Yet another new theme - what do you reckon, people?

Debating the NHS: A Rejoinder

21 August, 2009 simonkaye 9 comments

I’ve had some interesting replies to my last post on this, so I thought I’d put down a bit more here. Just from the outset, though: I wrote the original piece out of bemusement that everyone had given up whinging about the NHS for a day. I was hoping to strike my usual balance of being critical of something while still supporting it overall.

The estimable Shiro Ota wrote this:

Perhaps the NHS does constitute some semi lack of freedom (to be as detrimental to your own health as you like, although most people who live in such a way don’t seem to worry too much about their moral responsibility not to strain the system); but surely that’s more than offset (by a long way) by the benefits of aiding those who are genuinely, unavoidably, unhealthy; and those who are upstanding; hard-working citizens who could, nevertheless, not afford equivalent private care.

Randian objectivism is an understandable system that would oppose an NHS. But without subscribing to that (which I don’t), I can’t see a case for opposing its institution. In post-war Britain; or at present.

The question of the balancing act returns, of course - do we derive a greater value (of freedom or whatever else is at stake here) from the existence of the NHS as we do from the potential state of its non-existence?

It’s hard to prove anything from a counterfactual (and I should know). I suppose that all I can say in reply to this is that I don’t feel the only alternative to socialised health-care is its polar opposite. This is reflected in the fact that a Labour government has been spending the last decade and more tying the NHS to private interests, partnerships, and investment. I don’t think it’s working – actually I think it’s disastrously half-arsed.

Coming from another world, though, where we never had an NHS, I think that state intervention would be perfectly acceptable in a system that is, for the most part, operated in terms of a free market of health-care. So I don’t think that Randian Objectivism is the only recourse, or that, indeed, it could be any sort of improvement.

Obamacare may be basically the right synthesis, in the end – I’m sure we’ll find out.

My sainted mother, Dani Kaye, wrote this:

And why don’t you mention what you would put in its place, given the relative poverty of such a massive proportion of the British population compared to, say, Switzerland, where we have mandatory health insurance?

Well I think I made clear that I wouldn’t do anything like remove the nhs… it’s too well-established. But if I was starting from scratch?

Subsidies delivered to essential, first-level health services and medicines, mandatory insurance with certain benchmarks of assistance based on personal income, anti-monopoly laws for hospital ownership and licensing permissions so there wouldn’t be too much geographical overlap… basically a really, really well-regulated market scenario. Rather than the current approach, which is to try to de-regulate, localise and set up PFIs etc. over the top of a state monopoly. No NICE, either: individual health establishments make their own decisions about their services, above a certain level. They compete, improved services are incentivised, and thus we’re hardly dealing with some anarchistic nightmare realm.

Another particular friend asks:

Is it just me or are the Daniel Hannan NHS comments pretty reasonable?

Well, Hannan clearly thinks the whole project was misguided, though he seems to agree that people have always meant well in instituting the NHS. I don’t actually have a problem with this guy. He’s mainly saying things that most people say every day: we spend too much money on it, it’s over-regulated, and it has crazy little breakdowns in its own special ways. It’s a perfectly reasonable point of view.

A few points about the general Fox coverage, though: Doctors over here are paid PLENTY. There’s no argument to be found on that. I truly believe that. Could they be paid more? Sure! But I don’t think their pay levels are in any way part of any of the problems that our system has.

It’s okay to dislike the NHS: some Frequently Asked Questions

15 August, 2009 simonkaye 4 comments

I’ve been enjoying the big online argument over Britain’s NHS. Fox News have thrown around the idea that it lets terrorists into the country. CNN has a pretty good overview of how everyone’s been responding to the US Republicans’ claim that the system is “Orwellian”. And the #welovethenhs tag trundles away on Twitter.

Complaining about the NHS is pretty habitual in practically every British person that I know. “I can’t believe I had to wait thirteen weeks to have my _ looked at!”, “You won’t believe how long I was waiting in Accident and Emergency and then they didn’t even do anything!”, “It’s ridiculous how our hospitals have become home to ’superbugs’ – why can’t they just keep the places clean?”, and so on.

What most people don’t do is make the outright principled stand – they don’t object philosophically or ideologically to the cost of the NHS, the idea of living in each other’s pockets, or the loss of personal responsibility for health.

(Erm, we also don’t think the NHS lets terrorists in.)

So I’ve always concluded that most Brits want socialised health care, but they want it to be better than it is right now. What’s fascinating about the ongoing debate is that so many people seem to be leaping to the NHS’s defence completely unequivocally.

Well, let’s be measured about all of this. As a Brit by birth, I’ve used the NHS many times. So here is a FAQ:

Does the NHS provide an overall good standard of medical care? Absolutely. It works. People get treated, and it’s absolutely free at the point of use. I usually come away satisfied. Just not always.

Is that standard as high as in a privatised health system? Not at the top, but it’s far better for folks at the bottom of the chain. By the way, in the UK, people who want to can take out private health insurance and seek private aid, so there isn’t a total monopoly.

Is the NHS a massive, creaking bureaucratic behemoth? Oh lord, yes. The NHS is plagued by wastefulness, red tape and is swarming with money- and time-wasting bureaucracy. Hopefully this can be reformed.

Do most people put more money into the system through tax than they’re ever likely to get back through treatment? Of course. If you don’t like that, you don’t want socialised…. well, anything. Apart from maybe education.

Is it OK to be philosophically opposed to nationalised health care? Yes. It does work, it’s about a million miles from being perfect, but if you’re fundamentally opposed to the idea of distributing the personal responsibility for one’s own wellbeing, then you should feel free to hate the NHS.

As the chief legacy of Clement Attlee’s post-war reforming government, the NHS was originally intended to form the cornerstone of a projected ‘Socialist Republic of Great Britain’. Clearly, this never happened. But the idea was so popular and so effective that the NHS is absolutely at the heart of the UK’s version of the ‘post-war settlement.’

It’s an assumed fact of life here: people don’t think to oppose the NHS on any fundamental level any more. The single biggest compromise to universally socialised medicine in the NHS took place months after the service was inaugurated, with the introduction of prescription charges. Since then, not even Maggie Thatcher has found the time to repeal the key parts of our health care system.

Speaking for myself, I find it hard to escape the usefulness and ‘fairness’ of this system (especially when it has treated me well, as it has for the last little while).

But would I institute such an establishment again, today, if I had the choice? Probably not.

The fact of socialised health care legitimises the worst instances of government nannying. We are now nagged and scolded on a daily basis over the latest health fads, based on one or two studies somewhere in some department of medicine, and often quickly withdrawn when competing evidence is produced. We eat too much salt, we don’t eat enough vitamin C, we need certain foods, a certain lifestyle. I don’t think government should get involved with the way people live their lives. But when everyone else pays for your own health problems the responsibility for them becomes impersonal. Your weight, your habits and your choices become everybody’s business.

The NHS is unweildy, but willing; it works in earnest, but doesn’t always deliver perfect healthcare. No system can. So if you’re going to oppose the NHS, do it properly, from the ground up: do it because you think it’s a signpost on the road to decreased freedom. Everything else is just noise.

Exam Break

4 June, 2009 simonkaye Leave a comment

Clearly, this site is on a hiatus until I’ve finished/recovered from the LSE’s absurd assessment process (I’m referring to the way they pack 75% of all assessment into the space of two weeks). 

Until normal service resumes, here are some of the links I’ve been finding, enjoying and sometimes plastering on facebook. 

 

Okay. Now wish me luck, everyone. Will update properly when I am free (and not writing essays about freedom).

Categories: Random bleatings

The New Old Journalism

“The next ten or fifteen years in this country are going to be a halcyon era for state and local political corruption. It is going to be one of the great times to be a corrupt politician.” 

These words were uttered at a hearing in the heart of Political America recently. You can see it, and an interview with Ariana Huffington of the Huffington Post, over on this webcast of a segment from MSNBC’s ‘Morning Joe’.

Oh yes; journalism (its nature, its state) isn’t just making news at the moment; it’s in the news. The rise of the ‘blogosphere’ has been a perennial issue for some time; as a journalism student I saw many well-known journalists speak and the one topic that they all always came back to was the changing face of their trade in the age of new media.

Alan Rusbridger failed to convince with an almost-powerpoint about how the Guardian’s transition to the ‘Berliner’ format was an attempt to shore up sales while papers do the job of convincing people that their coverage is worth actually paying for (I think I’ve complained about his talk before…). Of the writers, ‘columnist’ Polly Toynbee was particularly derisive of this challenge to her status as arch-opinion-former.

It’s at the movies, too. State of Play (which is excellent) feeds off the in-house tension between a veteran political reporter who types onto a dark screen with two fingers at a time and the young thing behind his paper’s attempt to survive online. When Crowe’s character says “You think I’m over-fed, too expensive and take way too long”, he isn’t simply referring to himself. Newspapers now cost around £1 a day in this country (which almost legitimises my ever-more-frequent splashing out for the International Herald Tribune, at closer to a quid-fifty). Why pay that to read news that was only fresh ten hours ago?

The Independent, under Simon Kelner, tried something new. Objectivity? Who needs it! News is subjective. Importance is relative. Everyone writing this paper is human; let’s not pretend we don’t have opinions. The result was the ‘viewspaper’, a concept which has slipped away somewhat since the start of Roger Alton’s reign (he prefers the more old-fashioned approach of decorating the pages with beautiful women. They “basically make the world a better place”, after all). Today I’m not quite clear whether the ‘viewspaper’ ever made the Indie into anything more than the Express of the left.

The recent outcry over Swine Flu panics on the Internet allowed every traditional-media commentator to point out what they perceive to be the inferiority of blogs, and twitter, and social networking sites. If it’s not edited, it’s not safe. No-one making this claim can have seen some of the front-page headlines I saw a week ago. “Swine Flu to kill 91,000 Londoners” is a personal favourite.

Newspapers are not immune to misjudgments, errors, factual inconsistencies and unqualified opinions. It’s pretty ironic to see the stalwarts of the printed-press attacking new information-distribution systems for inflating problems or being hysterical when the very slump in sales caused by new media is the driving force behind the popularisation, dumbing-down and spectacle-seeking that practically every newspaper I can think of has been moving towards (though I do feel inclined to point out my belief that the USA’s daily printed media are of a sustained quality compared to the papers here in the UK).

The current, excellent issue of Prospect magazine (I know, I keep linking to them) mounts a debate around and defence of ’serious journalism’. More here.

This seems particularly timely as the Telegraph, mocked and criticised (Private Eye calls it the ‘Maily Telegraph’) for its massive staff cuts and new-found interest in celebrity nonsense, dominates everyone’s news-schedules for the second day running. Its comprehensive investigation into and explanation of Parliament’s flawed expenses system is an absolute must-read, clearly the product of prolonged research, and a genuine scoop. Are there mistakes? Of course. Dozens, I’m sure (it’s still worthwhile).

paperstack

But, crucially, The Huffington Post probably couldn’t get away with this many factual issues or slightly-libellous claims without compromising its standards. I’m simply not convinced that we hold our more established online news-sources to a lower standard than we do our printed media. I’d personally trust a twitter feed more readily than an editorial in the Express.

Warren Ellis advised us in last month’s Wired (another great magazine) not to trust the new media as a source of news. Why? Because online news providers “have no interest in their minimum-wage blogmonkeys thinking about anything bigger than their hitcount”. But how, precisely, does this differ from the editors and writers of the modern-day newspaper, faced with shrinking sales and deflating advertising revenues?

Things move quickly in this new world. Amazon’s Kindle, the most successful of the e-ink reader systems, is moving toward a larger format that can more effectively accommodate the big pages of newspapers and journals. The days of getting ink on our fingers may well be numbered, and this would be no bad thing for an environment that needs its trees.

Are newspapers going to disappear? No. They’ll change, they’ll be forced to adapt. I personally think they’ll become more like magazines. I’m reading more magazines now than I have at any other time in my life; I’ve referred to at least three different magazines right here in this article.

To return to the quote at the top of this blog – is the decline of the traditional media really going to undermine the accountability of the political world? People thought this way when radio hit newspapers, and again when television hit newspapers. The truth is that it has become harder to do wrong, and to get away with it, than ever before. This fact raises ethical issues of its own.

But let us not delude ourselves that ’serious journalism’ plays some quasi-constitutional role that more democratic systems of reportage cannot match.

Star Trek Reboot (impressions/review/love-letter)

8 May, 2009 simonkaye 2 comments
Okay, first of all – Spoilers Ahead!
I saw Star Trek at a small-ish screen a few hours ago in Cambridge. Why Cambridge? Because I had to see this film with my dad.
Don't worry, this isn't the Enterprise

Don't worry, this isn't the Enterprise

 My dad introduced me to Star Trek. As a child, my brain was quickly filled up with the incredible idealism, aspiration and earnest good-nature at the heart of the show. I loved it. I loved the original series best of all, but the others were just great, too. I memorised the technical manual. I subscribed to the ‘Fact Files’ for years (though they contained very few ‘facts’).

Voyager was the beginning of the end for this love-affair. Maybe it was just a matter of timing – maybe I started to see how often the plots were being recycled, got to that stage in adolescence where cynicism overpowers optimism. The films took a turn for the worse, as well. Enterprise… well, Enterprise just had an appalling theme tune. I’ve been secretly trying to chew my way through the supposedly less-awful third season for a while now, and it’s tough going.

To cut to the chase, I lost interest. Th0ugh whole sectors of my brain remain dedicated to the layout of Deck 17’s Jeffrey’s Tubes and the middle name of Picard’s brother’s wife’s Tribble, I felt alienated from the show and the films. It seemed stolid, unrealistic, badly written and lazy. And to think that I could have learnt a language instead (no, I don’t count Klingon).

So just as it’s impossible to explain fully what a Star Trek obsession meant to this bullied little boy, it’s very hard to outline quite what put me off, either. But my dad? He was there before me, and he stuck around after I moved on as well. So it was clearly paramount (phnarr) that he and I see this latest entry together.

urban_mccoy

Let me try to put this in context: dad wore a T-shirt to the screening. On this T-shirt: a massive front-and-back image of Quark the Ferengi’s snaggle-toothed face, and a bit of text outlining some of the Rules of Acquisition. My dad can put most geeks to shame. He’s been doing it for a lot longer, to be fair.

A curious fact: out of all Star Trek, the original series has aged the least. It’s design ethic and budget are so clearly from a different age of television that the clunk and quirk that seem inexcusable in the more recent series are instantly forgiven. The writing is fantastic in places, some of the science fiction ideas are real classics, and the central triumvirate of Kirk, Spock and McCoy (the holy trinity; the warrior, the mage and the cleric; the ego, the superego and the id) still sparkles on today.

It’s these mechanics that the new film had to live up to, really: the emotional and science-fiction heart of Trek that has kept the first series fresh for decades. Or so I thought. (I’m actually moving into a review now, honest).

This film has no ’science fiction’ in it. It’s purest fantasy. There’s no exploration of philosophy, future politics, moral dilemmas or the like. And it doesn’t spend a hell of a lot of time developing characters, either. This is not the film of the original series. This is, in fact, the film that would be made from the original series if there had never been any films or spin-offs.

Draw a line right after the last episode of Season 3 of Kirk’s adventures. Or perhaps after Spock’s death in the Wrath of Khan. (Or, okay, just after the end of the third film). Now build a movie.

What’s the upshot? It makes Star Trek magical again. I’m not going to witter on about how it relates to the post-Obama optimism of a new era or helps us forget our credit-crunched woes. It’s a good film because it has surprising reverence for the mythology that gives Trekkers wet-dreams  – and successfully translates the stylistic and historical essence of Trek into a modern, self-aware cinematic language.

spockirk

For the record, I’m wondering if this is the first in-universe reboot in the history of cinema. We are tied to the timeline we remember, and all deviations from it are excused, in one elegant sweep of J.J.Abrams’ pen. It’s the best possible utilisation and acceptance of everything that’s come before: this is the timeline that we want. It’s the utopia, Dr Pangloss’s best of all possible worlds. Our understanding of all other Star Trek forms the emotional weight for this reboot.

This is just as well, because the film could use another ten minutes of character moments and dialogue. Who thought that anyone would ever write that about a Star Trek film?

Any other problems? Well, the Macguffins arguably fly a little too thick and too fast. There are few attempts to make plausible the ‘magical’ parts of the plot. What the hell is this ‘red matter’? I understand the appeal of just being shown what it can do, and the urgent need to minimise on technobabble. But… it’s unsatisfying. Similarly, our Romulan baddie, while overall very competently played by Eric Bana, seems to have minimal motivation for chasing Spock through time and blowing up whole worlds, Death-Star style (by the way, I love that his ship is just some miner in the future and it can totally outgun everything in Kirk’s era. I also love the idea of destroying a planet by making a big hole in it and planting a black hole). Yes, Romulus was destroyed. But Spock tried to save it. It’s not enough to say that you’ve spent a couple of decades “forgetting normal life”.

I have every expectation that this sort of problem is solved by the accompanying prequel comic-books, but the film ought to sort out motivations properly, at least.

Spock is more emotional in this film than in his previous incarnations. The attempt to explain this seems to be based on his fundamental decision to go to Starfleet instead of try for the Kohlinar, the ceremony that’s supposed to eradicate emotion altogether. But it’s still a departure. In fact, of all the new actors approaches to the classic roles, I think I find Zachary Quinto’s the most difficult to swallow.

But I’m nitpicking really. This is a great film, and it’s clearly being positioned to replace Star Wars and fill that yawning gap for big budget sci-fi adventures. It’s charming and funny.

I love that Kirk’s cheat on the Kobayashi-Maru is finally shown to us. I love that the new Enterprise is gorgeous. I love the way the film starts with a bang, and ends with an awesome version of the original theme tune (thanks, mr. Giacchino). I look forward to the rest of the trilogy (please please please).

Last word: my dad, more suspicious of this ‘rebooting’ nonsense than I, said that he loved it. Let’s just trust him on that.

Swine Flu: Is Twitter our global immune system?

27 April, 2009 simonkaye 5 comments
Perhaps the most interesting and revealing part of the emerging Swine Flu scare has been watching the internet’s reactions to it.
Twitter, which I have only joined very recently, can feel an awful lot like the beating heart of the internet. Keeping an eye on the day’s ‘trending topics’ feels a lot like tapping into the collective thought-processes of the world’s internet-using population.
Thousands of individual thoughts are aggregated – ideas are linked – concepts rebound and react to one another. Particles of information are transmitted and distributed equally and instantaneously. Out of all the chaos, and only partly self-aware, order is generated. It’s completely raw, and somehow delicate: a spiralling spider’s web made up of strands; just statement and link.
It’s all too easy to mock, as the latest (fantastic) XKCD post shows:
Another marvelous image from XKCD

Another marvelous image from XKCD

Evgeny Morozov, who writes an unmissable blog for Foreign Policy, makes a more important criticism of twitter’s current role, suggesting that it’s providing more disinformation than anything else – but also mentions the possibility that the internet could work as a fantastic finder and predictor of emerging biological threats. With the increasing integration of mobile phones and other devices, the internet ceases to be merely our nervous system, and emerges as a component of a global immune system.

Prospect Magazine (for whom I once worked! woo!) have put online a fascinating article: Mark Honigsbaum writes about the means of catching pandemics early. He points out that Swine Flu may well have been abroad in Mexico for a few weeks before the news broke in any meaningful way online. More importantly, his assertion is that the nature of the internet renders it less useful for disease detection – underinformed or worried searchers on google, for example, would distort the information on a given outbreak. Or, to extrapolate from this: the internet is too open, too democratic to operate as an even quasi-scientific virus catcher.

The logical outcome of this – and explicitly suggested by the above – is that the brains behind Twitter and Google and the rest turn their attention to a reserved system of aggregating relevant information for the purposes of planetary self-defence and early warning.

I’m not entirely sure how I feel about this recommendation. The advantage of the internet as it stands is that it is simply the broadest information-exchange ever constructed. I don’t see how a more limited network could articulate the information more quickly.

Swine Flu is surely the most quickly discovered and shared potential-pandemic that we’ve ever seen. If it had started in a western country, it would have broken out on Twitter within moments (though there is weight to the counter-argument that, hey, these things start in poorer countries were internet access is more rare. But that is changing…)

As for informational quality – well, this is a perrenial problem anyway. I’m not sure how comfortable I am with the blind assumption that vetted, ‘establishment’ data is always preferable.

Systems such as Digg and others have an almost marketised hierarchy built-in. The preferences of many translate into the emergence of decent and flawed information: it’s all available, but it’s clearly sorted. Such a system is clearly the next step for micro-blogging as well.

This is the kind of thinking that reminds me of David Brin’s Earth, which posited an emerging planet-wide sentience. In effect, this is a far simpler idea: our ‘intelligent’ superstructure is conscious only as its individual, reporting components are. It’s the beginnings of a hive-mind.

So – I won’t be so quick to sneer at the torrents of little fears, hopes, jokes, and links that pour through twitter on the theme of Swine Flu. It may be our fastest defence against the next big pandemic - whether that’s tomorrow, or twenty years away.

Kettling – More Than Crowd Control

27 April, 2009 simonkaye Leave a comment

 The morning of Thursday April 1st hinted at the unseasonably warm and sunny weather that was to come.

As the throngs of protesters began their marches and vigils in London, they had no way of knowing just how much of that long, hot day they were going to end up spending outdoors, without food, water, or freedom of movement. Neither did the majority of the thousands of people who had come to make themselves heard as the G20 convened in an anonymous-looking convention centre elsewhere in London.

Much has already been said and written about the crowd-control tactic of ‘Kettling’. It caused a flurry of consternation in 2001 when the police deployed a solid line of men around a group of May Day protesters in Oxford Circus and constricted the mass of people within.

The cordon in action

The cordon in action

The debate which followed culminated in a legal ruling, just this year – that the use of the kettling tactic had been legitimate. Clearly the London police forces have taken this precedent to heart: if it was fair in one case, then it is fair game in every other.

 

So perhaps it should have been no surprise when mounted police first charged the ranks of protesters, and then a line of batons and riot shields enveloped the crowd entirely. Until that moment, the police had behaved calmly and professionally.

 

Some people spend the whole day in the kettle; eight hours and more. An elderly couple, completely unassociated with the protesters, had become trapped with the rest: they were simply in the wrong place at the wrong time.

 

The police did not countenance letting that couple out; neither did they allow a journalist to leave, despite his obviously possessing the relevant credentials. Families, including small children, were treated no differently. No excuse would do: one person urgently needed to meet an ill relative in order to care for her, but the line remained closed. A man with a broken arm was allowed medical attention – but his friend was not allowed to go with him.

 

Right now we are all appalled by the tragic death of Ian Tomlinson, and at the footage of his being struck by a police officer moments beforehand. The investigation into this matter must proceed. But we must not lose sight of the broader actions that the police undertook the very same day. ‘Kettling’ should come under similar review.

 

The police seem to believe that a protest has become unlawful, and therefore suppressible, if it starts to block roads and obstruct thoroughfares.

 

The majority of the actual violence and vandalism that took place can be traced back to the confrontational atmosphere which settled upon the demonstrators as a result of their incarceration. Where before the miscreants and troublemakers had been a tiny minority, the thousands of people alienated by a seemingly uncaring police force were liable to become angry and even aggressive – and that’s exactly what happened.

 

The police have forgotten that one legal ruling cannot constitute a permanent bending of civil rights law. There are serious implications to what happened that day, from the insensitive group-think of the police to the simple restriction on freedom of movement, which is regarded everywhere as a fundamental human right.

 

Boris Johnson is wrong. This police tactic was disproportionate and unfair to the vast majority of protesters, who had legitimate concerns and sought only to voice them, quite legally.

 

Is there anybody left who seriously questions whether ‘kettling’ should be banned from the Police toolkit of crowd control tactics?