital cameras, clothes shops, development and printing of photographs...). Presumably they also accept that the many other industries that were privatised have gone well, such as provision of gas, electricity and water, air transport, telephone services and road haulage.
If so, their argument must consist of saying, "Look, out of hundreds of industries, here is one which did not go well. That proves that private supply is no good." The argument only needs to be stated to demonstrate its absurdity.
They would also have to go on to argue that state provision, in contrast, has never gone wrong. They would have to maintain that - in admirable contrast to private provision - there is not a single state-supplied service which has failed. They would therefore have to say that state provision of dental services, council housing, care for those with cancer, postal services and, in the days, the state provided them, telephone, gas, electricity and water services, are and were absolutely fine. In fact, of course, all those services are or were bad.
So the mention of railways by no means invalidates the argument that private, charitable and market provision of services and products has a vastly better record than that of the state. Private provision is not perfect. Marks and Spencer is not perfect. Privately manufactured computers are not perfect. It is folly to to expect perfection in human affairs. But private provision is demonstrably much better than state provision.
All the above is without even beginning to contest the assumption that privatisation of the railways was an unarguable example of a privatisation failing. It is indeed possible to contest that assumption. I won't put the argument here at full length, but here are a few points:
First and most important, the railways were never fully privatised. They were only semi-privatised. This mattered in certain important ways. One was that the contracts with the train operating companies were for a maximum of seven years at the outset. This was too short a period to make it clearly worth the while of the companies to make major capital investment in new trains and other capital equipment. In Sweden, of all places, where I understand a more wholesale privatisation of rail took place, the record of the privatisation has been far better. In Switzerland, where there are some private railways, they work very well and reliably. In Norway, recently, I travelled on a superb private railway line.
Second, even the semi-privatisation of British Rail resulted in massive investment and many improvements such as far better provision of booking services. I remember in the days of British Rail, one could spend half an hour trying to get through to an office which would tell you the times of trains. After privatisation the information service become very fast and efficient. It is true there were some serious and fatal accidents in the semi-privatised years, but the safety record - as measured in the way most used in the industry - was better than previously. Fatal accidents in rail travel - measured over one or even five years - do not happen in a consistent way that accurately reflects the underlying safety level.
Look at the semi-privatised years from another angle, it was a curious kind of 'failure' that resulted in an increase of passenger numbers of some 27 per cent, if memory serves. That was unprecedented in the post-war years. During the decades in which British Rail operated the railways, there was a steady trend of falling passenger numbers.
With best wishes, James Bartholomew
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Sweden - not so great and not so Socialist either it seems
Sweden is important because so many people believe it to be an example of how you can have everything: a huge state sector, high taxes, the ultimate in a welfare state and yet also prosperity and good, well-educated citizens.
Previously I have written about how women who work do relatively badly in Sweden because of the legal rights they have been given. In The Welfare State We're In, I looked at the modest rate of economic growth in Sweden. I have now come across a French website called Liberte (forgive me for not knowing how to put an acute accent on the final 'e') which has a long posting about Sweden.
If my limited French does not deceive me, the posting says that there was a crisis in Sweden in 1990-93 during which the state came to account for 67 per cent of GDP, the government budget deficit reached 12 per cent and unemployment reached 12 per cent, too. As a result of this crisis, Sweden reduced the scope of the state and it has now come down to a few points above 50 per cent of economic activity.
The site suggests that modern Sweden - partly because of the pullback in the state's role no doubt - is not quite as Socialist as is widely thought. The railways have been fully and successfully privatised.
There are private postal services. In education, the money follows the student, so that there is competition among schools. Electricity production is largely privatised.
There is also some private provision of healthcare (see some details of 'the Stockholm experiment' in the chapter on the NHS in The Welfare State We're In)
So there are two strands here:
1. Sweden is not quite as socialist as people think.
2. Sweden is not as successful as people think.
One other element of the latter is that crime rose very substantially in Sweden after it became a socialist paradise.
Sweden was once an outstandingly law-abiding place. It has witnessed "a widespread increase in law-breaking". Also, "in 1987, the underground economy was estimated to make up 20 per cent of Sweden's gross national product". There has also been an "enormous increase in juvenile delinquency". These quotations are from Disturbing the Nest, by David Popenoe, an excellent book mainly about family breakdown but with a special emphasis on the Swedish example. (If you are interested to buy it, try Abebooks.com. Unfortunately Amazon.co.uk does not have it at a good price.)
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The waiting isn't over
The next time Mr Blair or any other Labour Party propagandist boasts that waiting for more than four hours in accident and emergency departments is a thing of the past, remember this testimony from a registrar who has recently completed a posting at an NHS hospital in the North West of England:
"I am increasingly dismayed and terrified by current political targets - I am worried because the four-hour A&E wait is used as a way to maintain and increase funding. This is affecting patient safety, especially in some trusts.
"I have just finished working in ********* Hospital and the situation there is dangerous and intolerable. The trust is under-bedded and has a substantial number of blocked beds. A&E will not breach the four-hour targets under any circumstances - when a patient gets to three hours they must be moved to hit target. As a result, A&E patients are poorly assessed and then sent to the MAU [Medical Assessment Unit] to sit in the corridor or day room. Since Christmas, there have been more than 10 extra patients on the corridor on a regular basis. I have, over the past two months, had a patient with severe DKA [out-of-control diabetes requiring emergency treatment] sent up and admitted to ICU [Intensive Care Unit] from a chair in the day room. I have a dossier of cases not fit for the corridor [these include heart failure, severe pneumonia, a heroin overdose and an epileptic fit lasting at least 30 minutes]. The wait for a bed is then often more than four hours. A&E remains empty.
"They cannot be cared for safely and it is only a matter of time before someone dies. I am not advocating a return to the old days with massive A&E waits but don't see why patients should move from an acute area to an unstaffed corridor to hit targets. I can even tolerate 'well' patients sat in a corridor but some of these are critically ill." The registrar's words, and in particular the example of a patient with life-threatening, out-of-control diabetes sent from casualty to sit in a day room to meet a target, and then admitted to intensive care, are shocking.
There are three key points from this story:
1. The statistics on waiting should not be trusted. Just because you are moved to a corridor, does not mean you have stopped waiting. The statistics are useless as a measure of performance because they are being manipulated.
2. The Government's use of targets can actually endanger life. It certainly causes a lower standard of care. Leaving seriously ill patients in unstaffed corridors, is a reckless, ruthless, uncaring way of looking after them.
3. There is a culture of fear now in the NHS. This registrar did not want to be named. For more evidence of this culture of fear, see chapter three of The Welfare State We're In.
The registrar's testimony appeared in The Sunday Telegraph.
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Depressing depression figures
The most common medical reason given for people being incapable of work and therefore entitled to incapacity benefit is now depression. It has overtaken musculo-skeletal problems. This is a competition between two conditions that have one thing in common: in neither case is it easy to prove that someone does not have it.
It is a curious thing that the prevalence of these two conditions - that cannot readily be disproved - has soared over the past generation. Meanwhile conditions which are easily verifiable, such as ear infections, have shown relatively little change.
See the chapter on social security in The Welfare State We're In for other evidence - circumstantial and otherwise - for believing that a large proportion of those claiming incapacity benefit are not genuinely incapable of work. Even the government has recently recognised this.
Strange, then, that this BBC report does not even mention the possibility and, instead, concentrates entirely on the idea that employers are at fault and should improve counselling for their workers. When the BBC - and perhaps the BMJ writers on whose work the BBC was reporting - appear to be so naive, there is little hope for realistic discussion.
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Posted by James Bartholomew • Indexed in NHS • Welfare benefits
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The welfare state's role in causing family breakdown
My two daughters were discussing divorce and separation among the parents of the children they know at their school. I asked them how many children at school could they think of whose parents were divorced. After consideration, they came up with four. That is probably out of about 25 children who my older daughter knows well in year six, say another 10 in year five, perhaps another 30 in year three (where my younger daughter is) and another 20 in other years. So a total of about 85. It is, of course, possible that there are some divorced parents they did not know about. But it seems probably that not much more than five per cent of the children have divorced or separated parents.
What has this got to do with the welfare state?
One of the claims I make in The Welfare State We're In is that the welfare state has reduced the natural incentives for married couples to stay together.
I attempt to substantiate this by citing figures suggesting that divorce and separation is far more common among the poor - the ones most affection by welfare benefits - than among the rich - who are not entitled to most benefits and therefore are not influenced by them.
One of the difficulties I encountered was that the research tended to be pretty old. This is one of several things that the government does not measure because, one suspects, it does not want to know the answer.
The low divorce rate among the relatively rich parents at my daughters' private school does not constitute heavyweight, serious evidence such as I would quote in a book. But it is nonetheless supportive, anecdotal evidence that the rich don't divorce as much as the poor. The poor are the ones whose judgements have been interfered with by the welfare state. Their children are the ones who suffer most from 'broken parenting'.
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Reading report
It sounds as though the select committee on reading has not taken as strong a line on 'synthetic phonics' as expected. Disappointing. The way that Mr Twigg, the minister, says that anything that the teachers do must be right, is a prime example of the way that the 'producer interest' is allowed to thrive in a state monopoly. This, of course, is at the expense of the interests of those whom the minister ought to be primarily concerned about: the children.
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The Government should do something about it
How demands for governments to 'do something about it' work:
With a few exceptions contemporary commentators on economic problems are advocating economic intervention. This unanimity does not necessarily mean that they approve of interventionistic measures by government or other coercive powers. Authors of economics books, essays, articles, and political platforms demand interventionistic measures before they are taken, but once they have been imposed no one likes them. Then everyone - usually even the authorities responsible for them — call them insufficient and unsatisfactory. Generally the demand then arises for the replacement of unsatisfactory interventions by other, more suitable measures. And once the new demands have been met, the same scenario begins all over again. The universal desire for the interventionist system is matched by the rejection of all concrete measures of the interventionist policy.
This is from Kritik des Interventionismus, 1929, republished in 1976 as A Critique of Interventionism, Translation copyright 1977 by Margit von Mises. It appears in full on the Ludwig Von Mises website here.
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State failure - due to 'criminal Tories'?
A series of interesting comments on a previous posting:
In response to my remarks on the failure of state education to improve social mobility, 'Joe' commented,
State education is only failing because the Tory criminals neglected it for so long. I dont think youll find they have the same problems with properly funded state education in European countries like Germany, France and Sweden. What your proposing would reverse social progress in Britain by 200 years, just to save you a few pounds on your tax bill.
'Ricky' responded,
Joe,
Take an objective view for a moment - the left have set the terms of the debate on education and social provision more or less unchecked since the war. During this time, Britain's educational performance has declined by all international standards regardless of which party has been in power. The answer is obviously not to do more of the same thing - it clearly is not working.
It is time for the left to move out of the way and let the whole system be opened up to new providers coming in, and (shock horror!) giving the parents what they want.
Trust the people, not the system.
and HJHJ added,
Joe,
In Germany you have a constitutional right to choose an independent school and have the state handing over same the funding as for the state sector.
In France, similar arrangements apply. In Sweden they have introduced freedom for practically anyone to set up a new school and to have the funding follow the pupil.
All these factors keep state schools on their toes, albeit perhaps not to a sufficient extent, but still better than here.
The problem here is that the government not only funds the schools, it insists on running them on a monopoly basis. When the government hugely increased funding a couple of years ago, did it get through to pupils? No - over three quarters of it went into teachers salaries and pension plans and higher national insurance - a clear case of producer interest.
There is a debate to be had about whether schools should be state funded (James Bartholomew believes other arrangements would be better) but social justice is not furthered by having a monopoly supplier and giving the disadvantaged no choice. If you really had the interests of the poorest and most disadvantaged at heart you would want to make sure that they had the same choice as the richest - they're just as capable of making such choices, they presently just lack the opportunity.
The original posting was:
The facts on social mobility are depressing. As the middle classes expanded after the war, there was considerable movement. But since the early 60s academic surveys tell us that mobility has declined. Studies show that for people in their 30s, the social class of their parents matters more than it did in the past.
Who said that?
Ruth Kelly in an article in today's Guardian.
Does she therefore conclude that state education, far from having improved social mobility, has damaged it and should be abandoned. Of course not, she concludes that she is capable of making changes that will reverse the course of the past 50 years and make state education a success.
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Conservatives far behind, well ahead and likely to lose
On the day an election is being called, the Conservatives are far behind Labour but also well ahead. If the Conservative are well ahead in the actual votes cast on the day, then they will lose. Confused? Well this is going to be a confusing election. And there is reason to be concerned, too. This election has the potential to make the argument over the fairness of Bush's victory over Gore look like a fuss about nothing.
The Financial Times today has a Mori poll which says Labour...
...has a 38 per cent share of the vote, a five point lead over the Conservatives on 33 per cent, with the Liberal Democrats on 23 per cent. MORI says this result would give Mr Blair an overall majority of 114 seats on election day.
So Labour is well ahead. But then again,
The survey of those who describe themselves as “absolutely certain” to vote puts Michael Howard's party on 39 per cent, Labour on 34 per cent, and Charles Kennedy and the Liberal Democrats on 21 per cent.
So the Conservatives could easily win the popular vote if it is a rainy day that keeps away the uncommitted. But then again...
If this result were replicated on election day, MORI says it would result in a hung parliament, with Labour as the biggest party in the Commons having 27 seats more than the Conservatives.
The explanation for this - at least partly - is that the electoral boundaries desperately need re-drawing. People have moved to Conservative supporting areas over the years, so, typically, when a Conservative wins a seat, he or she has a few tens of thousands of more people voting than when a Labour candidate wins. That means the popular vote will not be reflected at all accurately in the result. It will take particularly few voters in Labour-supporting Scotland to put an MP in parliament.
It is unfair for sure. What I don't know is whether the slowness of the government to re-draw the electoral boundaries is due to incompetence or corruption. Cheating on postal voting in Birmingham reported today is a local matter and may not reflect a similar level of cheating and cynicism in the Labour leadership. On the other hand, Mr Blair and his colleagues have shown plenty of cynicism and improper political manipulation (of the civil service for example) to make one perfectly open to the idea that the unfairness of the electoral boundaries is not unintentional.
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Lee Bowyer breaks new ground in British incivility
New ground was broken in British incivility on Saturday at a premiership football game.
How it came to happen:
An investigation by either the FA or Newcastle may also establish why frustration over a non-pass late in a game already lost generated such an extreme action, principally from Bowyer.
Any existing tension between the England internationals had not manifested itself previously, though there was a minor disagreement over a non-pass from Dyer in the first half of this match. Bowyer made his feelings known then and would use statistics showing Dyer made 36 passes on Saturday with only one going to Bowyer, to illustrate a pattern.
When the same thing happened in the 82nd minute Bowyer began haranguing Dyer. As the two converged Dyer stood his ground and Bowyer led with the forehead, then started punching.
That is from the
Guardian, today.
How the incident breaks new ground in British incivility. Remember, these two players were on the same tearm. This is a quote from the manager of the club, Souness,
'It's a first for me. I have never witnessed that before. Harsh words between players occur in every game, but it's very unusual for it to lead to what happened today. 'There are always arguments on the training pitch when players stand up to each other, but that's as far as it goes. This is something completely new to me.'
That report from the
Observer on Sunday.
Football provides a metaphor for how civility in Britain has dramatically declined over the past century. See chapter one of The Welfare State We're In for statistics showing the astonishing rise in the number of sendings off over that period. The chapter also makes in clear that a player with an appalling record such as Lee Bowyer's would have been banned for the game for life by now if he had been playing in the 1950s.
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Posted by James Bartholomew • Indexed in Behaviour & Crime
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Are people able to look after themselves?
A key issue for those of us who believe the state is bad at looking after people, is whether or not individuals are any good at it either.
This is Tim Congdon in the Telegraph today on the competence or otherwise of people in saving:
Much of economic theory is concerned to establish that people are rational. But theoreticians and practitioners do not always see eye to eye. When confronted with real-world problems, economists are inclined to forget that they live in a world of rational agents.
Indeed, they are quite unembarrassed about offering recommendations to politicians which make sense only if people are rather silly. A good example is the recent report from the Pensions Commission, under the chairmanship of Adair Turner.
It says flatly: "Most people do not make rational decisions about long-term savings without encouragement and advice.'' The report proceeds from this patronising remark to recommend increased state involvement in pension provision, with a consequent enlargement of the government's role in the economy and a rise in taxation.
Professor Congdon goes on to look at the overall savings people make including saving that is not labelled "pension saving" but which nonetheless can be used for that purpose. He concludes that people are perfectly rational. His analysis may be open to challenge. But I want to mention another area in which the rationality of people in looking after themselves may be in doubt.
In America, people have to pay for their own healthcare. But in the same country, the incidence of obesity is very high. Why, when they must know that being fat increases their chances of premature death and early use of expensive healthcare, do so many Americans allow themselves to become fat? It does not seem sensible or rational.
One possible answer may be that American laws - particular tax laws - incentivise people to have company healthcare plans which apply to everyone in the company in similar ways, regardless of their lifestyles and obesity. So although American healthcare is mostly privately paid-for, it is far from operating in a free market. In a free market, health insurance premiums would be lower for those who were not fat and so being thin would be financially rewarded. The same would go for those who have no insurance and pay for healthcare as and when they need it. On this basis, people are still perfectly rational. Their behaviour has just been distorted by government interference.
A second possible answer is that people just can't help themselves. The lure of salt, sugar and fat are just too great for human beings after millions of years of evolution in which our bodies were trained to go for sweetness and fat at any opportunity.
I have not done enough work on this to have a strong view and would welcome comments on this and also other areas in which individuals have or have not shown themselves to be capable of looking after themselves.
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Posted by James Bartholomew • Indexed in General • NHS • Pensions • Welfare benefits
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Wouldn't that be good?
Admirable ideas from John Redwood:
The Conservatives have also thrown their weight behind a campaign to maintain the availability of hundreds of vitamins and food supplements that are threatened by an EU directive.
A Conservative government would opt out of the directive, which comes into force on Aug 1. In the health service, 686 performance targets, which had distorted clinical priorities, would go.
Britain's opt-out from the EU's social chapter would be revived and Labour's plans for people wanting to sell their homes to pay for "seller's packs" would be scrapped.
Current rules to prevent money laundering by terrorists and drug dealers were too onerous on law-abiding citizens. When he went into his bank to deposit money, even though the staff knew him as their MP he still had to produce evidence of his identity. He said the system could be streamlined for everyday banking without compromising national security.
The full story is in the Daily Telegraph today.
Posted by James Bartholomew • Indexed in European Union • General
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How much better off would we be if Gordon Brown had never existed?
The Institute of Fiscal Studies has now established that average incomes fell in 2003/04 because Gordon Brown took so much more of our money in income tax and national insurance. We obtained higher salaries, but Gordon Brown more than wiped out the benefit.
Gordon Brown did not only increase our taxes in that one year of 2003/04. He has increased our taxes in most of the years he has been in office. They have been slipped in so that they don't get noticed on budget day.
Where would we be if Gordon Brown had never existed? Let us just imagine for a moment that Labour did not come to power in 1997 or, at least, that Labour kept to what Tony Blair told the Financial Times that year: "we have no plans to increase taxes". How much better off would we, as individuals, be if Gordon Brown had kept to that?
It is true that early on he halved the starting rate of income tax and reduced the basic rate by one per cent. But this has been cancelled out by the fact that he makes us pay income tax on a bigger a proportion of the money we earn. At present, most of us pay tax on every pound above £4,745. It is called the 'tax threshold'. If this had been increased in line with earnings since Mr Brown's first year as Chancellor, it would now be considerably higher, at about £5,384. So we pay tax on £640 of our earnings that we would not have done, if Gordon Brown had never existed.
The most fortunate, high-earning ones among us now pay tax at the top rate of 40 per cent on every pound above £36,146. They include people like senior policemen, doctors and head teachers. Where would they be if Gordon Brown had never existed? They would not be paying the top rate of tax at all unless they earn over £40,120. Someone earning that sum or more, pays top rate tax on an extra £3,974 because of Gordon Brown's eight years.
National insurance is now levied at 11 per cent whereas it would only be 10 per cent, if Gordon Brown had not increased it. And there would be no special one per cent national insurance levied on those who earn above the upper limit. Someone on the average income of £21,900 pays an extra £136.
Mr Brown has also increased the taxes we pay when we spend our money. The duty on a packet of cigarettes has soared under his rule. If it had risen in line with earnings, it would be £3.00. But as result of his increases, it has risen to a whopping £3.85. Someone who smokes 10 a day, pays an extra £155 a year in duty than would be the case without Gordon Brown.
If we decide to move house, he gets us again. If stamp duty had been increased in line with house prices, it would only be payable on houses and flats worth over £143,000. For seven long years, Mr Brown kept the threshold down at £60,000 and only, now, just before the election, has he increased the threshold to £120,000. That still means that someone buying a modest new home for, say, £140,000 pays £1,400 more than would have been the case if Mr Brown had not been in charge. Someone buying something bigger faces a much heftier bill because of the new, higher rates. Someone paying £260,000 for a place to live, pays £7,800, whereas he or she would have paid only £2,600, if Mr Brown had not had his way.
And so the list goes on. It would be a big exercise to take in all the increases including easy-to-overlook measures such as the increase in duty on insurance policies. One of the biggest levies has been the £5 billion a year tax on pension funds. That was a clever - or rather a cynical - move. We don't much notice it during our working lives. It will only be when we retire that we might, perhaps, recall that it was because of Gordon Brown we can't afford to be a member of a golf club or go to the theatre as before.
Even when we die, our inheritors will be worse off . The inheritance tax threshold now is £263,000. But if it had been increased in line with house prices, it would be vastly higher at £512,000. That means tax of nearly £100,000 payable on an estate of that higher amount, because of Mr Brown's presence.
Mr Brown could argue that it has all been in a good cause. It has been spent to bring state education and the NHS up to new high standards. There may indeed have been some modest improvement in the NHS although it is probably still the least effective medical system in the advanced world. Independent analysis of reading ability suggests that there has been precious little improvement in education.
Independent analysts reckon that there is more tax to come, too. The Institute for Fiscal Studies says an extra £11 billion will have to be raised after the next election - equivalent to 3.5p on income tax.
On Mr Brown's side, you can say that he has given money back in the form of tax credits. But the tax credits only go to those people he had chosen to select. Generally they do not go to people without children below pensionable age. They also have to be applied for and many people - often the poorest and most vulnerable - fail to go through the form-filling required.
More than half of pensioners are now entitled to means-tested benefits. He has gradually been turning us into a nation of supplicants, applying to him to get back a little of the money we have previously paid. He is creating dependancy Britain which, he hopes, will vote for his party to keep the payments flowing.
We would not just be richer, we would have more dignity and independence, if Gordon Brown had never existed.
An edited version of the above appeared in the Daily Express today. One major area of tax increases I failed to mention was council tax, which, according to estimates by the Conservatives, has risen on average by over 70 per cent since Labour came to power.
I was greatly helped in my research for the article by Corin Taylor of Reform. On a quick reading, it might not be obvious what calculations are necessary to bring out the figures that we did. Corin found out what the rates of tax were in 1997/98 and then the increase in average earnings between then and 2003/04. I then made a bold assumption about what the increase has been from then until 2004/05. We were thus able to work out what the thresholds and the tax would have been "if Gordon Brown had never existed".
One thing became clear during this exercise. That someone on average earnings is not in a very diferent position than he or she would have been without Gordon Brown. The money he has raised since 1997 has come from elsewhere - from the pension raid, from stamp duty, council tax and so on. Since so much of the tax is indirect tax, it might be a useful to look further at how his taxes have affected the poor. I am not sure that the Institute for Fiscal Studies has looked at this. It normally concentrates on taxes on income. It is worthy of further research and if anyone knows of work that has been done on this, I would be glad to hear of it.
The Reform website is here. It is well worth signing up to be emailed the excellent daily media review.
Wrap up extended reading.
Posted by James Bartholomew • Indexed in Tax and growth
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