Thursday, 7 June 2007

Is the NHS eroding our civil liberties?

Tuesday's Times reported on its front page a headline on the proposed 'Crackdown on middle class wine drinkers' that Boris Johnson has since kicked up a storm on his blog, as doctors have been renewing pressure on this already legislation-happy government into imposing higher taxes on alcohol sales and providing more 'safety' warnings on labels. It represents a fundamental shift in Whitehall policy towards drinking, which in the past has focused on underage and anti-social drinkers. It also represents an unwelcome return of that old familiar stench 'the man in Whitehall knows best'. With this change, policy no longer rests on merely enforcing the law and protecting the public from violent individuals - it is taking the very odious decision of protecting the public from themselves. Not content with deciding for responsible adults (and employers) when and where they may smoke, doctors and ministers are now seeking to control how much individuals should drink in their own homes for their own good. A Whitehall source told The Times that they wish now '...to target the older drinkers, those that are maybe drinking one or two bottles of wine at home each evening' before woefully adding that they simply 'do not realise the damage they are doing to their health'!

Now, although this writer is all in favour of shifting income tax onto indirect taxation, we all know this is not going to happen. This pernicious tax would simply add to the public's burden and is nothing short of a naked attack on individualism and personal responsibility - two things that are already sorely lacking in this country. For while the pen-pushers at Whitehall wither over their charts and statistics, the reality is that it is the responsible lower-middle income drinker that will suffer from this ludicrous piece of nanny legislation. It does not even hold the shred of authority that the smoking ban claimed - namely, protecting non-smokers from the passive smoke they do not choose to inhale - and yet the head of science and ethics at the British Medical Association still felt confident in her assertion that 'It is not the nanny state. It is about informed choices'.

But the truth is it is about neither. The root motive of this, and by extension all nanny health legislation, is money. More specifically, the ailing NHS's money. We have to ask ourselves seriously; why else should the man in Whitehall really be so concerned with our health? The Times reported in same said article that 'ministers wish to highlight the increasing burden that drink-related disease is placing on the NHS...estimated to be costing between £1.3 billion and £1.7 billion [a year]'. So there it is. In black and white. It's because it costs them money. Though technically it's our money. So instead of having the individual responsibility of drinking reasonably in order to avoid large personal medical costs, we must be chastised and taxed collectively by the state to make sure we're taking good care of ourselves and aren’t doing the terribly selfish thing of costing our neighbour money.

In this sense the health service stands out as the last socialist holy cow to survive the Thatcherite era. It is the last post-war institution to be maintained despite making zero economic sense, racking up enormous public debts, and by proxy eroding individual responsibility through more and more government legislation. British Gas, British Airways, British Rail, British Waterways etc were all privatised for these very reasons, and although Mrs Thatcher would very much have liked the NHS to follow, realpolitik of the time made this an impossibility far surpassing the 'troubles' of the Poll Tax. However, with Tony Blair's Labour government having 'alleviated' more and more of the health service through the Private Finance Initiative in the last 10 years, perhaps it is time for complete privatisation to be (very gently) put back on the table.

It needs to be addressed that - wonderful an idea as it was, and great things it has nonetheless achieved - the stark reality is that the NHS is unsustainable, that it has become a monster with an insatiable appetite for vast amounts of money that seem to go nowhere. It has proved itself unable to cope with the challenges of an ageing population in the aftermath of the post-war baby boom. While more and more medical care is needed and new treatment becomes more and more expensive, our population and ergo tax revenues decrease. This has placed the health service in a situation of perpetual decline, while the taxpayer is paradoxically forced to cough up more and more of their earnings for a worsening service. In business this would be called a diseconomy of scale. Added to this - as Whitehall are attempting to point out - the responsible drinker ends up paying for the reckless indulgences and misdemeanours of others.

On the other hand, privatising the health service would enable the government to massively slash income tax - giving the public the free choice of where to place their hard earned cash and removing the fiscal motive for Whitehall poking their nose into peoples' decisions. A private firm would in no way be worried about the strain placed on their resources by people who wish to drink more than they should, and the subsequent treatment would in fact be welcomed as good for business. The government would no longer have to worry about taxing the public into good health, nor would it feel the need to emblazon bottles of wine with large ugly health warnings because it would no longer be any of their concern. Such a huge reduction in the scope of government and of nanny statism - which is only ever a few moral panics away from police statism - can only be seen as a victory for liberty.

Of course, it would be a difficult campaign to fight - the health service is somewhat of a Pandora's Box in that when you're seemingly getting something for free, you're not going to want to give it up, even if it is in a terrible mess. Nigel Lawson is said to have called it 'the national religion' [1]. But in the campaign that will no doubt soon need to be fought, it needs to be addressed to the people that the problems the NHS is now causing outweigh its benefits in the modern day, particularly in regard to personal choice and responsibility. No longer should the prosperous, the responsible, the frugal, hard-working and law-abiding citizen be held back by paying for the reckless, the idiotic, the short-sighted, and criminal members of our society. This writer remembers very vividly being taught Aesop's story of the Ant and the Grasshopper at school, yet wonders what on earth is the point in teaching children such an important lesson if the Welfare State is going to be there to work for you just in case you decided to ignore it?

In June 1945 - campaigning against the socialist future of welfare and equality Attlee's Labour Party were proposing - Winston Churchill warned the nation that however benignly such a doctrine was conceived, maintaining it would nonetheless

...gather all power to the supreme party and party leaders, rising like stately pinnacles above their vast bureaucracies of civil servants, no longer servants and no longer civil...nip[ping] opinion in the bud. My friends, I must tell you that a socialist policy is abhorrent to the British ideals of freedom.

Churchill was laughed down at the time - with the utmost respect of course - as an old-fashioned reactionary conjuring up fantasies of totalitarianism to preserve the imperial Britain everyone else was fairly certain was coming to an end. Yet, in a time when the authorities are able to shoot dead an innocent man in a tube station [2], or break into an innocent Muslim’s home during the early hours and shoot him [3] - all for our own good, these words may demand review. The NHS is the last bastion of this socialist future Churchill warned against - it continues to place government in a position of over-reaching responsibility - and thus power - to interfere with peoples' lives for what it believes to be for their own good. As Milton Friedman observed, the worrying thing about this is that 'the power to do good is also the power to do harm...[and] even though the men who wield this power initially be of good will...those who control the power today may not tomorrow'.

This writer is not for a moment suggesting that privatising the NHS would somehow magically restore Britons' lost civil liberties or instantly reduce the scope of the state in our lives. Not at all. But it is the cold hard truth that it was this post-war craving for a strong, far-reaching and powerful government to enforce equality that got us into this mess in the first place. In the words of David Bowie's chilling homage to Nineteen Eighty-Four (released as Diamond Dogs in 1974) - a demoralised people wanting 'someone to claim us/someone to follow/someone to shame us - some brave Apollo' ended up with Big Brother. I doubt there are many in this country who wish to live up to that Orwellian nightmare, but they would do well to remember that - as every revolution has taught us - the road to hell is indeed paved with good intentions.

Sunday, 20 May 2007

The myth of the evil Tory

As a young person taking an interest in conservatism, you steadily begin to notice a stark contrast in the attitudes that conservatives and those on the left hold in relation to each other. Intellectuals, teachers, socialists, Marxists, social democrats, and practically anyone you will meet in the old industrial north of England are quite content to label Tories as evil [1], amoral, greedy - even sadistic (anyone remember The New Statesman?) individuals hell-bent on 'grinding the faces of the poor', to quote Alan B'Stard. There is a very real and honest hatred for the Conservatives up here and being a former lefty myself, a number of my friendships have felt the strain because of it. Despite this, I - and in my experience conservatives generally - are far more understanding of those who hold a difference of opinion. Not least the New Right of the 1980s, many of whom - Brian Griffiths, John Hoskyns and Bernard Ingham included - had been Labour voters throughout the 1960s. Some, like Alfred Sherman, had even been communists in their youth. Sherman, like so many young men of his generation, fought in the Spanish Civil War for the Republicans as part of the International Brigades. Sir Keith Joseph, principle designer of Thatcherism in the mid-'70s was too, once a 'consensus' (read: socialist) Tory. As he told Listener magazine in June 1975:

All the time I was in favour of short cuts to utopia...I was in favour of Government doing things because I was so impatient for good things to be done, and I didn't realise that the Government generally makes a mess.

These were men who had a strong passion for liberty, freedom and justice. They found this first in the quick-fix state intervention of the left, but as the '60s wore on became steadily more disillusioned with 'consensus' politics. They understood the motives of the left, because they had been there themselves, but were quick to realise that as Milton Friedman frequently expressed - there can be no political freedom without economic freedom.

Of course, this is not to say that this understanding makes the right any less scathing or convicted in their derision of the left - quite the contrary - but there is nonetheless a firm understanding that although the group in question are wrong, damn wrong - their policies, however misguided tend to stem from good intentions. This is something entirely missing from the self-righteousness of many on the left. Lady Thatcher is known to have used the old dictum 'the road to hell is paved with good intentions' in summing up Britain's post-war experiment in socialism. She understood that voters and politicians alike had honestly believed they were building a better world for themselves and their children in 1945. But good intentions were not enough - they did not work. Socialism did not work. She understood that the designers of the post-war welfare state were doing what they thought was best for the people. But as a former advisor to Lady Thatcher told John Ranelagh in 1990: 'She believes in people knowing better how to run their own lives than the State knows'.

This is a position that shows no outward compassion, no sympathy, and certainly no middle-class guilt. Regrettably though, it will always be admirable to believe in equality, welfare and state intervention, while conservatives will always be viewed as nasty for being tough enough to stand up for what works, however insensitive it may seem - for being able to see past sentimentality and defend the rights, responsibilities and dignity of the free man. It is young people in particular, who have no memory of Britain before the 1980s, who are very quick to damn Margaret Thatcher for any problems with the the society they live in - completely unaware of quite how much this country was falling apart by the time she first took office in 1979. Indeed this writer first picked up Thatcher's People by John Ranelagh as a 'know your enemy' exercise. It was only upon reading about the massive and rising inflation, the union stranglehold, the undignified IMF bail-out, the garbage mountains and unburied dead of winter 1978/9, the 3-day week, the 83% top tax rate, and the acceptance of perpetual British decline that my eyes were opened. It was at that point that I started to accept, and feel grateful for the world around me and how very little I had to complain about.

Yet, as these things tend to go Clement Attlee, Harolds Wilson & Macmillan, and even 'What Crisis?' Callaghan will never be blamed for causing and overseeing the slow, almost complete social and economic collapse of the United Kingdom. Their intentions were far too noble. Lady Thatcher on the other hand will almost certainly continue to be hated and reviled by many in this country long after she has gone for the incredible task of saving it.

Friday, 18 May 2007

Boris Yeltsin, 1931-2007

In the wake of Boris Yeltsin's death on April 23, it is customary in the media to weigh up such a man's achievements and failures during their time in office and form some sort of conclusion on their legacy. For Yeltsin, his achievements appear blindingly obvious - particularly for anyone who had reached political awareness before the close of the 1980s - the Russian nation is no longer under the oppressive yoke of the Communist Party. His most commonly cited failures in the papers and on television have been his equally obvious drunkenness and initiation of the ongoing and seemingly futile Chechen wars.

However, a distinction that does not appear to have made a mark in the press is the unfortunate reality of how close these achievements and failures actually are in the long-run. John Major has been gracing our screens recently on a number of television programmes speaking of Yeltsin's passion for democracy and the market as well as his hatred for the totalitarianism of the USSR. This I do not doubt - I am sure that given the evidence, few do. What sadly makes Yeltsin's greatest achievement ultimately Russia's greatest failure is the method in which he employed it.

The 'shock therapy' of the early 1990s which radically switched Russia from a socialist command economy to free market liberalism almost overnight did not just create the short-term hardships of widespread poverty, unemployment and food shortages. In the long-run it created something far darker, far more permanent, and for Russia far more tragic - the seeds of tyranny. It is unfortunate that, given the Soviet state censorship at the time, Yeltsin would have had little opportunity to read any literature on economic liberalism before embarking on such a daring venture. Had he the opportunity to read The Road to Serfdom by the late, great economist F. A. Hayek; he would surely have come across this foreboding and alarmingly accurate prophecy:

...however one may wish a speedy return to a free economy, this cannot mean the removal at once of the [previous] restrictions. Nothing would discredit the system of free enterprise more than the acute, though probably short-lived, dislocation and instability this would produce.

Indeed, had these words not been written in 1943, one would assume they had been directed at Yeltsin personally. Though Hayek was writing entirely hypothetically in the event of an Allied victory in WWII, this is precisely what has happened in Russia since 1991. In the years spanning 1991-1994 mortality in Russians aged 15-30 years actually rose, and to this day remains excessively high [1]. With reports reaching our screens at an ever-increasing rate on state-sponsored murder of dissidents, persistent press intimidation, economic bullying and steady concentration of power, Hayek's words continue to chillingly ring true:

The one thing modern democracy will not bear without cracking is the...substantial lowering in the standards of living in peace time.

Russia may not yet have returned to totalitarianism, but its young and fragile democracy is most definitely beginning to crack. And those cracks are widening. For Russia particularly, this is a most tragic scenario as it is not the first time a chance at liberty and prosperity has been so closely missed. In November 1917, Russia was scheduled to vote on what was at the time possibly the most liberal constitution in the world; in particular promising universal suffrage. That this was something not practiced even by the great liberal democracies of Britain, America, or France gives us an insight into just how differently Russian history could have panned out. As fate would have it, the Bolsheviks seized power in a coup on October 25, and in an act befitting the tantrum of a troublesome child, shut down the newly-elected Constituent Assembly after only 13 hours sitting due to their party winning less than a quarter of the national vote [2].

In his comprehensive tome Russia and the Russians, Geoffrey Hosking touches upon what has been termed the 'binary nature' of Russian culture, with 'its tendency to seek extreme solutions to problems and lurch from one set of cultural patterns to their diametrical opposite'. This was best exemplified by the acceptance of the Bolsheviks in 1917, and the subsequent scrubbing of their legacy in 1991, despite all the hardships that came with each. At this point in time one can only hope that the Russian people have, against Hayek's predictions, not yet grown impatient with democracy - and are unwilling to accept a lurch back to dictatorship. This will be put to the test if President Putin decides to constitutionally extend his period of office in 2008. A strong president and a far-reaching state may appear to be solving problems for Russians now, but as Europe's experience of the twentieth century has shown; it can reap only the bitter whirlwind of oppression, misery, and stagnation.