Showing posts with label John Prescott. Show all posts
Showing posts with label John Prescott. Show all posts

Thursday, 20 August 2009

NHS: Not Perfect But Far Better Than The US Model

Every day seems to bring another story of how the greed of corporations, many of which seemed to have secured a cartelised or a monopolistic position, is distorting the economy and society. The credit crunch was stimulated by corporate greed, but the high bonuses that leading members of Barclays Bank are receiving while so many of us are without work or are losing our houses, have shown, it is not they who are paying the price. The clearest flexing of corporate might in the world at present is the concerted oppositon by health insurance companies in the USA to prevent President Obama introducing a free health care service in the USA to cover the 46 million Americans who have no health cover. That represents about 1 in 6 Americans who lack access to any health care that is not charitable; it is equivalent to the population of Belgium, Spain and Poland put together and is more than the number of adults in the UK. In addition, as many people who buy health insurance in the USA find it does not cover them if they develop a serious illness nor for existing conditions. Unsurprisingly life expectancy is lower in the USA than the UK, there are fewer only 70% as many hospital beds per head of population and infant mortality (i.e. children under 5) is 9 per 1000 compared to 6 per 1000 in the UK. Out of a population of 304 million, that means over 910,000 more children die each year in the USA than would be the case if they had the UK system. This is despite the fact that the UK only spends 8.3% of its GDP (Gross Domestic Product) on healthcare compared to 16% in the USA, which suggests Americans are getting a more costly but less efficient service. In the UK, sometimes hospitals get overloaded but we do not have the situation as often occurs in the USA where an ambulance has to drive from hospital to hospital trying to find one that will take their uninsured patient. British hospitals need to have an increase in capacity and staffing, but never turn people away no matter what their nationality or background, simply because they lack the right insurance.

There are a number of sickening elements about the opposition to Obama's plans. One is that they are being portrayed on a moral basis. This is that somehow state control will lead to 'death panels' deciding when people have to die. This happens now de facto anyway, when families can no longer afford to fund keeping their relative alive. However, in the twisted US morality, ability to afford determining life expectancy is right, deciding on life expectancy depending on quality of life, is somehow wrong. The lie about 'death panelss' can be seen easily if you simply look at the fuss that has arisen in the UK about people even travelling to Switzerland for assisted suicide let alone any consideration of it being permissible in the UK. To conjure up this lie is just a scare tactic and to associate it with reference to British healthcare is offensive. Of course, Americans never consider any other country's viewpoint, so any indignation in the UK or Canada is dismissed as nothing.

The anti-public health care lobby in the USA has drawn support from the religious right who say they want freedom, whereas in fact they want to control people's lives far more than so-called 'big government' does, getting down to controlling their behaviour behind closed doors as well as in public. They lie and say public health care will lead to the elderly being advised every five years when they should end their lives. This is perverse fantasy dreamed up by companies wanting to kill any legislation that they feel would even minutely dent their income. To liken the NHS to approaches adopted by Hitler and Stalin offends not just British people now but also the memory of those who died opposing Hitler and Stalin, among them, Americans. Rick Joyner, a US pastor, has said that if Hitler and Stalin had had health care systems like the NHS it would have made it easier for them to kill millions of people. He forgets that they still killed millions of people and yet the NHS has kept millions of people from dying and suffering over its 61-year history. How patronising is that attitude to the people of the UK to think that we would sit by with a system that did us such harm for so long? Which plaent is Joyner referring to? Clearly not the one he is actually living on. These Americans are so arrogant that they somehow even seen decent, Christian Britons as imbeciles.

What gets me is that Obama's package is primarily aimed at those people who currently do not have health insurance, so why is it any concern of the companies that these people receive a service provided by the state? In that typical arrogant American way, they get offended even if anyone considers thinking differently to their assumptions. In addition, as the sub-prime mortgage fiasco proved, they always hope they can penetrate into those sectors of society not currently buying products from them, however risky or unsustainable such penetration is. Do they not understand that if these people could afford health insurance they would have bought it? They are offended that the state might provide a rival to them in getting health cover to these people, however remote the chance of them ever affording health insurance. US corporations, despite the anti-trust laws of the past, have become so used since the 1980s of having no limits to their activities that to see anything that intervenes in an area of the market, even one they are currently absent from, is an anathema to them.

The second sick thing about the opposition to health care proposals is how these people have attacked the public health care systems of the UK and Canada. Again, being Americans, they believe they have a right to make judgement over anyone else's system and yet not be judged themselves (refer back to my comments on the USA seeking exemption from war crimes laws). They portray the National Health Service (NHS) as somehow an evil system and inherently wrong in its philosophy and behaviour. Living in the UK, I know how clunky the NHS is. It is far from perfect, but ironically a lot of the problems it is currently facing, especially over hygeine in hospitals, stems from the situation created when the Thatcher government of the 1980s tried to move the service in the direction of the US model. If the internal market and competitive tendering for services, including cleaning, had not been introduced, then many more people would be alive today and the NHS would be in a better state. The reason why health in the general population is better in the UK than the USA is because of the NHS. It is not simply about treating people, it also does excellent work in preventative information too, to try to reduce the impact of the health challenges of modern living such as obesity, alcohol and tobacco consumption. The NHS is not perfect. I think it needs massively more funds. I would fund it to the extent that prescription charges introduce in 1950 could finally be scrapped and the care was free to everyone at point of use. The cap on National Insurance was taken off far too late. Everyone needs to pay towards the service and in accordance with their wealth. It is no argument to say that they will not use it. If the rich like they can see it as an insurance that their cleaner will not drop dead or that if they hit someone in their car while speeding, they will not get charged with murder because their victim will live.

I am glad that Gordon Brown, John Prescott, Lord Darzi and the trade union Unison are taking a strong stand against the Americans 'slagging off' (in Lord Mandelson's phrase) the NHS. I despise Mandelson, but am glad he is adding his weight to the defence of our health service. The maverick Conservative MP, Daniel Hannan, who feels that the NHS is an excessive burden on the UK, has a right to his opinion, but it is one that should be strongly contested, ridiculed even. The opposition to Obama's proposals is terrible, immoral and will lead to deaths. We cannot tell how many Americans have died unnecessarily because this opposition prevented Bill Clinton's 1993 health proposals being put into action, let alone the countless lives that have been blighted. This is about people's lives in exchange for profits, well not even that, in exchange for the imagination of profits that could be made and the fight to stop anyone involving themselves in that. Of course, Americans, especially on the extreme right, who feel under pressure now Bush have gone, feel they have the right to tell not only Americans but the whole world how to live. This leads to the deaths of not only Americans but people across the globe. The NHS is not perfect, but it is far, far better than the system the USA has. The American right profess to believe in God, but their god wants health care to be inaccessible to millions of people who will suffer as a result and prefers that people make bigger and bigger profits than care for others. Whoever their god is, he is not the God that millions of Americans and others believe in. Non-Americans need to stand up and tell Americans to stop using what we have done well as a weapon for their own perverse arguments. Britons are proud of the NHS and the vast majority want it improved not scrapped. Any American who falls ill in the UK can go to an NHS facility for emergency treatment, the reverse cannot be said of Britons in the USA. Of course, that does not matter to these opponents of Obama's proposals, they care about no-one, not even other Americans, just their potential to make money. May the NHS prosper and grow and be a model for decent, truly moral people to look to, rather than misuse as a tool for greedy objectives.

Thursday, 13 November 2008

John Prescott and Class

As I have commented before, I have thought that John Prescott received an unfair condemnation as a politician. I do not think he is the best politician the UK ever had and his support for Tony Blair especially over the war in Iraq angered me. However, his abilities and in particular his analysis of the UK political scene I think have been under-rated. Due to his physical stature, his accent, his behaviour that is like many ordinary men of his age and background, people have assumed that means he lacked knowledge and skill. However, even if incompetents rise to the top of various political systems he would not have been able to hold his position as deputy prime minister for ten years if he lacked ability; Blair removed even close allies if they blundered. Throughout his term as prime minister, Blair was almost untouchable for the media, so Prescott took some of this flack. In addition, Prescott's ordinary nature, his moments of temper made him an easier target. However, interestingly things that he was ridiculed for, such as bus lanes on motorways, actually worked. Of course in the UK as elsewhere bringing in a successful policy is less important than winning the approval of the media and thus the public. A key challenge for the media, of course, was that right throughout the period of rule by the Blair party (1997-2008) Prescott was seen as the embodiment of the Labour Party that had gone before. He complied with Blairist policies but there was always a suspicion from the right-wing media that he Prescott would contaminate the policies that they (and their constituency of the wealthy and the nationalistic) were enjoying so much with something that had more reference to the needs of the broader British community.

Prescott was the embodiment of man who had got on. In some ways he should have been the symbol of the input the Labour Part had made to the UK in the last 60 years. His grandfather was a coal miner, his father was a railwayman, having failed the 11-plus exam (which separated children at 11 into different types of schools and curricula) he worked as a ship's steward and yet ended his career as deputy prime minister. This says a great deal about increased opportunities and how education can help you get on. Someone coming from that kind of background today would find it far harder to progress than Prescott did through the more liberal times of the 1960s and 1970s. Ironically the Blair Party's policies have shut off so many routes that Prescott's equivalents in the 2000s could have come through.

Now, on 27th October 2008, Prescott presented a programme on BBC2 (you can still watch it on the BBC iplayer) called 'The Class System and Me'. Social class is a big issue in the UK. Despite rhetoric about the classless society in the UK since the mid-1990s in fact it is incredibly difficult to break away from the class you are born into in the UK and to be something of higher status than your parents. My father came from a working class background and moved into the technical lower middle class ranks. He could now be counted as middle class, as a property owner with investments. I attended university the first (and last) in the whole of my extended family to do so. Yet, rather than rising to a class higher than my father I am busily sliding down, pushed around by landlords, having few items that I own and with the casualisation of labour, having no career structure. I am back down to lower middle class and anticipate that by the time I retire will actually be worse off than my grandfather (who actually owned a house for many decades) floating down in the unskilled working class, certainly in terms of my income and what I own and the shops I frequent, if not in terms of the culture I put myself in.

Prescott saw himself as having risen from the working class into the middle class. That is a good thing. It is easier on you living a middle class life than a working class one (even easier if you are living an upper class life) so much more is done for you. It is unsurprising that Prescott enjoyed having the large cars that came with his job. Only those who had been used to driving themselves around in small, old cars or going by public transport truly relish having a car at your command. Prescott was ridiculed as 'two Jags' (as in Jaguar cars) but actually I would be more alarmed at someone who did not relish that opportunity and saw it as something normal. Prescott received criticism in 'The Guardian' newspaper for his programme on class. Having risen through the classes it is naturally a topic that interests him, added to this he comes from a political party that was founded on a class basis. It was suggested that he was somehow now only learning the 'ropes' of being in a higher class and that he should have known that before he became deputy prime minister. That utterly missed the point. It assumes somehow that middle and upper class behaviour is somehow more correct and more valid than behaviour of people in other classes. Of course that is not the case, though society insists that it is. In addition, whenever Prescott indulged in upper class behaviour, notably when he tried out the game of croquet, he was mocked for apeing his 'betters'. In the USA black politicians and business people (probably far less now since Obama) were often ridiculed for behaving like successful whites, and yet if they did not then they would always be seen as behaving 'wrongly'. This is the 'lose-lose' situation that social elites set up to keep capable people out of their ranks. In their view you must assimilate yourself into their modes of behaviour and so adopt all the assumptions and values that come with them, or you are invalid. However, some people, whether they are black or from a working class background will always be seen as invalid and so their attempts to assimilate or be assimilated are simply ridiculed and the British media was wonderful at doing that kind of social policing on Prescott on behalf of the elites who both feared and despised him. It is interesting to see the comments written on the BBC messageboards, some suggesting that it is wrong to see Prescott as having become middle class as even though he has middle class trappings, they argue, he will never be middle class, only his grandchildren could reach that ranking!

Prescott is not the first Labour politician to be in that position. We can see parallels to Ernest Bevin, a leading trade unionist and Labour Foreign Secretary 1945-51 who was in a similar position vis-a-vis the upper classes. Of course the progress of such men in British politics is portrayed by the upper class as demonstrating that we have an egalitarian society. As Lord Onslow noted to Prescott, there had not been an Onslow in the Cabinet since 1870. What Onslow of course conceals is that actually he probably wields far greater power outside the government than part of it. These days so much government policy is channelled by what the rich and the upper classes will tolerate. They were given their greatest burst of freedom by the Thatcher regime and no-one is really in a position to limit that. The policy arena in which Prescott operated had parameters set by Onslow and his kind, nothing could stretch beyond these. In fact all Labour governments in British history have run up against these parameters set up by the upper classes, but over the decades the arena for policy has been increasingly narrowed. People like Onslow, show, how effective the propaganda machine of the upper classes is, in making so many people believe that any reference to privilege, class structure and lack of social mobility is somehow 'outdate' especially since the collapse of Communist regimes in the 1980s. It might be portrayed in that way, but in fact the upper class and super-rich have far more grip on British society and have clamped down on social mobility in a way that they have not been able to do to this extent since 1945.

One aspect of Prescott's programme which received particular attention was his reference to private schools. As regular readers will know their privileges and their distortion of opportunities in education, especially access to leading universities, is something I have long bemoaned. Prescott was right on target when he noted that private schools uphold many of the elements of the British class system. I will add that you can see this in sharp contrast to France with its post-revolutionary society in which anyone who has the ability can attend a Grand Ecole, whereas in Britain only a tiny fraction of society, the most privileged will ever get into the so-called 'public schools' (the elite private schools) and from people from these ranks are heavily over-represented in senior political, legal, religious, civil service, military positions not because they are of greater ability but because they have the right connections. Prescott acknowledged that the parents of the 7% of children who go to private schools were seeking to buy their children the best opportunity in life and he did not begrudge them doing that. He did, however, note what that signals to the 93% of children whose parents cannot afford to send them to these schools.

Prescott wants the break down of the sharp divide in British education. It is ironic that the Blair government actually sought to increase division in education by further segregating the schools that 93% of children go to into faith schools, grammar schools, specialist academies, etc. so exacerbating the shutting off from access to good schooling to even groups of children who are in this 93%. Of course Prescott was attacked for being 'out-of-date', an unreformed class warrior and seeking to 'punish the successful'. They also said that a quarter of pupils come from areas of below average income. Well, in the UK in a single street you can have a wide range of wealth, you can see it all over London, so I would not put much store by that point. In addition these schools are successul because they are not constrained by the factors that ordinary, state schools face in terms of pupil numbers, constant monitoring and a sustained shortage of funds. If state schools each received as much money as the average or even poor private school, you would see immediate improvement. Of course people do not want to pay the taxes to provide that and parents who send their children to private schools have the gall to say they should be exempt from part of their tax bill as they do not use the state system (yes, but all your British teachers were trained by it).

Prescott argues that the only way to begin to erode the sharp class divides in the UK, which are detrimental to social harmony and its economic success, is to break down such divides and invest heavily in state education. To say that Prescott's views are outdated is utterly wrong. In fact given how social division is increasing in the UK and social mobility reducing rapidly, his points are even more relevant today than they were in the past. If we are going to have a better society in the UK in the future in fact we need many more class warriors like Prescott, all strength to him!

P.P. - 12/02/2009: I was pleased to see that he was behind a 13,000-signature petition to try to get the government to block banks that have been bailed out granting their employees huge bonuses. A good step, keep it up John.

Thursday, 17 May 2007

In Praise of Prescott - the left-hand man

One point that seems to have been missed in all the recent fuss over the departure of Tony Blair after having been UK prime minister for 10 years, is one record his Cabinet has established. This is that, certainly compared to the 20th century (and especially Margaret Thatcher who regularly 'shuffled' her Cabinet), and probably the 19th century as well, the top positions have changed the least. Gordon Brown has to be the first Chancellor of the Exchequer to have overseen 11 budgets in a row. John Prescott is certainly the longest serving Deputy Prime Minister ever, like Brown, having been in the same post since Labour won the election in 1997.

A lot is going to be said about Gordon Brown in the coming years, so in this post I am going to turn to John Prescott and assess his career. He will step down at the same time as Blair does. The Deputy Prime Minister, unlike say the US Vice-President, is not an official British ministerial position, it is one that comes in and out of use as is needed or wanted. Clement Attlee, leader of the Labour Party was deputy prime minister 1940-5 under Winston Churchill as prime minister. Churchill, the Conservative, was heading a coalition government and so it was a reward to Attlee for his participation. Whilst Churchill handled the war and international issues, Attlee focused on the domestic issues and the Home Front. The next Deputy Prime Minister did not appear until Margaret Thatcher appointed William Whitelaw in the 1980s (more on that later). In some cases as with Michael Heseltine under John Major the deputy premiership is to keep a rival close and onside rather than conspiring against you. Under Blair, this is what happened to Brown, but he got the Chancellorship instead.

So what of John Prescott? Why was he given the Deputy Prime Minister's position? The prime reason seems to be that it was a sop to 'Old' Labour to ensure, at least initially, that they would not cause problems for the Blairite Party, New Labour, which had come to power, effectively in coalition with them. Prescott has been ridiculed ceaselessly in the press, partly because as a worker himself (he was a seaman before turning to politics in the late 1960s) he is not glamorous or trendy. He is a stocky man with a common accent, which seems so out-of-step with 1990s politics. He is portrayed as stupid, but anyone who has read his political analysis, even dating back to the 1960s can see there is more of a brain and more political skill inside the man than most people realise. The deputy prime minister position had no portfolio so he was given a mess of things covering the regions, transport and the environment. Yet, things for which he was ridiculed such as bus lanes on motorways actually set out to achieve what they were meant to do, i.e. speed up traffic, though he never received credit for them.

Unlike Blair the glamorous leader or Brown the puritan, Prescott has behaved in the way many, many British men behave, but maybe that is not suitable in this media age. He had an affair, but so has about one-in-four ministers or party leaders of the past thirty years. He got into fights with people when provoked, but in 2003 he also saved someone from drowning. He was also ridiculed as 'two jags' Prescott for wanting two cars to ferry him and his wife around, but to me, that seemed like a man, who unlike the former lawyer Blair, had had to wait a long time for any decent perks. The key issue in all this is that Prescott has been the fall guy, when he is around to ridicule, the media have had no need to stray into picking on Blair himself. Thus, I perceive Prescott as having a 'shield' role for Blair and his regime.

In the 1980s Margaret Thatcher, referring to her deputy prime minister said 'everyone needs a willy' (taken as an inadvertent joke given the references to Thatcher's butch approach to things. However, I think in much the same way, Blair needed his Prescott. Whitelaw rarely appeared to be doing much visible work and Prescott has been the same. However, as Thatcher had difficulty dealing with her Cabinet ministers and had to use Whitelaw as a go-between, so has Prescott acted for Blair, especially with those from the Old Labour camp who have been granted ministerial positions. His crucial function has been in mediating between Blair and Brown. The two have been the best of friends and the best of enemies, disagreeing on so many policies and almost falling out on many occasions. However, we already know that Prescott has been there, laying on the dinners, getting them round the table to hold the line, to keep the partnership together. Without Prescott I doubt that Blair would have been able to choose his own time to depart and Brown may have gone in any number of directions.

As a Renaissance ruler you always kept your potential rival as your 'right-hand man' literally sitting on your right, so that if needs be, being right-handed you could thrust a dagger in his back if he moved to betray you. It was the 'left-hand man' out of reach of your blade who had the greater function as conciliator and he was the one you actually trusted more even though his status was not so high. This is the role Prescott has played very well and probably at cost to his own career. I hope that with the Blair era he could put his analytical and conciliatory skills to good use. I imagine he will be forgotten once Blair has gone, but without him, Blair's government would not have been as enduring or functioned quite as well as it did.