Plain packaging is an appalling intrusion into consumer choice and the operation of the free market.
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From Ryan Paul, in this tweet:
January 19th, 2015 | 9 comments - (Comments are closed)
 Did David Cameron just say something… um… well… sensible and manifestly correct? I can hardly believe my eyes!
Did Dismal Dave really say this? I need to lie down. January 18th, 2015 | 25 comments - (Comments are closed)
This post was written by my regular correspondent “ARC”, who has several family members working in the NHS. – NS I’ve been discussing the NHS A&E issue that’s been in the news of late with the medically knowledgeable and NHS-aware members of my family and thought you might be interested in their background information, so have written it up while the conversations are still fairly fresh in my mind. I summarise, then give my own thoughts at the end. The immediate cause of the NHS A&E issue being such a story in the media at this time (other than the upcoming election, of course) is simply that at Christmas a great many staff take holidays. The resulting shortfall exposes long-term trends in an area under pressure. There is no other immediate cause, as distinct from long-term trends: these problems have been growing for 15 years and more as follows. 1) Flow-though is crucial to A&E: you must get people out the back-end of the process to maintain your rate of input to the front-end. However ever-increasing regulations mean a patient without family cannot be released until a boat-load of checks have been done. This is clogging up the back end. It may be preventing the release of a few who had better not be sent home yet (not much and not often, is the general suspicion) but it is definitely delaying hugely processing the release of all others who could be. All this admin takes time and effort – delaying release and also using up time of staff in non-health work – and costs money. This effect needs to be understood in the context of the 15-years-older story of the destruction of many non-NHS nursing homes by galloping regulation. These homes were mostly owned and operated by senior ex-NHS nurses and provided low-grade post-operative care. The NHS relied on them as half-way houses to get patients out of NHS hospitals when they no longer needed intensive care but were not yet recovered enough to go home. These nurses did not want to spend time form-filling instead of caring for patients, and for each home there was always one of the 1000+ rules that was particularly hard for that given home to meet without vast expense or complication. So they died one by one. The ‘waiting times have increased’ story of Tony Blair’s early-2000 years – “If the NHS were a patient, she’d be on the critical list” – was caused by this and the resultant bed-blocking more than any other one cause. A more recent context is over-regulation of local councils’ social services leading to declining throughput, unrealistic expectations for their visit times, etc., and there have also been some social services cuts by said councils. These also have an impact on a hospital’s ability to get people out of the back-end to free up beds for A&E incomers. 2) The new 111 service is sending many more patients to A&E. 2.1) The service’s advice is very risk averse. The people who set up the process were afraid of the consequences of the statistical 1-in-a-million time when anything other than mega-risk-averse advice would see some consequence that would become a major news story blaming them. 2.2) Thanks to the post-1997 reforms, GPs work less hours on-call but the doctors are not just slacking off and doing nothing. The huge growth in regulation means they are in effect putting in as many hours as before, but on form-filling and admin to provide all the info the NHS and other government demand, to ensure they tick every box, etc. The out-of-hours on-call time they used to have is now swallowed by this work. So they are not in fact working less; it is the balance of what they are working on that has changed: less on healthcare, more on admin. Thus 111 must send people to A&E, not an on-call GP (and, of course, fewer on-call GPs mean more people phone 111). 3) Regulation prevents fixing the problem as well as causing it. A Birmingham hospital (Queen Elizabeth in Edgebaston IIRC), said to be very efficient as such things go, tried to create a low-level care unit precisely to solve the problem. Because of the regulations, the attempt had to be abandoned – they just could not tick all the boxes. 4) Back in the early-80s, when my sister (a doctor) did her elective in A&E, she loved it. Now, doctors are avoiding A&E as a speciality because they know how brutal is the pressure there. So the problem is beginning to compound itself. There is a great deal more one could say, but the above are what my informed relations see as the key immediately-relevant causes. So far my summary. Now some thoughts of my own. What I observe has most changed in the last two decades in these either left-leaning or were-left-leaning people is firstly their belief that “No party can fix it”. (This I heard from a previously definitely-left individual who would probably still cut her hand off before it voted Tory and whose heart wavered between Labour and [Scots] Nats although her head despises Nats ideas and despairs of Labour.) There is an expectation that no likely government will do anything other than talk of reform while actually causing yet more regulation. Some of this in some of them might be a reluctance to think that the side of politics they’ve loved to hate in the past might be the place to look for an answer (I am reminded of Gore Vidal in 1979, “I feel the despair of coming to think that the Soviet Union may be as despicable as the U.S.” – quoted from memory) but it also reflects their opinion that the Tory-led coalition has failed to reverse any of the above trends, and this opinion I fear is not mere prejudice but has a basis in their experience of the last three years, just as much of the above reflects their experience of the last 15 years. Secondly, they report a widespread belief within the health service that this time “a bit of money can’t fix it”. There is no expectation of an ocean of money (and – I sense – awareness that the NHS already consumes an ocean of money, so can hardly demand another ocean of money even as a righteous goal, however impossible to arrange). Lastly, I know that behind all this inefficiency of regulation, there lurks a compounding problem of looming social trends. The number of patients who have no family ready to help is rising. The promise that the state will look after all has led more people to lead lives that make no other arrangements. But these long-term trends are not the reason the NHS operates much worse now than two or three decades ago. January 18th, 2015 | 30 comments - (Comments are closed)
Big Bang transformed the City for the better, as I hoped at the time. It broke up the cosy cartel of the old stockbrokers and jobbers, introduced competition into commissions which made share buying and selling so much cheaper, allowed in many foreign banks and brokers with extra capital, new business and job opportunities, and allowed UK institutions to raise serious amounts of new money to operate on a world scale. It built one of the dominant financial service and banking sectors of the world. The City expanded from the narrow Square Mile around the Bank of England, to encompass Aldgate, Liverpool Street, the Finsbury area , parts of Mayfair, St Paul’s and parts of docklands. Today we earn £60 billion from our financial and business service exports, and have a group of companies and service industries that the world envies. Without Big Bang none of that would have happened, and the UK would be a lot poorer. Instead of blaming Big Bang for financial scandals, people should remember there were scandals before Big Bang, and remember above all that it was Mr Brown’s regulators who helped bring on the crash they were meant to prevent. I think Big Bang did bad things (speeding up the mess of fiat money) as well as good (doing lots of business in London). The more Austrianist you are, the earlier you will think the rot set in. Nixon takes Dollar off Gold Standard in 1971? Founding of the Fed? Founding of the Bank of England? But Redwood is right that Gordon Brown certainly didn’t help avert the crisis we are now stuck in, even if him keeping Britain out of the Euro may prove to be his most significant decision in the long run. Remember, just because one of us here selects something as an SQotD doesn’t mean we necessarily agree. We are merely noticing that something significant, and usually true-ish, has been forcefully put. January 3rd, 2015 | 11 comments - (Comments are closed)
Life in New Malden is just unimaginably better than in that in North Korea – North Korean defector Kim Joo-il, stating the obvious from (where else) suburban London. December 21st, 2014 | 21 comments - (Comments are closed)
Douglas Murray argues that in today’s supposedly anti-politics culture, a distrust of the current crop of folk in power does not translate into genuine liberalism and accountability – such as would happen if Whitehall and Brussells were cut down to size – but something potentially very nasty indeed. And he takes a look at the likes of Owen Jones and Russell Brand as symptoms of a wider problem:
This analysis is spot-on, and it explains why, even though concepts such as “the ruling class” or “establishment” can have some sort of value in explaining how groups of people act and think, they can become very dangerous without understanding that people respond to incentives, and that we make a mistake in seeing events as being driven by close-knit cabals or groups wielding enormous, but somehow secret, power. In other words, what I have learned from subjects such as “public choice economics” or the insights of writers such as Milton Friedman or a Henry Hazlitt is that seeing dark forces at work to explain things like bank crises or environmental problems is more about what people find emotionally satisfying than what actually happens 99 per cent of the time. Although I should not have to spell it out, in the past, a lot of the sort of thinking that is being described here took the form of anti-semitism. And it is probably no great accident that this is also on the rise at the moment. December 19th, 2014 | 11 comments - (Comments are closed)
When David Cameron used his speech to Conservative party conference to announce that he wants to increase income tax thresholds there was uproar from his critics on the left. How dare the Prime Minister promise a tax cut when the UK is still running a giant deficit and adding to the debt burden with each passing day? The UK Treasury’s ‘Ready Reckoner’ estimates that the changes to the higher rate of tax and an increase in the personal allowance would “cost” £7 billion. Officials have been briefing that they have concerns about whether the threshold changes are “affordable.” But this is nonsense, pure and simple. A hike in the thresholds doesn’t cost a penny – it just means politicians have less of our money to spend. So you can either cut back, or you can borrow; we’ve tried the latter, and we’ve now got a £1.45 trillion debt pile to deal with whilst paying more in debt interest every year than the country spends on defence. I’d counsel, therefore, that the former is a rather better option. Indeed the very concept of tax cuts costing anything at all implies that all the money in the economy belongs to the government, and that which it deigns to allow us to keep is some sort of present from a Chancellor who once a year puts on a jaunty Santa hat to hand out alms to the masses. December 5th, 2014 | 15 comments - (Comments are closed)
Reported in yesterday’s Daily Mail:
The Northern Echo has the same story, although Ms Holliday’s name is given as “Tracey”, as it is in several other sources. This being the Daily Mail, everybody is outraged about everything. The Mail commenters are outraged that the couple committed the fraud, that they escaped jail, and that they get to keep the money. “People like this are crippling our welfare system by stealing from us daily – they never suffer any kind of real punishment and so it will continue,” runs a typical comment. The Minister for Disabled People, Mark Harper, shares the commenters’ outrage and manages to get in a plug for the Access to Work scheme the defendants were abusing, “This is a sickening example of two people milking a system designed especially to support disabled people to get or keep a job. ‘Access to Work helps over 35,000 disabled people to do their job. More and more disabled people are getting into work thanks to this fund and our Disability Confident campaign – as employers recognise the tremendous skills they bring to business.” Even Ms Holliday and Mr Johnston themselves manage a little hopeful outrage, over the way that that they were, they say, obliged by family circumstances to plead guilty with all its potentially unpleasant consequences (not that the actual consequences for them were much more than bad publicity), when really they just didn’t get how the system worked and hadn’t noticed the illegitimate origin of all that cash piling up in their bank accounts. No one seems outraged or even surprised by the idea that even if Ms Holliday and Ian Johnston’s claims had been genuine, their company would be getting services worth approximately forty-five thousand pounds a year provided by the government to make it worth their while to employ deaf people who could not do their jobs without an interpreter. You don’t get 45 grand per annum to make it worth your while to employ monolingual Tagalog speakers, although by some counts the number of people in the UK whose first language is British Sign Language and whose first language is Tagalog is similar. You might argue that, unlike those who have a foreign mother tongue, deaf people have a disability making them deserving of state aid to compensate for their misfortune – but if you did you would be contradicting Deaf (note the capital D) activists who maintain that deafness is not an impairment but a cultural choice, not to mention government guidelines on how to refer to the Deaf community. Nobody seems to give any credence to Holliday and Johnston’s claim that they just did not realise that what they were doing was wrong. Could they really be capable enough to run a business and yet still be under the impression that the government would every year squirt tens of thousands of pounds in their direction without checking how it was spent, just because some of their employees were deaf? Be fair, why should they not have received that impression since that is indeed the way the system is meant to work? Here is an almost spookily similar case from 2008. Notice how the culprits in that case sought out employees disabled enough to qualify for the Access to Work benefits. Applicants who could not apply for AtW support were ignored. Notice also how the real business of the “businesses” in both cases was subsidy farming. There are thousands of deaf employees and employers doing real work, providing things that people both deaf and hearing really want enough to pay for – including, of course, translation between signing and English. There are no doubt thousands more who would like to do likewise, but the mushrooming of “Community Interest Companies”, “Social Enterprises” and similar much subsidised and little scrutinised sources of employment has normalised a sort of performance dance choreographed to look like people working. Deaf employees, sign language interpreters, support workers, and those whose jobs depend on administering and policing Access to Work and similar schemes all join the dance, gracefully exchanging partners until La Ronde is complete. November 27th, 2014 | 11 comments - (Comments are closed)
So Oxford student Niamh McIntyre writes in the Independent. She says,
Oxford Students For Life (OSFL) originally planned to hold the debate in Christ Church college. The Oxford magazine Cherwell quotes the Christ Church JCR Treasurer, Will Neaverson, as saying:
A blog post by OSFL (see link above) indicates that Niamh McIntyre’s pleasure and Tim Neaverson’s relief that debate had been shut down were not spoilt by anyone finding an alternative venue. You can, however, read what Tim Stanley had planned to say had the debate taken place in an article in the Telegraph. Hat tip: Instapundit and Eugene Volokh. *The two Christ Church Censors are the equivalent of college deans and only occasionally censors in the other sense. November 20th, 2014 | 83 comments - (Comments are closed)
But the reality of Chakrabarti’s On Liberty, an awkward amalgam of the semi-personal and the mainstream political, never even comes close to realising the promise. Instead, it turns out to be a desperately dull encomium to the human-rights industry, a verveless trudge down Good Cause lane, with every battle against New Labour anti-terror legislation, each scuffle with the ASBO-happy authorities, eventually turning into a victory for the indispensable European Court of Human Rights. Hooray for Strasbourg! If John Stuart Mill wasn’t so liberal (and dead), he’d be within his rights to sue Chakrabarti for calumny. November 20th, 2014 | 7 comments - (Comments are closed)
My only objection to this…
… is that it was ‘unwitting’ 😛 November 19th, 2014 | 15 comments - (Comments are closed)
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