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]

Universal healthcare vs the rights of doctors and nurses

So it wasn’t George Bernard Shaw after all.

It wasn’t him in the funny story about the dinner party, I mean, the one where a man teasingly asks the woman seated next to him, “Would you sleep with me for a million pounds?” Laughing, she answers, “You bet!” “All right,” he says, “How about for five pounds?” Now she is outraged and says sharply, “What do you take me for?” He replies, “We have already established that. All we are doing now is haggling over the price.”

*

“Bristol Southmead Hospital: Racist patients could have treatment withdrawn”, reports the BBC.

North Bristol Trust (NBT) launched its Red Card to Racism campaign after staff reported an increase of abuse from patients and visitors at the city’s Southmead Hospital.

The abusive behaviour covers racist or sexist language, gestures or behaviour.

Trust chief executive Andrea Young said they wanted staff to “challenge and report it”.

Under the scheme, any patient abusing staff would be challenged and warned, leading to a “sports-style disciplinary yellow card” followed by a final red card in which treatment would be “withdrawn as soon as is safe”.

and

Ms Young said: “We’re sending a strong signal that any racism or discrimination is completely unacceptable – we want staff to challenge and report it and we want everyone to know that it will have consequences.”

Although I am not an adherent of the worship of the National Health Service that has replaced Anglicanism as the British English state religion, I can understand what people like about the NHS. Its founding principles were that its services should be comprehensive, universal and free at the point of delivery. I think the experience of other countries shows that there are many other healthcare systems that would work better overall, but it is a genuine advantage to the UK system that when a British person falls ill they do not have to even think about where and how they will get treatment, or how they will pay for it. It’s universal.

Or it used to be. Bristol Southmead Hospital has changed all that.

I could go on about how easily this policy by North Bristol NHS Trust could be abused, could lead to tragedy. A story by Jack Montgomery at Breitbart UK did just that. But in a sense all that is just haggling over details: once it is established that the NHS is no longer universal, what is the point of it?

The National Health Service was meant to be like the justice system: no one can ever lose the protection of the laws, not proven criminals, not actual racists, and certainly not some shabby old man who has been waiting in Casualty for five hours and can’t stop himself blurting out some non-PC word because he is in pain.

On the other hand, in other contexts I have argued that state systems should drop their obsession with universality. When I was a teacher I saw how one feral child in a class in a state school could ruin the education of thirty other children. For a mess of perverse reasons the policy of putting them in “sin bins” was never applied wholeheartedly, and there are some children so monstrous that even the other denizens of the reformatory should be spared their company. Not to mention the teachers, many of whom quit the profession rather than having to face one more day trying to control these thugs. Whenever it was suggested that the state should simply cease the attempt to educate such children someone would wail, “We can’t just abandon them”. “We can and we should,” I would say. “If they make themselves so unpleasant that no one wants to teach them, no one should have to.”

So don’t those arguments also apply to NHS staff members and patients who find themselves cheek by jowl with some aggressive bigot spewing out obscenities? In this case I am not talking about people who are unjustly deemed to be racists or sexists (real though I think the threat of this happening is), I am talking about truly nasty people. I said one of the best aspects of state healthcare was that it is available to all. But my own words regarding state education, also meant to be available to all, come back to haunt me: if some people make themselves so unpleasant that no one wants to cure them, surely no one should have to.

What do you think?

The Anti-Saloon League is back

“Prohibition showed bans can be good for us”, writes David Aaronovitch in the Times. Unironically. He means it. He thinks Prohibition was good and wants it back. I suppose it was ever thus; it is like the way that when the people who remember the last banking crash die the banks start crazy lending again.

Mr Aaronovitch writes,

Your mental charge sheet against prohibition may well include the accusation that it didn’t get rid of drinking but sent it underground; that the resulting appetite for “bootlegged” liquor led to the rise of organised criminal syndicates, Al Capone, the mob and the St Valentine’s Day massacre; that it helped to make corrupt hypocrites out of public servants; that the rich were able to indulge while the poor were criminalised.

Why yes, it does.

And after just a few years the Americans saw what a disaster it was and repealed it. It may not improve your view of it to know that the Ku Klux Klan were very much in favour of prohibition.

That does not surprise me.

Strangely though, the one question that almost no one seems to ask of this epic public health measure is whether or not it actually improved public health. Yet it doesn’t take much digging into the available statistics to discover that it did — quite a lot, in fact.

Excessive alcohol consumption is linked to all kinds of adverse health conditions. The most obvious is alcoholic cirrhosis (or scarring) of the liver. In 1911 the death rate for cirrhosis among American men was nearly 30 per 100,000. By 1929 that had been reduced by more than 30 per cent. Registered admissions to mental hospitals for psychosis linked to alcohol more than halved. Even by 1933, when Volstead was revoked, alcohol consumption had gone down by a third since pre-prohibition. Whatever Mark Twain may have written, prohibition saved many, many lives.

The commenters made several good points to contradict that assertion. Some pointed out that in the same period alcohol consumption also went down other countries, including the UK, where alcohol continued to be legal. Bryan Dale said, “If prohibition reduced alcohol consumption by a third that can hardly be called a success. It was supposed to eliminate it entirely after all. With 2/3 as much alcohol being illegally consumed as had been done legally before prohibition, the impact on respect for the law must have been dreadful.” Others described well-stocked drinks cabinets in modern Saudi Arabia, or the way that the type of alcohol consumed shifts from beer to spirits when it must be sold and transported illegally.

I expect readers of this site can supply many other historical and factual arguments. All I will say is that there is a void at the heart of the passage I quoted above. Mr Aaronovitch never even questions the assumption that it is for him and people like him to decide what other human beings may or may not put in their own bodies.

Another unfortunate speaks

A few months back I posted about the conflict between feminists and strippers at the Spearmint Rhino strip club in Sheffield.

Writing in the Guardian, Kate Lister both provides an update on that dispute and brings up a fascinating parallel from a hundred and sixty years ago:

Today’s sex workers, like their Victorian sisters, don’t want ‘saving’

In a series of letters written to the Times in 1858, an anonymous sex worker, referring to herself as “Another Unfortunate”, challenges the widespread assumption that all sex workers are an “abandoned sisterhood”. The tone of Another Unfortunate is defiant, proud and attacks the paternalistic moralising of the groups who wish to save her.

I had no idea that such things were allowed to be said in the Times in 1858. I suspect it would not have been allowed in 1958.

That Which Shall Not Be Named

It waits. It hungers. In its tenebrous embrace all memories, all identities, all names are lost. What was once known becomes unknown.

And a jolly good thing too, that’s what I say.

The Scottish government’s creepy Named Person Scheme has been fed to Azathoth, the BBC reports.

An earlier post of mine called “Sixty pages” described one father’s experience of the pilot scheme:

The surviving extracts appeared to indicate that the minutiae of his family life had been recorded in painstaking detail for almost two years, under a Named Person scheme which has been introduced in his part of the country ahead of its final roll-out across all of Scotland in August. A separate note made by the Named Person charged with keeping an eye on the academic’s two little boys was concerned with nappy rash.

Rob Fisher also wrote about it here: What the GIRFEC?

We have always been at war with Vapasia

India bans e-cigarettes as global vaping backlash grows

India has announced a ban on electronic cigarettes, as a backlash gathers pace worldwide about a technology promoted as less harmful than smoking tobacco.

[…]

“The decision was made keeping in mind the impact that e-cigarettes have on the youth of today,” India’s finance minister, Nirmala Sitharaman, told reporters in the capital, New Delhi.

[…]

The government said it would advance tobacco control efforts and contribute to a reduction in tobacco usage. Punishments include up to a year in prison.

[…]

According to the World Health Organization, India is the world’s second-largest consumer of traditional tobacco products, which are not covered by the new ban, killing nearly 900,000 people every year.

[…]

India is also the world’s third-largest producer of tobacco, the WHO says, and tobacco farmers are an important vote bank for political parties.

Keeping the poor from wealth and the sick from health

“Bulgarian authorities bust gang suspected of illegal organ trading”, reports the Chinese state news agency Xinhua.

Bulgarian law enforcement authorities have dismantled a four-member organized criminal group suspected of illegal human organs trading, an official said here on Friday.

Two of the gang members were arrested on Tuesday evening when they were trying to leave the country at the Kapitan Andreevo checkpoint on the border with Turkey, and the other two were detained later, Siyka Mileva, a spokesperson for the Specialized Prosecutor’s Office, said at a press conference.

The evidence gathered so far indicates that the gang has been active since Feb. 2019, recruiting donors and recipients of kidneys, and transporting them to a clinic in Turkey where transplantations were performed, Mileva said.

All the criminals, donors and recipients are Bulgarian citizens, she said.

The recipients paid the gang between 50,000 euros and 100,000 euros (55,500 to 111,000 U.S. dollars) for a kidney, of which from 5,000 euros to 7,000 euros were paid to the donors, and the surgery cost between 20,000 euros and 25,000 euros, Mileva said.

The donors were of low social status, she added.

Thanks to the splendid work of the Bulgarian authorities their low social status will now be lower still, as in “criminal”. The people who needed the kidneys will have their status changed from “sick” to “sick and in jail”.

I first heard this story on the radio. Unfortunately I cannot remember which station I was listening to, but I do remember that the report specifically said that all the participants, including the would-be donors, were willing participants in the exchange of kidneys for money. Both sides were better off in their own judgement; the poor wealthier, the sick healthier. This evil had to be stopped.

Discussion point: compulsory vaccination

Stop return of measles by making MMR jab compulsory, say GPs.

The Guardian headline makes it sound as if all GPs (General Practitioners) have said this. In fact only four named doctors are quoted, and when one reads the article the “compulsory” of the headline is not fully justified, but I think most GPs would agree with the government moving from a “nudger” to a shover on this issue.

The MMR jab should be compulsory for children before they are allowed to start primary school to stop the resurgence of measles and mumps, leading GPs are demanding.

Schools should ask all parents to prove their four- or five-year-old has had their two recommended doses of the vaccine before they can attend, they say in a letter to ministers seen by the Guardian.

They want school entry procedures toughened so that the only exceptions made to the new rule would be for children whose parents have registered a conscientious objection to the measles, mumps and rubella vaccine or those whose health means they cannot have it.

The four London GPs, who include a former government adviser on health policy, have urged the health secretary, Matt Hancock, and the education secretary, Gavin Williamson, to embrace the proposed change in policy.

Many a libertarian shuffles their feet when questions of herd immunity come up. The ghost of Typhoid Mary laughs. What do you think?

You’ve heard of precrime. Meet preantipathy.

The concept of “Precrime” was introduced to the world by the science fiction author Philip K Dick, whose dystopian 1956 short story Minority Report became a film in 2002 and reality in 2020 according to precogs working for the Tony Blair Institute for Global Change.

“New law needed to take on far-right extremism, says Blair thinktank”

A new law allowing for hate groups to be designated and punished before they turn to violence is needed in order to tackle far-right extremists, according to a report by Tony Blair’s thinktank, which also seeks powers to ban marches and media appearances.

Generation Identity, a racist movement that promotes a conspiracy theory that white people are being replaced by non-whites in Europe, would be among the groups targeted by new legislation, the Tony Blair Institute for Global Change report said.

The law could sit alongside proscription powers, banning groups concerned with terrorism, but would not be directly linked to violence or terrorism. Rather, it would designate hate groups as organisations that spread intolerance and antipathy towards people of a different race, religion, gender or nationality, the report said.

Antipathy? They want to introduce laws that “sit alongside” the laws (sinister enough themselves) that ban groups suspected of plotting acts of terrorism before they have actually committed a crime, including the crime of conspiracy. Only these new laws would pre-emptively ban groups who might want to spread a strong feeling of dislike before they did anything about it.

The authors acknowledge that the issue of linking violent and nonviolent extremism is contentious and steps would need to be taken to protect free speech.

Very droll.

It is wrong to force a person into sexual activity

I had thought that all decent people, whatever their politics or religion, accepted that each human being has the inalienable right to refuse to engage in sexual activity, and that for each person the decision as to what level of physical intimacy with any other person was acceptable to them was theirs and theirs alone.

I would never have guessed that was a case that still had to be argued. That would be like… having to go to court to argue all over again that prostitutes should have the right to refuse clients, or that marital rape should not be allowed. Or that forced concubinage should not be allowed, or any of the other forms of sexual slavery that stain the record of humanity.

Of course I knew that there were even now places in the world where people, usually women, still do not have the legal right to refuse sexual activity. Now that Daesh has been defeated, the first such place that comes to mind is the territory controlled by Boko Haram.

In British Columbia, the second most progressive province of Canada, they’re thinking about it.

There is nothing new under the sun

“What has been will be again,” as it says in Ecclesiastes, “what has been done will be done again; there is nothing new under the sun.”

Yesterday – to my shame I did not spot it until today – the Times reprinted a letter to the editor that was a century old to the day. I wish I could say that it was merely of historical interest.

From The Times July 15, 1919

To the Editor of The Times

Sir, Will you permit an elderly man, who is not a politician nor a public character, but merely an individual among millions of honest, sober persons whose liberty is attacked by a moral tyranny, to state an opinion with regard to the crusade against moderate drinkers? It is not needed even in the cause of morality. When I was a child excess in drinking was patent in every class of society. Now, in my wide circle, I do not know of one man or woman who is ever seen “under the influence of liquor”. Why not leave the process of moderation, so marked within 60 years, to pursue its normal course? It is untrue to say that a reasonable use of alcohol is injurious to mind, body or morality. My father, whose life was one of intense intellectual application, and who died from an accident in his 79th year, was the most rigidly conscientious evangelical I have ever known. He would have been astonished to learn that his claret and water at his midday meal, and his glass of Constantia at bedtime, were either sinful in themselves or provocative to sin in others.

There is no blessing upon those who invent offences for the pleasure of giving pain and who lay burdens on the liberty of others. We have seen attempts by the fantastically righteous to condemn those who eat meat, who go to see plays, who take walks on Sundays. The campaign against the sober use of wine and beer is on a footing with these efforts, and should be treated as they have been. Already tobacco is being forbidden to the clergy! The fact that Americans are leading the campaign should be regarded with alarm. We do not express an opinion, much less organize propaganda, against “dryness” in the United States. It is not for us to interfere in their domestic business. If Englishmen went round America urging Americans to defy their own laws and revolt against their customs, we should be very properly indignant. Let crusading Americans be taught the same reticence.

The propagandist teetotaler is active and unscrupulous. He fights with all weapons, whether they are clean or no. We must resist, without fear of consequences, the cruel and ignorant fanaticism of these apostles.

I am, Sir, your obedient servant,

EDMUND GOSSE

“It’s about all of us”

There’s an interesting video story on the BBC website today:

Spearmint Rhino strippers fighting for the right to strip

Feminist[s] campaigners have secretly filmed at the Spearmint Rhino strip club in Sheffield. They claim the recording shows sexual acts taking place in the club, which breaks the licensing rules.

Ella, a stripper at the club, is furious with Not Buying It for secretly filming dancers naked and fears losing her job as the club may now lose their licence.

But Dr Sasha Rakoff who assisted the secret filming insists this was the only way to expose the dark side of the industry.

My immediate sympathies were with Ella, but I can see both sides. I support the right of women (indeed the right of all people) to do what they like with their own bodies. On the other hand, the Spearmint Rhino club agreed to abide by certain rules about what could be done on the premises, and it does seem to me as if the covert filming by “Not Buying It” made a good case that those rules were being broken. I did not find Ella’s argument that the investigators had misunderstood what they saw entirely convincing. And it won’t wash to say that the conditions of the club’s licence were merely another example of state repression; though it would be better if they were voluntarily entered contracts between private parties, zoning rules of that broad type would probably still exist in a libertarian utopia.

Still, I found this statement from Dr Rakoff problematic:

Feminism, kind of like the rest of society has been somewhat infected by these really neo-liberal, really dumbed down, simplistic, very selfish attitudes that it’s all about me, me, me and what I choose and if I choose something it’s my right. That’s not what feminism has ever been about, it’s about all of us. So even if these women do choose to be lap dancers, it’s not just about them, it’s about wider social attitudes which is breeding Harvey Weinsteins.

So, according to Dr Rakoff feminism has never been about women’s individual choices. I had heard otherwise but perhaps that merely reflects my ignorance of modern feminism. As I said in a recent post, ‘I’m still holding on to the idea that “what a feminist looks like” can include what I see in the mirror. But it is getting harder.’

I would also like to know exactly who is included in the “all of us” she mentions as having some right to override an individual woman’s choice to be a lap dancer. All of humanity? Just the female half of it? Self-identified feminists? Or just those feminists who meet Dr Rakoff’s standard of feminism uninfected with neo-liberal selfishness?

“Lock ’em up.” “Can’t. We need one of them to be Prime Minister.”

“Michael Gove is a man who invites a number of opinions, a great deal of them unflattering, even within the Conservative party, but I am yet to meet a Tory MP who sincerely believes that it would have been better for anyone had he spent a decent chunk of the early noughties in prison. Yet the official position of his party, and that of the main opposition, is that it would.

I do not always agree with Stephen Bush, the deputy editor of the New Statesman, but ain’t that the truth?

“That’s right: it is Tory party policy that they would have been better off if one of their most dynamic administrators and a near permanent presence on the frontbench since his entry into politics had been either imprisoned or working in a minimum wage job. That might be the private view of some teachers and some particularly committed pro-Europeans but it’s an odd look for a party that might yet make him prime minister.”

Even odder that the very suggestion that the leading candidate to be prime minister might not have taken cocaine on multiple occasions elicits laughter from all quarters. In fact according to the Sun, seven of the eleven candidates for the Tory leadership admit they have used banned substances in the past. The same article adds that Boris Johnson claims that he only did it the once, but hesneezedsoitdidn’tgouphisnose, and it mayhavebeenicingsugaranyway. Now, I do not deny that kind of thing can happen. I was first offered the chance to smoke some grass when I was at secondary school. Man, that was some real grassy grass. But the idea that, having left Oxford and achieved such early success as journalist that getting sacked by the Times for falsifying a quote was but the start of his career, the freewheeling young Boris was so chastened by his early experience that he never again sought to obtain the substances so widely used by his media colleagues convinces about as well as the idea that he stuck to icing sugar thereafter. Ladies and gentlemen: Alexander Boris de Pfeffel Johnson, the next Prime Minister of the United Kingdom.

Stephen Bush’s article in the Guardian, “Michael Gove got high but his party champions a futile war on drugs”, continues:

The overwhelming evidence from around the democratic world is that countries which have legalised drugs have seen numbers of drug deaths fall and have taken billions out of the criminal economy.