We are developing the social individualist meta-context for the future. From the very serious to the extremely frivolous... lets see what is on the mind of the Samizdata people.

Samizdata, derived from Samizdat /n. - a system of clandestine publication of banned literature in the USSR [Russ.,= self-publishing house]

French medicine may not be so healthy after all

Only yesterday I had good things to say about “Continental” medical provision, and it was France in particular that I had in mind.

Here on the other hand, is another view:

The French health service, regarded as the world’s best, is falling apart, a petition signed by 286 of its most senior hospital doctors claims. Waiting lists, almost unknown in France five years ago, are becoming common, and there is a severe shortage of doctors and nurses.

However, you need to be aware that this is being said by people who want this to be believed, so that they can be given more money to give to themselves, and each other. When did you last hear of people saying, when their annual grant was being discussed: “Oh, things are fine, really – in fact, we could probably get by with rather less money, if the truth be told” ? Not lately, I should guess.

“In casualty units, sick people have to wait for hours, sometimes even days, on stretchers, because there are no beds for them in the hospital,” said the doctors’ petition, sent to the newspaper Le Monde.

Nevertheless, that does sound rather anglais.

The recently appointed Health Minister, Philippe Douste-Blazy, has said the public health service budget would be €12bn (£8bn) in the red this year, €1bn more than the previous forecast.

The two events are closely connected. The doctors’ petition was a shot across the bows of the unpopular centre-right French government, which is expected to announce plans next month for the most radical reform of the health service in more than 50 years.

Battle-lines are being drawn for what is likely to be the most bitterly contested domestic political issue in France this year, the future of a €130bn-a-year health service which is regularly named by the World Health Organisation as the world’s finest.

A committee of inquiry reported in January that the “health insurance” section of the nation’s social security system faces a €66bn deficit by 2020 unless something is done to increase its revenues or reduce its spending, or both. Half of public spending on health goes on the state hospital service, which was originally to be excluded from the reforms.

The argument is all about money in other words. Suddenly the French system looks good, yes, but rather expensive. The health equivalent of Concorde. And they want, if not to cancel it, then to clip its wings rather severely.

The cameras are getting smaller

… and will soon be invisible. Anyone who bases their arguments about the dangers of camera surveillance on the primitiveness of current technology is, unlike the latest cameras, being very short sighted. Take a look, for example, at this:

It sounds like the speeder’s nightmare. A speed camera accurate up to 150mph which can be concealed in road studs as small as a cat’s eye indicator, and which can also – as you’re passing – cast a glance at your tyres to see if they’re a bit bald.

And at you, to see who you are and where you are, and what you’re up to. If not yet, then very soon.

Wake up: this camera exists, and it’s being trialled.

I’m awake already.

But the anti-camera lobby can rest easy for a while. The Department for Transport says that there is no way that these cameras, designed and made by a British company called Astucia, will ever be used for “enforcement” to level fines and penalty points. However, they will start being tested around the country later this year, as part of the wider efforts to encourage motorists to respect speed limits.

So, they will not (yet) do “enforcement”, not “for a while”. But they can already do “encourage”. Sounds like enforcement will be with us very soon.

When absolutely not means coming soon

This Guardian headline is terrifying, coming, as it most definitely does, under the “never believe it until it is officially denied” heading:

UK ‘will not bail out EU pensions crisis’.

This denial, on the other hand, might be quite good news:

Mr Brown insisted: “There is no intention of having a European health care system that replaces national health care systems.

My understanding is that, healthwise, they do things rather better on the Continent than we do here, so the fact that we absolutely, definitely, I deny that completely, no truth in that notion whatsoever, are not repeat not going to have a European health system here in Britain, i.e. we very possibly are going to have such a system, is quite cheering. (See the comment 4 on this posting if you doubt the ghastliness of Britain’s current arrangements.)

And then there is this:

He reiterated the government’s determination to resist any moves towards EU tax harmonisation. “Tax competition makes for a more efficient single market,” he stressed.

Things like this are never said until the contrary claim is presented in the form of a question. And that contrary claim is at least as likely to be true as any denial of it.

The EUro-ratchet effect means that it only needs one British politician to relax on any particular issue, usually as part of an attempt to hold back the inevitable on some other front, for the deal to be done.

Brian on porn on Talk Sport

I am about to be on Talk Sport Radio, at about 1 am tomorrow morning, they said. I have just done an interview about President Bush’s crackdown on porn, with a guy called Duncan Barkes. I tried to make sense, and probably made some sense. The purpose of this post is to tell you this, not to spend the next three quarters of an hour telling you what I think about it all.

But I will summarise it:

Duncan Barkes: Should porn be illegal?

Me: No.

Nurse!!!

Dave Barry links to this:

Phil Henry said he went to Helen Ellis Hospital in Tarpon Springs and was admitted for abdominal pain. A few days into his stay, his I-V malfunctioned causing his right arm to swell.

“On Tuesday night my right arm started hurting. I rung for a nurse. I didn’t get anyone and my arm got swollen up about the size of two golf balls and started bleeding,” Henry said.

After ringing for a nurse several times, he decided to take matters into his own hands.

“I took my urinal can and threw it out in the hallway, still got nobody. I hollered two or three times. Nobody came so I picked up the telephone and dialed 911.”

He said he told the dispatcher his name, where he was and described the problem with the I-V.

He then asked the dispatcher to call the hospital.

“Then I got a nurse. After that they took good care of me.”

Warning to British people: Do not try this with the NHS.

Speed camera island

Via b3ta.com, I came across a nice piece of White Rose Relevant graphics, here.

Since I don’t know what the policy is here about pictures, and in any case do not have picture posting privileges, but since b3ta.com is such a Niagara of pictorial diversions, here today and gone tomorrow, I nailed down the relevant image here, amidst appropriately educational commentary.

“Money grabbing gits!” is what b3ta said. Would that our money was the only thing in danger here.

Andrew Sullivan on that Bin Laden truce offer

Here is what Sullivan says, in today’s Sunday Times:

Bin Laden offered a truce. Who offers truces? People who are losing the battle.

Just what I was thinking.

I can not find anything else along similar lines here.

Good news from Pakistan

We agonize a lot here about Islamic fundamentalism. But what can be done about it?

There are many reasons why Islamism of the most belligerent sort now stalks the earth, but one of them is that in many parts of the world, if you want an education, your only choice now is often either an education presided over by Islamic fundamentalists, or no education at all.

It is this problem which a group of businessmen in Pakistan have set out to remedy. With financial help from people of Pakistani descent who are living it Britain, they have established The Citizens’ Foundation, and there was an article about the work of TCF in the Times Magazine yesterday by Joanna Pitman.

Quote:

The six of them – all highly successful top-level managers – met in August 1995 and began to think seriously about the problems. They addressed poverty, health, intolerance, population, education, water and sanitation, and concluded that the solution to all these issues was education. In Pakistan, education remains desperately, stupidly low on the list of government priorities. The state schooling system, riddled with corruption, has been either non-existent or on the point of collapse for many years. The result is a massive intellectual deficit: out of a total population of 145 million, the country has 28 million children entirely unschooled and 41 per cent of adult men and 70 per cent of adult women illiterate. Ironically, in some areas, the first parents queueing to send their children to TCP schools rum out to be government schoolteachers.

The six businessmen decided to set up a corporate-style charitable organisation to build and run schools offering high-quality education to both girls and boys in the poorest areas of the country. Within four months, the ground had been broken to construct the first five schools, paid for out of the pockets of the founders, and by May 1996 all five were operational. Only once the schools had been running successfully for a year did TCF begin to expand – not through advertising or asking for funds, but simply by taking people to see the reality and letting them spread the word.

Its target is to build 1,000 primary a secondary schools by 2010, which will cater for 350-400,000 children at a time, offering them a high-quality, secular education that is the envy of most government schools and comparable to the country’s elite private schools. “We want these children to compete with our own children,” says Saleem, whose four teenage children are being educated at the best Pakistani private school and at the American School.

I have been unable to locate this article either here or anywhere else (although if someone can correct that, please do), and so have taken the liberty of scanning it all into my Education Blog, where you can now read the whole thing. If you do that, you will not, I believe, regard your time as having been wasted.

This project strikes me as an example of all kinds of good things, but in particular of the benefits that can come to a poor country when people from it are able to go and live in richer countries, and are then able to do something about the depressing circumstances from which they thought at first only of escaping.

In general, I believe that if Islam ever does get past confrontation and accommodates itself amicably into humanity as a whole, the Islamic diaspora will be an important part of this process.

False records

From the BBC last Friday:

Nearly 200 people have been wrongly accused by the Criminal Records Bureau of having criminal records.

The names of 193 people were mistakenly linked with convictions held on the police national computer (PNC), BBC Radio Five Live has learned.

In some cases the names of those being vetted by the bureau were similar or identical to those of actual criminals.
In others, the criminals had given someone else’s personal details to the authorities to avoid a police record.

The Criminal Records Bureau, which came into operation in March 2002, does background checks on those who work with children or vulnerable people.

They made this number of mistakes (that they already know of) in the criminal record list, which is only a minority of the population. How many would they make if the list contained, or was supposed to contain, everybody?

What is scary about this kind of thing is when the information-that-isn’t starts to really get around, into several different data bases at once. At that point it becomes extremely hard to eradicate. Something like a false reading on sexual perversion (which is what these background checks for working with children and vulberable people are all about) is liable to spring to life again after previously having been eradicated, supposedly. After all, you can’t be too careful, can you?

France against radical Islamism

As Antoine is fond of pointing out here, the French are not totally supine in the face of radical Islamism:

Yahia Cherif, who preached in Brest, on the coast of Brittany, was deported to Algiers after being found guilty of “proselytism in favour of radical Islam” and “active relations with a national or international Islamic movement linked to organisations promoting terrorist acts”.

He was also found to have incited violence and hatred against people due to their origin. During the hearing, a lawyer representing the interior ministry cited evidence supplied by French intelligence to accuse Cherif of calling for a jihad during a sermon on March 19. The call represented a threat to national security, he said.

Cherif had also asked his followers for active support of Jamal Zougam, the prime suspect held in connection with the Madrid bombings, in which 191 people died.

Here is the case against deporting Cherif:

His lawyer argued that he did not promote terrorism but had been a victim of it, since he had witnessed his own father’s murder in Algeria. He said he feared for Cherif’s safety at the hands of Algeria’s military authorities.

I know that there is an argument that people like this just, you know, giving sermons, is just them exercising their right to free speech, but meanwhile, this man was clearly breaking French law as it actually is, and from the sound of it he certainly intended his words to give rise to actions. So my immediate reaction to this story is, in the words of the Sergeant Major with the moustache played by Windsor Davies in It Ain’t Half Hot Mum: “Oh dear. How tragic.”

As was this. Not.

The Guardian calls for the abolition of EU sugar subsidies

Nigel Meek draws the attention of readers of the Libertarian Alliance Forum to this leader in yesterday’s Guardian. He is right to do so. It is short enough and good enough to be worth reproducing in full, which he does for LAF, and which I do for Samizdata now:

It is difficult to find anything in the European Union more perverse than its continuing subsidy of sugar. It fails every test miserably. It is economic madness since the EU is shelling out hundreds of millions of taxpayers’ money – that could be used to reduce its growing budget deficit – to grow crops at a loss that could be better grown elsewhere. It is immoral because subsidies prevent poor countries from growing sugar that would create hundreds of thousands of jobs. It is also unhealthy because it is encouraging the subsidised output of a product that the World Health Organisation, courageously – in view of the vested interests attacking it – says we should be cutting back on.

If the figures – published in a new Oxfam report, Dumping on the World, this week – were applied to any other industry, they would be laughed out of court. Oxfam claims the EU is spending €3.30 to export sugar worth €1, an almost unbelievable support of more than 300% – and that is only part of the elaborate welfare package bestowed on the industry. These hugely subsidised exports are dumped on developing countries, snuffing out potential economic growth that could enable them to work their way out of poverty. All they want is a level playing field. Is that too much to ask for? Oxfam – quoting World Bank figures – also claims that sugar costs 25 cents per pound weight to produce in the EU compared with 8 cents in India, 5.5 cents in Malawi and 4 cents in Brazil. The world price for raw sugar is 6 cents a pound. It is bizarre that European governments reconciled, albeit reluctantly, to call centres being subcontracted elsewhere will not let go of sugar output which, left to market forces, would long ago have migrated to the third world. Sugar producers, with twisted logic, use Brazil’s low cost of output as a reason for retaining subsidies on the grounds that it will not be really poor countries benefiting, only the medium poor.

The simplest solution would be to abolish all agriculture subsidies, even though it would, in the short term, hurt a minority of poor countries that might lose out to the likes of Brazil. Once exceptions are granted, then everything is up for grabs, and trade and talks would be dragged down by interminable bargaining. If complete abolition is deemed impracticable in the short term, then at the very least Europe should commit itself at once to the complete abolition of all export subsidies, direct and indirect. Apart from the huge relief it would bring to poor countries, it would also restore Europe’s long-lost moral leadership.

It would take more than one measure of this sort to “restore Europe’s long-lost moral leadership”, but if such an unattractive delusion is what it takes to get rid of these vile and murderous subsidies – yes murderous, because economic failure is a matter of life and death, especially when inflicted upon the very poor, then so be it. Apart from that, I see nothing here to disagree with.

I posted here last summer about this blog. It is still going strong, and the ideas embodied in it still seem to be having an impact.

A cynical attempt to reach out to the pro-free-trade blogosphere, which has to get a nod from the real operation, the Guardian itself, otherwise it just looks ridiculous? Maybe, but who cares? And I am sure that Mr kick-AAS means every word of it. Ancient proverb say: window dressing often take over shop. What matters is that this kind of thing is being said, right across the political spectrum.

Is there perhaps a connection between the dangers of central planning and the dangers of genetic engineering?

One of the great things about blogging is that you can make a very small and modest point about a very large and immodest matter. Maybe X has something to do with Y, possibly. Maybe a large truth could be found by combining P and Q. I don’t know what that something is, nor what that large truth might be. I’m just saying: maybe something, maybe some truth.

In that spirit, and provoked by this article about the rights and wrongs of genetic cloning, may I offer the thought here that the elaborate and highly developed tradition of thinking associated with the notion that the central planning of a national or even a global economy is not such a good idea as it once seemed to intelligent people, because of … all the usual reasons that readers and writers here are familiar with, might have something to say about the wisdom, and in particular the unwisdom, of genetic engineering.

Michael J. Sandel senses that there is something dodgy about going beyond the elimination of specific genetically inherited badnesses, that is to say illnesses, and into the territory of genetically programmed goodnesses, in the form of such things as greatly enhanced musical ability or much stronger muscles. I think he may well be right. Genetic goodness may turn out to be a lot more tricky – a lot more problematic, as modern parlance has it, to induce than many perhaps now assume.

I have always thought that genetic engineering will enable us to learn a lot. I now suspect however, that much of what we learn will of the sort that goes: “Well, that we should not have done!”

This distinction between genetically induced badness and angenetically induced goodness reminds me strongly of the distinction, familiar to most of us here, between the idea that government is okay when it sticks to removing or restraining obvious badnesses from society, such as crimes or foreign aggressions, but a lot less okay when it moves into the territory of encouraging goodnesses, in the form of such things as economic success, and (the big one now) health (by which I mean “public” health, a general disposition to be healthy in the whole population). Encouraging goodness in individual human bodies and minds by genetic means seems to me likely to be a process which will turn out to be illuminated by rather similar intellectual categories.

In short, our books about political philosophy may turn out to be great not just on the subject of political philosophy, but also to have a great and rather unexpected future in the area of “genetic philosophy”.

Please do not misunderstand this as the claim that individuals do not have the right to genetically engineer their own genes. It is not that sort of statement. What I am getting at is that certain sorts of genetic alteration may prove to be extremely unwise, in the same kind of way that ‘positive’ planning of the economy has proved unwise. Economies are too complicated to be planned. Individual human bodies (and minds), I surmise, might, for genetic engineering purposes, prove similarly complex and intractable.

(As far as individual rights are concerned, one of the reasons I favour the right to genetically engineer is precisely to enable the world to discover the dangers of genetic engineering on a small scale, rather than on the kind of scale that might result from centralised government control of the process. Positive government planning, of societal goodness, plus genetic engineering done in a similarly optimistic spirit, strikes me as a uniquely toxic combination of policies, and “toxic” might not even be a metaphor there. The usual argument nowadays is that genetic engineering is too dangerous to be left to individuals. I say it may be too dangerous not to be.)

In my head, this is not even a half-baked idea. Insofar as it has merit, I am sure that others have had the same sort of idea. Insofar as it does not, I say in my defence: it was just a thought.