Posts Tagged ‘Care Commissioning Groups’

Frightened May Holds Out Possibility of Undoing Tory Reforms of NHS

May 29, 2018

For all the repeated smears against Jeremy Corbyn and the Labour party as a nest of vicious anti-Semites and Trotskyites, the Labour leader clearly has the Tories worried. Last week Tweezer made a couple of pronouncements about the NHS, which showed more than a hint of desperation in one, and a fair amount of the usual Tory deceit and double standards in the other.

According to the I, Tweezer had made a speech in which she discussed the possibility of trying to improve the NHS by going back and repealing some of the Tories’ own recent legislation. The article, which I think was published in Wednesday’s edition of the newspaper, but I could be wrong, stated that she was specifically considering repealing part of the 2012 Social Care Act. This is a nasty piece of legislation, which actually needs to be repealed. It was passed when Andrew Lansley was Dave Cameron’s Health Secretary. The verbiage within the Act is long and confused, and deliberately so. Critics of the Act, like Raymond Tallis, one of the authors of the book NHS SOS, have pointed out that the Act no longer makes the Health Secretary responsible for ensuring that everyone has access to NHS healthcare. The Act gives the responsibility for providing healthcare to the Care Commissioning Groups, but these are only required to provide healthcare for those enrolled with them, not for the people in a given area generally. It has been one of the major steps in the Tories’ ongoing programme of privatising the NHS. For more information on this, see Jacky Davis and Raymond Tallis, NHS SOS (OneWorld 2013).

The fact that Tweezer was prepared to hold out the possibility of repealing, even partly, her predecessors’ NHS legislation suggests to me that Corbyn’s promise to renationalise the NHS has got her and her party seriously rattled. It shows that this policy, like much else in the Labour programme, is actually extremely popular. And so Tweezer is doing what she had done elsewhere with dangerously popular Labour policies in the past. She’s going to try to make it look as if the Tories are going to do something similar. Like when Labour talks about renationalising part of the electricity grid, the Tories immediately start going on about how they’ll cap energy prices.

Actually, I doubt very much that Tweezer has any intention of revising Lansley’s Health and Social Care Act, or about restoring the NHS to proper public ownership. The Tories have been trying to sell off the NHS and support private medicine since Maggie Thatcher back in the 1980s. But if Tweezer did repeal part of the 2012 Act, my guess is that it would only be to make it much worse. In the same way that Cameron announced he was going to clean up the lobbying industry and make it more transparent, and then passed legislation that actually made it far less so. This gave more power to the big lobbying firms, while making the kind of lobbying done by small groups like charities much more difficult. You can see something similar being done by the Tories with their proposed NHS legislation.

And then there was the report last week, which stated very clearly that due to the terrible underfunding of the past nine years or so, the NHS would need an extra tax of £2,000 to be paid by everyone in the UK. Or so Tweezer and the Tories claimed. Mike dealt with that projection in a post yesterday, where he noted that the Tories have been reducing the tax burden on the rich. He went on to quote Peter Stefanovic, a blogger deeply concerned with the crisis in NHS care and funding created by the Tories. Stefanovic said

“Or alternatively the Government could tax those earning over £80,000 a little more, scrap tax breaks for the very rich, stop PFI deals bleeding the NHS dry & companies like Boots accused of charging NHS over £3,000 for a £93 cancer pain-relieving mouthwash.”

Mike makes the point that with the increasing privatisation of the NHS, the call for more taxes to be spent on it is in fact a demand for more to be given to private healthcare providers, who are delivering less.

Mike concluded with the words:

These people are trying to make fools of us. They are to be challenged. Let them explain why they think the poor should be taxed more when we all have less, thanks to Tory policies.

https://voxpoliticalonline.com/2018/05/27/lets-kill-this-talk-about-more-tax-for-the-nhs-right-now/

I also wondered if there also wasn’t a piece of subtle, ‘Nudge Unit’ type psychology also at work in the statement that we’d all have to stump anything from £1,200 to £2,000. This is a lot of money for those on very low incomes. And the Tories see themselves very much as the party of low taxation. Hence their attacks on ‘high spending’ Labour and claims that their tax reforms allow working people to keep more of their money. Though even this is a lie. The Tories have actually moved the tax burden from the rich on to the poor, and made the poor very much poorer through removing vital parts of the welfare safety net. My guess is that they’re hoping that some people at least will see that figure, and vote against increasing spending for the NHS on the grounds that they won’t be able to afford it. It also seems to me that they’ll probably try asserting that Labour will increase everyone’s tax burden by that amount when the Labour party starts fighting on the platform of NHS reform.

And with frightened working class voters rejecting an increase in taxation to pay for the NHS, they’ll go on to claim that the NHS, as a state-funded institution, is simply unaffordable and so needs further privatisation. Or to be sold off altogether.

This is how nasty, duplicitous and deceitful the Tories are. And I can remember when the Tories under Thatcher were similarly claiming that the NHS was unaffordable in the 1980s. Just like the Tory right claimed it was unaffordable back in the 1950s.

In fact, a report published in 1979 made it very clear that the NHS could very easily continue to be funded by increased taxation. And that taxation should be levelled on the rich, not the poor. But this is exactly what the Tories don’t want. They don’t want people to have access to free healthcare, and they really don’t want the rich taxed. And so they’re going to do everything they can to run down the NHS and tell the rest of us that it’s too expensive. Even though this country’s expenditure on healthcare is lower than that of many other countries in Europe, and far lower than the American’s expenditure on their massively inefficient and grossly unjust private healthcare system.

If we want to save the NHS, we have to reject May’s lies, and vote in Corbyn and a proper Labour government.

Don’t Let Theresa May Privatise the NHS

June 8, 2017

This is the text of one of the self-published, table-top produced pamphlets I created a few years ago, and which are advertised on one of the other pages of this blog.

As you can see, it was written a year or so ago when David Cameron was in power. Nevertheless, it is still as valid now as it was then. Theresa May has not changed the Tory policy of privatising the NHS one whit.

So, please, read this article, and then vote for Jeremy Corbyn to preserve this most precious of British institutions.

Don’t Let Cameron Privatise the NHS
David Sivier

Visiting our local health centre the other day, my parents, along with the other local people enrolled there, were handed a letter, explaining that due to funding cuts the health centre was having to cut back on services. It also advised its patients that if they wanted to raise their concerns about the restriction in their service they could contact:-

1. NHS England at FAO Linda Prosser, Director of Assurance and Delivery, NHS England South West (BNSSG), 4th floor Plaza, Marlborough Street, Bristol BS1 3NX
2. your local MP at the House of Commons, Westminster, London SW1A 0AA

Unfortunately, this is happening to the NHS and GPs’ services all over the country. It is no accident, and it is certainly not the fault of the many dedicated doctors, nurses and other health professionals working in the NHS.
It is the result of over 30 years of privatisation begun with Margaret Thatcher. Thatcher and her former Chancellor, Nigel Lawson, denied that they wanted to privatise the NHS. They merely stated that they wanted to include more private provision in the NHS. This is a lie. Released cabinet minutes showed that Thatcher and Geoffrey Howe wanted to privatise the NHS along with abolishing the rest of the welfare state. They were only prevented from doing so because the rest of the cabinet realised that this would be the death knell for the Tory party. And a fact-finding mission to the US to see how their private healthcare system worked by Patrick Jenkin showed that it was massively inefficient.

Nevertheless, the amount of private healthcare in the NHS was expanded, and state provision duly cut by successive governments. It was Maggie’s government in 1989 that ended the state support for care for the elderly in nursing homes. As a result, the families of those, who need this kind of care, are forced to fund it themselves, often through selling or remortgaging their homes because of the immense expense. It was also Maggie’s government that ended free eye tests, and picked a feud with the doctors that saw the majority of them leave the NHS.

This privatisation has continued under Tony Blair, Gordon Brown and now David Cameron and Jeremy Hunt. Blair and Brown were deeply impressed with American private healthcare firms such as Kaiser Permanente, and wished to reform the NHS on their model. The ultimate intention was to replace the publicly owned and operated NHS with private healthcare funded by the state, but administered by private health insurance companies. As a result, NHS work has been given to private hospitals and clinics, and private healthcare companies have been given NHS hospitals to manage. Alan Milburn, Blair’s health secretary, wanted the NHS to become merely a kitemark – an advertising logo – on a system of private healthcare companies funded by the government.

This has been carried on the current Conservative government. And they have used the same tactics Margaret Thatcher did to force private healthcare on this nation. The dispute with the doctors over contracts a few years ago was part of this. It has left the majority of NHS GPs wishing to leave. Yet elements within the Conservative networks responsible for foisting these demands have seen this as an opportunity for forcing through further privatisation. Penny Dash, of the National Leadership Network, and one of those responsible for the NHS privatisation, has looked forward to the remaining GPs forming private healthcare companies. Furthermore, an report on the Care Commissioning Groups now in charge of arranging healthcare in the NHS by one of the private healthcare companies also suggested that they could form private healthcare companies, and float shares on the stockmarket.

Further privatisation has come with Andrew Lansley’s Health and Social Care bill of 2012. This exempts the state and the Secretary of State for Health from their statutory duty, as the ultimate leaders of the NHS, to provide state health care. It is carefully worded to disguise its true meaning, but that is what has been intended by the bill. Dr David Owen, one of the founders of the SDP, now part of the Lib Dems, has tabled amendments trying to reverse this despicable bill. He and many others have also written books on the privatisation of the NHS. One of the best of these is NHS SOS, by Jacky Davis and Raymond Tallis, published by Oneworld.
This process cannot be allowed to continue, and I strongly urge everyone to resist the creeping privatisation of the NHS, Britain’s greatest public institution.

In the last government, there were 92 Conservative and Lib Dem ministers, who advocated the privatisation of the Health Service, and who stood personally to gain from it. They included Iain Duncan Smith, the minister for culling the poor, the sick and the old. Andrew Lansley, the health minister, openly stated he is in favour of privatising it. So has Nigel Farage, and the Unterkippergruppenfuhrer, Paul Nuttall.

Farage in particular follows the Tory policy going all the way back to Thatcher of promising to defend it while secretly plotting how to sell it off. Thatcher ‘s review into the NHS and its funding in the 1980s. so alarmed Labour’s Robin Cook, that he wrote a Fabian pamphlet, Life Begins at 40: In Defence of the NHS, attacking possible proposals to privatise the Health Service.

Previous reviews had given the NHS a clean bill of health. The extremely high quality of the NHS and its doctors was recognised by the heads of American healthcare firms: Dr Marvin Goldberg, chief executive of the AMI health group, told a parliamentary select committee that the Health Service Provides ‘outstanding health care and British NHS hospitals are at least as good as those in America while British doctors are better.’

The then Conservative MP for Newbury, Michael McNair-Wilson, also testified to the effectiveness of the NHS. He had suffered kidney failure. He had private health insurance, but it did not cover operations such as the one he needed because of the expense. He said ‘I have cost the NHS tens of thousands of pounds – much more than I could have afforded privately … Had my treatment depended on my ability to pay, I would not be alive today.’

Pre-NHS Britain: Some Areas Completely Without Hospitals

Cook’s pamphlet also graphically described the patchwork state of healthcare in Britain before the NHS. In London, where there were plenty of paying customers, there could be hospitals in neighbouring streets. Out in the poorer British provinces, there were hardly any, and many operations were carried out not by surgeons but by GPs. He cites Julian Tudor Hart’s book, A New Kind of Doctor, to show how bad this could be. Hart described how he joined one of those practices in Kettering. One patient was left under anaesthetic as the London specialist operating on him was called away to continue a stomach operation on a London patient, which the operating GP had been unable to complete.
Cook was deeply concerned that the Tories’ review would not be at all interested in improving quality, only in opening up the NHS to the market and privatisation.

Cook on Private Health Insurance

One of the issues he tackled in the pamphlet was the possibility of the introduction of private health insurance. This covers two pages and a column and a bit in the original pamphlet. This is what he wrote, though emphases and paragraph titles are mine.

The mechanism proposed to square the incompatibility of health care with the market is insurance. All market approaches to the NHS submitted to the Review stress the case for much wider private insurance and almost as frequently propose subsidies to boost it.

Insurance-Based Systems Encourage Expensive Treatment

The first thing to be said is that private insurance does not offer
to health care the alleged benefits of the discipline of the market place. At the point when the individual requires treatment he or she has already paid the premiums and has no incentive not to consume as expensive a treatment as can be reconciled with the policy. The position of the doctor is even more prejudiced in that he or she has every incentive to obtain as much as possible from the insurance company by recommending the most expensive treatment. Both patient and the doctor are in a conspiracy to make the consultation as costly as possible, which is a perverse outcome for a proposal frequently floated by those who claim to be concerned about cost control.

Insurance-Based Systems Encourage Unnecessary Surgery

The compulsion in an insurance-based system to maximise the rate of return is the simple explanation why intervention surgery is so much more often recommended in the United States. For example, the incidence of hysterectomy there is four times the British rate. This is unlikely to reflect higher morbidity rates but much more likely to reflect the greater willingness of doctors on a piece-work basis to recommend it, despite the operative risks and in the case of this particular operation the documented psychological trauma. I can guarantee that an expansion of private insurance will certainly meet the objective on increasing expenditure on health care, but it is not equally clear that the money will be spent effectively.

Insurance-Based Systems Require Expensive bureaucracy to Check Costs

One direct diversion of resources imposed by any insurance-based scheme is the necessity for accountants and clerks and lawyers to assess costs and process claims. The NHS is routinely accused of excessive bureaucracy, frequently I regret to say by the very people who work within it and are in a position to know it is not true. Expenditure in the NHS is lower as a proportion of budget than the health system of any other nation, lower as a proportion of turnover
than the private health sector within Britain, and come to that, lower than the management costs of just about any other major enterprise inside or outside the public sector. I am not myself sure that this is a feature of which we should be proud. ON the contrary it is evidence of a persistent undermanaging of the NHS, which is largely responsible for its failure to exploit new developments in communication, cost control and personnel relations. Nevertheless, there is no more pointless expansion of administrative costs than the dead-weight of those required to police and process and insurance-based system. These costs would be considerable.

Forty per cent of personal bankruptcies in the US are attributable to debts for medical care

Part of this additional cost burden is incurred in the task of hunting down bad debts, which does not contribute in any way to the provision of health care. Forty per cent of personal bankruptcies in the US are attributable to debts for medical care, a salutary reminder of the limitations set to insurance cover. These limitations have three dimensions.

Insurance Cover Excludes Chronic and Long-Term Sick, and the Elderly

First, insurance cover generally excludes those conditions which are chronic and therefore expensive or complicated and therefore expensive. Standard exclusions in British insurance policies are arthritis, renal dialysis, multiple sclerosis or muscular dystrophy. Most people do not require substantial medical care until after retirement. Most insurance cover excludes the very conditions for which they are then most likely to require treatment. Short of retirement, the most expensive health care required by the majority of the population is maternity care, which is also excluded by the majority of insurance policies.

Private Healthcare Limits Amount of Care due to Cost, not Need

Secondly, insurance cover is generally restricted by upper limits which are arbitrary in every sense other than financial. I recently met a psychiatric consultant to a private clinic, who was prepared to discuss candidly the ethical dilemmas of treating patients whose financial cover is fixed at five weeks of residential care, but whose response to treatment may indicate that a longer period of hospitalisation is desirable.

Private Health Care Geared to Selling to Healthy not Sick

Thirdly, insurance cover is further limited by exclusion of those most likely to claim on it. I am often struck at the sheer healthiness of the patients who illustrate the promotional literature of BUPA and PPP who appear in such pink of good cheer and fitness that it is difficult to figure out why they are in a hospital bed. These models are though in a sense most suitable for the purpose as the objective of insurance companies is to attract the healthy. They therefore claim the right to screen for the unhealthy and reject them from cover. This discriminatory approach was defended earlier this month by the managing director of WPA, Britain’s third biggest health insurer, on the principled grounds that it meant ‘essentially healthy people are not penalised by unhealthy people.’ This statement has the advantage of originality in that it perceives healthy people as the vulnerable group and proposes a market remedy that protects them from the inconvenient costs of the unhealthy.
Given this limited character of health insurance in Britain, the private sector is patently not in a position to substitute for the NHS and to be fair most directors of BUPA or PPP would be horrified at the notion of accepting the comprehensive, open-ended liabilities of the NHS. It is therefore perplexing that so much effort in and around the Review appears to be addressed to the issue of how the private sector may be expanded rather than how the public sector may be improved. Two major devices are being canvassed to boost private cover-tax relief on private cover or opt-out from public cover, or for all I know both of them together. Both would be a major mistake.

Tax Relief on Private Healthcare

Tax relief is open to the obvious objection that it targets help most on those who need it least – the healthy who are most likely to be accepted for private cover and the wealthy whose higher tax rates make relief most vulnerable. These are curious priorities for additional health expenditure.

Tax Relief Does Not Create Higher Spending on Health Care

Moreover, even in its own terms of stimulating higher spending on health, tax relief is likely to prove an ineffective mechanism. If for example the average premium is £200 pa the cost of tax relief for 6 million insured persons will be £300 million. The numbers under insurance need to increase by a third before the increased spending on premiums matches the cost of the subsidy and provides any net increase in health spending. Up to that point it will always produce a larger rise in health spending to increase the budget of the NHS by a sum equivalent to the cost of tax relief.

It is apparently being mooted that these objections could be circumvented by limiting the tax relief to the elderly. At this point the proposal moves from the perverse to the eccentric. This restriction targets help for private insurance on the very group for whom private cover is most inappropriate as their most likely health needs are the ones most likely to be excluded from cover. Only a moment’s reflection is required on the multiple ways in which we need to expand our health provision for the elderly to expose the hopeless irrelevance of tax relief as the solution for them.

Opt-Out Penalises those who Remain in the System

Opt-out is even more objectionable. The basic problem with opt-out is that it requires the payment towards the NHS of every individual to be expressed in a manner that gives him or her something to opt-out from. The principal attraction to Leon Brittan of his proposal for an NHS insurance contribution appeared to be precisely that it paved the way for opting out (A New Deal for Health Care, Conservative Political Centre,, 1988). Nor is this inconvenience confined to the need for a whole new element in the tax system. If one in ten of the population chose to opt out, it would be remaining nine out of ten who would have to prove they were not opted-out when they went along to seek treatment. With the new contributions comes a requirement to maintain a record of payment of them, and presumably a mechanism for credits to those not in work but who do not wish to be counted has having opted out of the NHS.

Private Healthcare Undermine NHS as Universal System

The more fundamental objection both these proposals is they explicitly threaten the NHS as universal health service catering for everyone. Moreover, they threaten its universality in the worst possible way, by encouraging those with higher incomes and lower health needs to get out, leaving behind the less affluent and the less fit. In this respect such an approach to the NHS would be a piece with the Government’s strategy of erosion towards the rest of the social services-housing, pensions, and now education, where the Government has encouraged those who could afford it to opt-out of public provision, leaving behind the poor who could be expected to put6 up with a poor service.

This is the reality of the private healthcare system which Cameron, Clegg, Farage and the rest of the Right wish to introduce. It is expensive, bureaucratic, does not stimulating further spending, and excludes those with the most acute and expensive medical need, especially the elderly.
And the Tories and their counterparts in UKIP and the Lib Dems know it. Why else would the Tories spend their time trying to deny what they’re doing? Why does Farage appear to be advocating retaining the NHS, while arguing for an insurance based system, like America? It’s because they know that private medicine does not provide the solutions they claim. It is only source of further enrichment to them and their corporate donors.

And since Cook wrote that pamphlet, more than 20 per cent of all Americans can no longer afford their healthcare. It’s why the firms are trying to get their feet under the table over here. Don’t let them. Ed Miliband and now Jeremy Corbyn have promised to reverse the privatisation of the NHS. Please support them.

NHS Doctors Now Required to Ask Patients to Use Private Health Insurance

September 7, 2016

I’ve been putting off looking at some of the NHS stories Mike’s posted up over at Vox Political, on the grounds that the Tory and New Labour privatisation of the Health Service makes me both extremely depressed and absolutely boiling mad. But the issue’s far too important to leave alone.

Today Mike posted up a little snippet from The Canary, which reported that NHS chiefs are now asking doctors to politely ask their patients if they have private health insurance. If they answer ‘yes’, the doctor is supposed to gently remind them to use it. The Canary states that this signals the end of the NHS, and universal free healthcare.

See: http://voxpoliticalonline.com/2016/09/06/theres-a-question-doctors-are-now-being-urged-to-ask-patients-and-it-signals-the-end-of-the-nhs-the-canary/

Absolutely, and it’s what over three decades of right-wing administrations have wanted going all the way back to Maggie Thatcher. Despite her protestations in her autobiography, she really was considering privatising the NHS. She discussed it with the cabinet and Douglas Hurd, nearly provoking a rebellion. This wasn’t because her cabinet believed in the NHS. They just saw the writing on the wall and knew that if she went ahead, that would be the end of the Tory party at the next election. She also decided against it after she sent her private secretary, Patrick Jenkin, to the States. He came back and told her precisely how dreadful the American system was.

Nevertheless, she still stated that she wanted a greater role for private medicine, and enacted policies designed to encourage people to take out private health insurance. She wanted 25 per cent of the population to have it, and was disappointed when very few in actual fact did so. Amongst the newspapers pushing this policy was the Express, which published a long piece raving about how those with such insurance should have tax cuts in its Sunday edition.

The privatisation of the NHS continued with the Tories’ introduction of the PFI and the expansion of the scheme and break up the NHS by Tony Blair’s New Labour. Hospitals have been taken out of the bureaucratic structure of the NHS and encouraged to become self-financing. They’ve also been handed over to private management, and the clinics and walk-in centres set up by New Labour were also intended to be privately managed. Well over half of all operations are now carried out by private healthcare firms. The Care Commissioning Groups, which were introduced with loud noises about giving doctors the power to run their own practices are able to commission private healthcare firms to contract for services, and can themselves raise money through private finance. This was taken over by the Tories, and has been expanded even further. At the last parliament, I reposted a meme that showed just how many Tory and Lib Dem MPs had connections to private healthcare firms hoping to profit from the demise of the NHS. It was a lot – about or over 100, if I recall correctly. The Angry Yorkshireman and Mike have also reported comments by Jeremy Hunt, the current health minister, and other Tories attacking the NHS. Hunt, or one of them, has described it as ‘an abomination’. My guess is that this anger probably comes from the Tory hatred of having to pay for public services, which they almost personally resent as the state forcing them to pay for someone’s else’s benefit. I also believe they despise it because it’s a state-run service, and so excludes them for profiting. It’s why Peter Lilley introduced the Private Finance Initiative all those decades ago when John Major was in power: he wanted to find a way to open up the NHS to private investment.

And now New Labour and the Tories are moving another step closer to the final privatisation of the health service. This is being done through a manufactured financial crisis. Blair and Brown did much damage to the NHS, but when they left office it was in budget and did not need further reform. That has changed, due not least to Jeremy Hunt. Even now, Jacky Davis and Raymond Tallis in their book, NHS-SOS state that the problem isn’t that the NHS is underfunded – it’s that NHS funds are being squandered and misdirected due to the introduction of private enterprise into the service. The bureaucracy in these firms and their shareholders profit, while soaking up money that would otherwise go to providing services.

The privatisation of the NHS is a national scandal. There are activist groups pledged to defending it, like the NHS Action Party and doctors’ groups and organisations. These and their on-line addresses can be found in Davis’ and Tallis’ book.

At one time the assaults on the NHS would have resulted in a wave of strikes, public protests and demonstrations. But the Tories have all but destroyed the unions, and cowed the public with a mixture of massive debt and job insecurity. And it’s going to get worse when Brexit takes effect.

Don’t let the mass media deceive you with the pro-Tory, pro-New Labour bias. When you read the papers attacking Jeremy Corbyn and praising Theresa May, just like the Beeb does on TV with Laura Kuenssberg, remember that these are the policies Smith in the Labour party, and his backers Benn et al, and the Tories stand for. Corbyn has said that he wants to renationalise the NHS, and that’s too much for the Tories and Blairite corporatists. These people should be thrown out of power as quickly as possible, before more people die or are harmed by their greed and mendacity.

Vox Political: Jeremy Corbyn Pledges to Re-Nationalise the NHS and Buy Out PFI Schemes

August 25, 2016

On Tuesday, Mike put up a piece reporting that yesterday Jeremy Corbyn and his close ally, Diane Abbott, were due to announce their policies towards the NHS if Corbyn got elected. He would not only reverse the Tory cuts, but would renationalise the NHS to make it fully publicly funded, and fully publicly provided. They would also not only not sign any more PFI deals, but would establish a public fund to buy struggling hospitals out of their PFI deals. And he was going to support fully a private members bill by the MP, Margaret Greenwood, strengthening the responsibilities of the Health Secretary, ending the NHS internal market and restoring nurses bursaries.

Mike quotes him as saying:

“Health, health financing and health inequality is a matter of paramount national importance. The Labour government I lead will ensure that money goes to patients not contractors, and that our NHS is given the resources to provide a top quality service as part of a program to rebuild and transform Britain so that no-one and no community is left behind.”

If you only need one reason to vote for Corbyn, this is it. Over three decades of Thatcherite administrations have gradually privatised the NHS, beginning with Thatcher’s own administration in 1979. John Major introduced the PFI deals, under which hospitals have been built in partnership with private industry, which then runs them on the behalf of the NHS, on the recommendation of Peter ‘I’ve got a little list’ Lilley, who wanted to open up the Health Service to private investment. The Tories also introduced the internal market, which actually vastly increased the Health Service’s bureaucracy and inefficiency. New Labour then pushed the process forwards by introducing privately funded and operated clinics, and splitting the NHS into ‘Care Commissioning Groups’, which could raise money privately if they so wished. Under New Labour and the Tories, private contractors were introduced to perform NHS medical services. Finally, Andrew Lansley’s Health and Social Care Act of 2012 removed the statutory responsibility of the Health Secretary to provide state medical care.

This is what the supporters of the NHS, such as Jacky Davis and Raymond Tallis, the authors of NHS: SOS, have been demanding. These reforms have left the NHS struggling under a mountain of debt. This means that any new hospitals that are built under the PFI scheme are smaller and more expensive than those constructed under conventional public funding. And the debt means that the Tories have an excuse for closing further NHS hospitals, before finally rolling out their pretext for the complete privatisation of the NHS.

Whatever else Corbyn does, if he restores the NHS to the principles under which it was founded, as a publicly funded, publicly operated service offering universal treatment free at the point of use, this alone will justify his election to office.

Of course, it’s going to be a threat to big business, which wants a slice of the lucrative business opportunities now monopolised by the state, albeit in an increasingly diminishing field. So expect to hear more demonization of him and his supporters by the media and the Blairites in the coming weeks.

In Defence of Left-Wing Anger

August 17, 2016

I’ve been meaning to get this off my chest for a little while now. One aspect of the anti-Corbyn Labour MPs that really annoys me is the hypocrisy that comes with their constant playing at being the victims of terrible abuse by Momentum and Jeremy Corbyn. Every so often they make pleas for political discourse and exchange to be made kinder or more genteel, while showing precious little of such qualities themselves. Jess Philips, according to the Groan, is having a panic room installed at her constituency office. But Mike’s already stated that she herself is an abrasive character online. This doesn’t justify any threats against her, but it doesn’t make her quite the innocent victim she claims either.

I’ve reblogged a video several times made by a couple in Angela Eagle’s constituency pointing out that Eagle’s story about the brick being thrown by Jeremy Corbyn supporters through her constituency window is a load of hogwash. It begins with footage of Eagle giving her story to the press. She concludes by saying that ‘We need a kinder, gentler style of politics’, before turning smartly on her heel and marching off, surrounded by her aids. This little piece has infuriated me ever since I’ve seen it. Firstly, it seems more than a little imperious. It’s bit of ‘I, the Great One, am speaking. Mortals listen!’ I also object to it on the grounds that it seems to be trying to deny the fact that her critics and opponents just might have entirely justifiable reasons for their anger. She seems to want to have the kind of exchange where everything is calm and mild. Now this is the kind of exchange I prefer. I honestly don’t like abuse and trolling. But on certain issues, if people do become abusive, it can be because the issue they’re discussing has all too real implications and consequences for them.

And many of the policies enacted by the Blairites have had terrible consequences for Britain as a nation, and specifically for the poor and working class. Let’s go through them.

Firstly, Blair took Britain into an illegal war in Iraq. The country had not threatened us, and at the time we invaded, Saddam Hussein was pretty much a joke to the rest of the Middle East. He was a thug, but he was contained. And the country over which he ruled was relatively prosperous, and with an advanced welfare state and educational system, at least for the region.

This has all changed. A quarter of a million Iraqis have died, and the country degenerated into a bloodbath of competing factions. Their economy has been wrecked, and ISIS and related death squads have terrorised its population. Our squaddies have been sent to fight and die, not to keep the world safe, but to produce even greater profits for the oil companies and American multinationals wishing to get their mitts on the country’s appetising state industries. Domestically it reinforced the view of many Muslims that the country was being targeted simply because it was Islamic. So it’s increased more racial and religious friction and intolerance over here. Is the Iraq invasion a good reason for people to get angry. Yes.

Then there’s the privatisation of the NHS. Blair, Brown and the others in New Labour took over the Private Finance Initiative and massively expanded it as official labour policy. They also began to split up the NHS into different commissioning groups, with the intention of creating competition. These commissioning groups were to provide healthcare not only from the NHS, but also from private healthcare companies. Hospitals and doctors surgeries have been taken over by private hospital chains. More than half of all hospital treatment is now commissioned from private healthcare providers. The ‘walk-in’ centres, or polyclinics, that were set up were also intended to be privately run. New Labour took as their care model a private American company, Kaiser Permanente. These policies have been taken over and further extended by the Tories after they won the 2010 election. Now it’s almost set to be totally privatised. Frankly, this makes me absolutely furious.

Let’s take the Work Capability Test. This was adopted by Blair and co. because they uncritically swallowed the Tory rubbish about most disabled people, the long term sick were malingerers and scroungers. They took over a tick-box questionnaire approach to examining people’s health pioneered by Unum, an American health insurance company that was guilty of some of the biggest insurance frauds prosecuted by the American state. The questionnaire used, and its underlying assumptions, are scientific nonsense. The policy is so notorious, that Atos decided to throw in the towel early, and were released from their contract a year before it was due to expire.

But the policy goes on, and it has had terrible real world consequences. Seriously ill people have been thrown off their benefits, and in some cases, have actually starved to death through lack of an income. Those with mental health problems, like anxiety and depression, have become worse, often much worse. As an example of how farcical this is, you consider some of the worst incidents, where people terminally ill in comas have been told they should find a job. Or when an amputee was asked when they expected their limbs to grow back. People are suffering and starving because of this. This isn’t a case of abstract policy, an interesting intellectual puzzle, which has no clear consequences for people’s lives. It makes a different over whether people are actually able to put food on their tables, or have a roof over their head, or can live out their lives with dignity.

It’s the same with the issue of benefit sanctions. Thanks to them, and the flexible employment policies Blair and Brown were so keen to employ, there are about 4.7 million people living in ‘food poverty’ in this country. There are cases where mothers are starving themselves, because it’s the only way they can afford to feed their children. And I can remember an incident I read on one of the other blogs, about how people in one town came to the aid of a young man, after he broke down in tears outside the Jobcentre, because they wouldn’t help him. As with the Work Capability Test, this is an issue that all-too real consequences for millions of people. And when nearly five million are going hungry in the fourth richest country in the world, you bet people have a right to be angry.

You can expand this to include the way the treatment of jobseekers has been deliberately made as humiliating and degrading as possible, with the imposition of workfare, capitalist forced labour brought to you by Sainsbury’s and the myriad other firms using it to cut down on labour costs. This was introduced as part of Margaret Thatcher’s return to ‘Victorian values’, which in this case meant the same values on which the workhouse system was established. The DHSS and the Benefits Agency always had an element of danger with them, because claimants naturally got angry with the state bureaucracy that could deny them money. People are left angry, despairing and furious with their treatment by the Jobcentre. But they also have a right to direct this rage at the politicians, who created the system.

And here New Labour have also shown themselves to be despicable. Cameron introduced workfare, but Ed Miliband ordered his cabinet not to oppose it, in case the Labour party should be seen to be soft on ‘benefit scroungers’ by the Tory press. Again, people have a very definite right to be angry.

I also think part of what makes me angry about Eagle’s behaviour, is her manner. It’s as if she seems to be completely insulated from the grim reality of the suffering New Labour have inflicted. She sounds to me like a bureaucrat or manager, completely obsessed with administering the policies that have been set, and getting irritated because somebody, somewhere, has had the temerity to object to it. I’ve remarked before that many of the Blairites seem to come from affluent, privileged, middle class backgrounds. My guess is that they genuinely don’t appreciate the harm they’re doing, because they’ve never experienced it themselves. They’ve only ever seen these policies from the vantage point of people, who’ve taken on the task of carrying them out. And they find it confusing and intensely infuriating when the masses don’t just accept what’s being done is for their good.

I am not saying that people have a right to abuse politicians or Jobcentre staff, or threaten them, let alone attack them or try to damage their property. I am very definitely against all of that. But people do have a right to be enraged at what has been done to them by the Thatcherites, both in the Tories and in New Labour.

And anger, as John Lydon sang, is an energy.

The gaol should now be to use this anger, this resentment against an unfair and deliberately cruel and exploitative system, to argue, research, expose and organise and keep the pressure on relentlessly to overturn these policies.