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The rise of food banks and the fall of the Big Society

22 Saturday Dec 2012

Posted by Mike Sivier in Benefits, Business, Conservative Party, Disability, Economy, Labour Party, Liberal Democrats, People, Politics, Tax, UK, unemployment

≈ 6 Comments

Tags

archbishop, bank, banking crisis, benefit, Big Society, canterbury, child, children's society, Christmas, Coalition, council tax, David Cameron, Department for Work and Pensions, deregulation, Dickensian, DWP, Ed Miliband, food, George Osborne, Gideon, homeless, Iain Duncan Smith, inflation, Mike Sivier, mikesivier, pay, people, PMQs, politics, poverty, Prime Minister's Questions, reduction scheme, rickets, rowan williams, salary, tax credit, TB, Trussell Trust, tuberculosis, unemployed, unemployment, Universal Credit, Vox Political, wage, working


foodbankIsn’t it a shame that in the season of goodwill, the Prime Minister cannot extend any to those who are worst-off in his bold Big Society?

Instead, all they’ve been given are bad statistics and platitudes.

I’m referring, of course, to his performance in the last Prime Minister’s Questions of 2012, when he was asked to explain why there has been a sixfold increase in the number of food banks in the UK during the last three years – the time since Mr Cameron’s Coalition government took over.

A food bank, for those who don’t know the exact definition, is simply a place where food is contributed and made available to those in need. In the UK, there are currently 13 million people living below the poverty line (according to the Trussell Trust, which is the authority on food banks in this country). These include working people, whose income does not cover their costs; the unemployed, who are finding they do not have enough money to buy food due to the vicious and unwarranted benefit cuts thrust upon them by the Coalition; and of course the homeless, a sector of society that is due to grow exponentially, again due to the many cuts inflicted by the bloodthirsty Conservatives.

As a consequence of the rise in poverty, overseen and orchestrated by Mr Cameron and his lieutenant Iain Duncan Smith in the Department for Work and Pensions, the classic poverty-related diseases of rickets and tuberculosis are on the increase. In 2012, the Conservatives have achieved their aim to revive the Dickensian Christmas.

“The problem is that it is working people who are turning to food banks,” said Ed Miliband at PMQs. “One head teacher of a school rated ‘outstanding’ by Ofsted, Vic Goddard, says that even children with a parent or parents in work are often struggling with the choice of heating their homes, buying their children clothes or buying them food. A report last week from the Children’s Society said that two-thirds of teachers knew of staff providing pupils with food or money to prevent them from going hungry.”

This rings true. There is a reason that working people have been receiving benefits, and it is that they are being paid too little. It is a ridiculous situation, in the seventh largest economy on this planet, but one that has been perpetuated by successive governments – including, I’m sorry to say, Labour – since the 1970s. In contrast, executive pay has shot through the roof. If the minimum wage had risen in line with executive pay – just since it was introduced in 1998 – it would be more than £18 today, three times the actual level of £6.19.

The comedy Prime Minister responded with nothing of substance. He said the most important thing was “to get on top of inflation, and inflation is coming down”. How out-of-touch! It is true that inflation must be controlled, but his comedy chancellor, Gideon George Osborne, has decided that benefits – including those for people in work – will rise by less than the rate of inflation for the next three years, and Cameron himself has indicated that poor economic indicators may see him increase this to six years. The longer this rule stays in place, the further into poverty low-waged working people will go.

“The most important thing is to get more people into work and out of poverty,” said Cameron. This is not the same thing. We have seen that working people in the lowest-paid jobs are being plunged into poverty and forced to the indignity of seeking help from food banks – and remember, those starting in work will be the lowest-paid.

“And we see 600,000 more private sector jobs this year,” added Cameron, failing once again to admit that this figure includes around 200,000 that were already-existing public sector jobs, re-categorised as private in order to boost the Coalition’s statistics.

“We are helping […] families by freezing the council tax,” he said, neglecting to add that he is forcing people with limited cash to – from April – pay at least 10 per cent of it where they would have received council tax benefit before. “And making sure that we help families with the cost of living,” he droned on. This comment is meaningless other than as a complete fabrication. How can he expect to be believed when he is mercilessly forcing them into poverty?

“We have lifted the personal tax allowance and taken two million of the lowest-paid people out of tax altogether,” he said. But they still have to use their own money to make up the huge losses in benefits that are coming. This government gives with one hand but takes with the other.

“Because of the decisions that we made in this Government to increase the child tax credit by £390 ahead of inflation, we have helped those families with their bills and we will continue to do more in the future.” How? Child tax credit will be abolished when Universal Credit is brought in across the UK.

Cameron’s denouement was his declaration that Labour had nothing to offer, “except for the same old something-for-nothing culture that got us in this mess in the first place”. We all know that this is not true. Until the banking crisis, Labour ran a lower deficit than any Conservative government of the previous 30 years. The Conservatives had supported greater deregulation of the banks right up until the crisis hit, meaning that it would have been much worse if they had been in power at the time. And they supported Labour’s actions to solve that crisis – meaning that, if we are in a mess now, the Conservatives should take as much responsibility for it as Labour. They would have done no different.

Possibly the most astonishing moment was when David Cameron said volunteers in food banks were part of his Big Society idea, “to help those in need”. The stated aim of the Big Society was to create a climate that empowers local people and communities, taking power away from politicians and giving it to people. Now, here, Mr Cameron seemed to be saying the opposite – that it is about taking so much away from people that they are forced to rely on charity to survive. It seems, therefore, that the outgoing Archbishop of Canterbury, Dr Rowan Williams, was correct when he labelled it “aspirational waffle designed to conceal a deeply damaging withdrawal of the state from its responsibilities to the most vulnerable.”

His words were, to some extent, echoed by Ed Miliband at PMQs: “I never thought that the big society was about feeding hungry children in Britain. The reality is that in the third year of the Prime Minister’s Government, more children are going hungry and more families are relying on food banks.

“Is it not the clearest indictment of his Government’s values that while lower and middle-income families are being hit, at the same time he is giving an average of a £107,000 tax cut to people earning over £1 million a year?”

And those were the truest words spoken on the subject.

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A wake-up call for people on Canterbury’s council estates

20 Thursday Dec 2012

Posted by Mike Sivier in Benefits, Conservative Party, Disability, Health, Politics, UK, unemployment

≈ 13 Comments

Tags

Atos, benefit, benefits, canterbury, Christelle Pardo, Coalition, Colin Traynor, Conservative, cut, David Cameron, David Groves, Department for Work and Pensions, destitute, disability, disabled, DWP, Ed Miliband, Elaine Christian, Employment and Support Allowance, ESA, Facebook, government, health, Helen Mullins, Iain Duncan Smith, Ian Lavery, jim moore, julian brazier, leanne chambers, Mark Mullins, Mark Scott, Martin Rust, Mike Sivier, mikesivier, pat's petition, paul reekie, Paul Turner, paul willcoxson, people, PMQs, politics, Prime Minister's Questions, scrounger, sick, Stephen Hill, stop, suicide, Tories, Tory, unemployment, Vox Political, WCA, welfare, work capability assessment, wow petition


disabilitysuicidesThe callousness of this Coalition government and its Conservative figurehead never ceases to disappoint me.

It seems that some commentators, in focusing on the issue of food banks raised by Ed Miliband in Prime Minister’s Questions yesterday, completely missed the discussion of an even worse scandal – one that the Coalition has encouraged and that legislation coming into effect next year will escalate.

“I have in my hand a genuine suicide note,” said Ian Lavery, Labour MP for Wansbeck, “from a constituent of mine who, sadly, took his own life after he was informed that he was no longer entitled to Employment and Support Allowance and disability benefits. Across the UK, more than 1,000 people have died only months after being told to find work.

“This is 2012 — we are supposed to be a civilised society. We should be looking after disabled citizens in the UK. Will the Prime Minister listen to the 62,000 people who have signed Pat’s Petition and please finally order an assessment of all changes hitting disabled people in this country?”

David Cameron began his response with an anodyne expression of sympathy to the family of the deceased, before going on to support the government’s actions: “Some people have been stuck on these benefits and not been reviewed for year after year after year.” Like Iain Duncan Smith, who responded in a similar manner to a teenage boy who had lost his father because of the government’s choice to cut his benefits unnecessarily, he refused to address the fact that it was his choices – and those of his government – that had led to the death. If I was a family member of Mr Lavery’s constituent, I would be nauseated.

In itself, you might think that was offensive enough, but worse was to follow when Canterbury’s Conservative MP, Julian Brazier, stood up and opened his mouth: “May I reassure my Right Honourable friend that those of my constituents who are most strongly in favour of reforming benefits — focusing them more on those who need them and taking them away from those who do not — are people who live on council estates and are fed up with working long hours to subsidise the lifestyles of those who do not want to work?”

Did this creature not realise how offensive that remark would be, coming after the exchange with Mr Lavery? The whole point of Pat’s Petition – and its successor, the WOW Petition – is that people on council estates are not working to subsidise the lifestyles of those who don’t want to work. Their tax pounds are subsidising the luxury lifestyles of government ministers, whose actions are killing people who, already, don’t have enough to live on. I’m referring to people who may have worked their entire lives before illness or infirmity stripped them of that ability, and of their dignity.

I have a few examples of the people affected by the Coalition’s benefit cuts. Perhaps readers can work out for themselves whether these cuts really are “focusing… more on those who need them and taking them away from those who do not”. I am grateful to my Facebook friend Jim Moore for supplying the list.

Paul Reekie, 48, left no suicide note – but a letter informing him that his welfare benefits were to be stopped were found next to his body. Was that the action of someone who had been taking advantage of hard-working council estate residents?

Paul Willcoxson, 33, Who had mental health problems, was found hanging in Pignals Enclosure, near Hollands Wood campsite. A suicide letter and next of kin note were found in which he expressed concerns about the cuts to his benefits.

Leanne Chambers, 30, was found in the River Weir five months after she walked out of her home. She had battled depression for a number of years and had taken a turn for the worse after receiving a letter telling her she had to be assessed by a doctor she did not know, to see if she was fit to return to work.

Christelle Pardo, 32, and Kayjah Pardo, 6 months: After having all her income cut off and her housing benefit withdrawn, and with a baby to care for, she had been left destitute. When she begged for help, the only response from the Department for Work and Pensions was that she didn’t qualify under the rules. So she killed herself and her young child. Destitute. Is there anybody reading this who is shameless enough to say this woman was cynically exploiting her working neighbours?

Elaine Christian, 57, was found in a drain after walking out of her home. A post mortem revealed she had died from drowning, despite having more than 10 self-inflicted cuts on her wrists.The inquest in Hull was told Mrs Christian had been deeply worried about a meeting she was due to have to discuss her entitlement to disability benefits.

David Groves, 56, died of a massive heart attack the night before his medical assessment as he sat at his computer and scoured the internet for ways to raise cash in case he lost his entitlement. He was a striver. He knew the odds were against him keeping his benefit, even though he clearly deserved it, and was trying to find other ways of earning money. That is not the action of a scrounger.

Mark and Helen Mullins were found lying side by side in their home after committing suicide together. They had been left destitute after Helen had her claim for benefit turned down. They had no food, no heating and no electricity. If that’s the kind of lifestyle subsidised by working people, under this government, ask yourself: Would YOU want it?

Stephen Hill, 53, died of a heart attack a month after his benefits were stopped. He had been told his heart problem were not serious enough to stop him working.

Craig Monk, 43, was found hanging in his home. He’d had one leg partially amputated and was described by his family as “vulnerable”. He became depressed because his benefits had been cut.

Martin Rust, 36, a schizophrenic, had his benefits cut and was ordered back to work. He left a note saying: “To those I love, I’m sorry. Goodbye.” Coroner William Armstrong said the Department of Work and Pensions’ decision to cut his benefits “caused distress and may well have had an adverse effect”. He recorded that Mr Rust had committed suicide while suffering from a treatment-resistant mental illness.

Paul Turner, 52, died from ischaemic heart disease – caused, his family claim, by the stress of losing his benefits. He was told his heart problems were not serious enough for him not to work, and died four weeks after receiving the notification.

Mark Scott, 46, who suffered from anxiety and epilepsy, was left penniless when he was declared fit for work and his benefits were stopped. He died six weeks later in the Southport flat where he lived alone.

Colin Traynor, who was a lifelong epileptic, was assessed as fit for work. He appealed, but according to his parents he became depressed and lost weight. He died less than four months later. The day after his death, his parents found out he had won his appeal.

If you are getting depressed by the details on this list, let me remind you that these people are a drop in the ocean. According to the last set of official figures I’ve seen, 73 people die every week after being involved in a government reappraisal of their benefits in some way. As you can see from the evidence, those reassessments were wrong more often than they were right.

It is thanks to the support of people like Julian Brazier and the council-estate constituents he quotes (if his remark was accurate) that the Coalition is getting away with these deaths. I hope he reads this article and reconsiders. I hope his constituents do the same. It’s too late to save people like David Groves or Mark Scott, but there are hundreds of thousands more who face hardship that will be just as bad, if the repression of the sick and disabled is allowed to continue. As far as they are concerned, it’s not too late for you to change your minds.

The WOW Petition (it stands for the resistance to the War On Welfare) is now open and can be found here. If you have found any of the above to be persuasive, please sign it.

And for those of you who remain homicidally determined to continue with the policy, no matter how much harm it does – that means you, Mr Brazier, you, Iain Duncan Smith, you Mr Cameron…

Merry Christmas. You’ll get what’s coming to you, soon enough.

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Prime Minister’s Howlers – falsehoods that fly around the weekly Q&A

12 Wednesday Dec 2012

Posted by Mike Sivier in Politics, UK

≈ 2 Comments

Tags

avoidance, Coalition, Conservative, David Cameron, economy, evasion, falsehood, government, inaccuracy, lie, Mike Sivier, mikesivier, NHS, Parliament, people, PMQs, politics, Prime Minister's Questions, tax, Tories, Tory, Vox Political


Laughing at the country's pain: What nonsense will Cameron spout this week?

Laughing at the country’s pain: What nonsense will Cameron spout this week?

I’m looking forward to Prime Minister’s Questions this week. Not because of any particular topic that might come up, but because I want to know what wild inaccuracies Mr Cameron will try to get the public to believe as proven fact.

Last week was all about the NHS – despite the UK Statistics Authority’s damning report that spending on the health service has dropped, in real terms, since 2009, Cameron pressed on with his claim that the government is spending more on it, year on year.

Amazingly, there were people who believed this twaddle! I read their comments in the Twitterverse. No matter how much factual information was pumped in their direction, they absolutely refused to pay attention to facts. All I can say is, living in a fantasy world is all very well, but don’t expect good healthcare when you’re forced back down to earth!

The other howler was the claim I read, again on Twitter, that there are now only 8,000 millionaires in the UK. This came from the idea that 8,000 millionaires will get a tax rebate of more than £100,000 next year.

I ended up in an argument with a Twatter who claimed that this proved there has been a mass exodus of millionaires from this country, due to the 50 per cent tax rate brought in by Labour.

Wrong, wrong, wrong – and thank goodness for BBC Radio 4’s More Or Less (the programme about statistics), from which I am able to set the record straight.

There are in fact around 750,000 millionaires in the UK, but not all of them earn £1 million per year. If they did, and they all paid their taxes properly (no avoidance or evasion) the economy would be doing fine.

Before the 50 per cent tax rate came in, there were around 16,000 people earning that amount or more per year. After it came in, the number saying they earned that much dropped dramatically. Some say by half, others by two-thirds.

But that doesn’t mean they left the country! According to the programme, it’s far more likely that they ‘managed’ their taxes to make it seem that they earned less, in order to avoid paying the 50 per cent tax rate.

In other words: tax avoidance. And this government, as we know, has a blind spot when it comes to tax avoidance (his name is Gideon George Osborne).

Now that the 50p rate is being abolished, expect these million-earners to start admitting it again. But they never left the country.

So – as I mentioned – I wonder what this week’s ‘Wednesday Shouty Time’ will bring. Feel free to discuss your favourite howlers in the Comment column.

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Parliamentary committee says Universal Credit is an attack on the most vulnerable

22 Thursday Nov 2012

Posted by Mike Sivier in Benefits, Conservative Party, Disability, People, Politics, UK

≈ 12 Comments

Tags

benefit, benefits, Coalition, Conservative, David Cameron, Department for Work and Pensions, disability, disabled, DWP, Employment and Support Allowance, ESA, fit for work, government, Iain Duncan Smith, Liam Byrne, Mike Sivier, mikesivier, Parliament, paul lewis, people, PMQs, politics, Tories, Tory, Universal Credit, Universal Jobmatch, Vox Political, welfare, work and pensions committee


Dame Anne Begg, chair of the Work and Pensions committee: “We have serious concerns about about how more vulnerable people will cope with the changes, especially the online claims system and the proposed single monthly payment.”

We all know the Department for Work and Pensions is fond of claiming disabled people are “fit for work” when they aren’t. Another thing that isn’t fit for work is its flagship Universal Credit system.

The new system will start to come into effect with pilot schemes in the northwest of England in April 2013, and full national roll-out is due to start in October 2013. But a report from the Parliamentary Work and Pensions Committee says it should not progress before it addresses serious issues.

We know this won’t happen. Iain Duncan Smith is far more interested in getting a flawed system out on time than in getting it right, and Universal Credit is already seriously behind schedule, no matter what the David Cameron said in PMQs yesterday. But the report means he cannot say he was unaware of the problems.

“The Committee notes that the Government has set a very ambitious timetable for Universal Credit implementation and expresses concern about whether there will be sufficient time for the Government to learn from its pilots and whether it is desirable or necessary to implement so many changes at once,” the report states.

The committee is chaired by Dame Anne Begg, who added: “We have serious concerns about how more vulnerable people will cope with the changes, especially the online claims system and the proposed single monthly payment. Some claimants will not be able to make an online claim and others may struggle to adapt to monthly payments.”

Measures to help these claimants may be hard to access and too slow in identifying them, meaning they could fall into debt and hardship before any extra support – and none has been identified – can be applied.

The committee says vulnerable claimants will be unable to manage plans to pay rent costs to the claimant, rather than the landlord, and may fall into arrears. Appropriate “safety net” arrangements need to be developed and tested – there aren’t any at the moment. And there should be an option to continue with payments to the landlord instead – again, no such option exists in the new system.

Nor is there any process to identify claimants who are struggling to manage their housing costs, meaning the government will offer no help to them before they fall into arrears and face eviction.

There is no evidence to show that Universal Credit will provide more generous support for disabled people, despite this being a stated aim.

Some disabled people will have their entitlement reduced under Universal Credit. Transitional protection will mean that they do not lose in cash terms immediately, but this protection will erode over time, will be lost if their circumstances change, and is not available to new claimants.

Income calculation is complicated so I’ll quote the report directly:

“The Government plans to calculate monthly Universal Credit payments by using information about claimants’ employment earnings taken from data feeds from HMRC’s new Real Time Information (RTI) system, which is being introduced to administer PAYE taxation. The Committee comments that whilst Ministers are confident that RTI will be delivered on time to support Universal Credit, tax, accountancy and business organisation raised a range of specific concerns about the RTI programme, and the Committee did not receive satisfactory responses from DWP and HMRC about these issues.

“The Committee welcomes the Government’s efforts to simplify the provision of information on income by the self-employed, but shares the concerns of witnesses that the proposed system could impose a significant and unnecessary burden on the self-employed. It is also concerned that the proposed Minimum Income Floor rules could act as a disincentive to entrepreneurship.”

It’s a government IT scheme; it won’t work and we all know it.

Dame Anne Begg said: “There appears to be no contingency if the IT system doesn’t work.”

See what I mean?

The report also warns that essential elements of support are not in place. Additional resources are needed by the advice sector – such as Citizens Advice – to cope with a “significant increase in demand”.

We know this will not be forthcoming. The idea is to push people off benefits. If they get advice about how to apply correctly, this won’t happen. Advice services will be starved.

Significantly, when considered in tandem with my article on the Universal Jobmatch system, the committee attacked the sanctions regime employed by the DWP. In the report, the committee said it “believes it is essential that DWP supports claimants in the job-search and that the support available to each claimant is clearly set out and actually provided.”

Meaning: it isn’t at the moment.

The sanction system also gets a hammering: “There is little evidence that they strengthen work incentives on their own.”

The arrangements for passporting benefits, such as free school meals, are attacked as unclear: “The entitlement criteria have a significant impact on decisions about returning to work or increasing working hours… It is essential for the Government to put fair and workable criteria in place… A clear indication is now needed on the arrangements.”

In other words, fair and workable criteria are not in place at the moment.

Liam Byrne MP, Labour’s Shadow Work and Pensions Secretary, poured scorn on the scheme: “Two and a half years in, the Government doesn’t seem to have a clue about the big questions it’s got to get right,” he said.

“If ministers don’t wake up and get a grip soon, then Universal Credit is going to continue its rapid descent into universal chaos, spelling disaster for millions of Britain’s families.”

Dame Anne recommended Paul Lewis for his commentary on the report. He said: “Online applications only, no paper forms. But 11 million adults have no internet at home. Support for them not clear. Disability benefits to change again as means tested help moved to UC. Over 400,000 to get less, but total remains same.

“Rent paid to individual, not landlord for almost everyone. Major change and hard to manage by most vulnerable, say MPs.”

In other words, this system should be put ESA as it is not “fit for work”.

Perhaps it should go in the ‘work-related activity’ group? Maybe after a year of hard work getting itself up to fitness, it might be serviceable. But I doubt it.

And that begs the question: If the DWP can’t get its own scheme – meant to simplify the system – workable within a year, how can it expect people to coax their disabled bodies into good condition within the same period?

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Carving up the NHS is Cameron’s vanity project

09 Thursday Feb 2012

Posted by Mike Sivier in Health, Law, People, Politics

≈ Comments Off on Carving up the NHS is Cameron’s vanity project

Tags

Andrew George, Andrew Lansley, British Medical Association, Cabinet Secretary, Coalition, Conservative, Craig Barrett, David Cameron, Downing Street, Egremont, Faculty of Public Health, government, health, Health and Social Care Bill, Health Secretary, House of Lords, Jon Trickett, judicial review, Labour, Liberal, Liberal Democrat, Lords, Mike Sivier, mikesivier, National Health Service, NHS, NHS privatisation, Parliament, peers, people, PMQs, politics, Polly Toynbee, Prime Minister, Prime Minister's Questions, privatisation, Royal Assent, Royal College of GPs, Royal College of Nursing, Shadow Minister for the Cabinet Office, Sir Jeremy Heywood, The Guardian, The Times, Tories, Tory, undemocratic, Wales


The more we find out about Andrew Lansley’s Health and Social Care Bill – his bid to privatise the NHS – the more childish it all seems.

This has been a week of shocks for the architects of the Bill, starting with the revelation that a Conservative ‘insider’ had described Mr Lansley as “a disaster” who, far from winning over critics of the Health Bill, has managed “to further annoy and alienate NHS staff”, and that a Downing Street briefing had called for him to be “taken out and shot”.

“Health reform should have been carried out by stealth,” said one strategist, according to an article in The Times.

It seems that many of Mr Lansley’s changes could have been carried out without primary legislation, thereby avoiding the glare of the public spotlight and all the adverse publicity that has come with it. Nevertheless, the idea of fundamental changes to our greatest national institution taking place covertly is outrageous and Jon Trickett MP, Labour’s Shadow Minister for the Cabinet Office, has written to Cabinet Secretary Sir Jeremy Heywood, seeking reassurance that “there will be no such covert attempt to bring about fundamental change in the ethos or the care offered by our National Health Service”.

In fact, changes have already been implemented by the government – at considerable cost to the taxpayer – without waiting for the Bill to finish its passage through Parliament and get Royal Assent. Apparently these things are mere formalities for our Coalition leaders (who, let’s not forget, are composed of members of two political parties who could not win the confidence of a majority of the electorate on their own).

But a judicial review, to establish the legality of these moves, is now a distinct possibility.

The decision to implement as much as he has without waiting for the bill’s royal assent is a “flagrant flouting of parliament”, according to Polly Toynbee in The Guardian. But while a U-turn would be embarrassing, failing to do so would be worse, she argued.

Andrew George, the Lib Dem MP and member of the health select committee, put it like this: “It will now cause havoc either way, but going ahead is even more catastrophic”.

Even Tory commentators have turned on the Bill. Craig Barrett, writing in Tory blog Egremont, said: “The fact that many of the reforms do not even require primary legislation makes the resulting headache look embarrassingly self-inflicted. Without a proper mandate, it looks undemocratic.

“For the good of the NHS, Andrew Lansley must admit defeat and head to the backbenches.”

Hundreds of thousands of doctors, nurses, midwives and others have called for the government to abandon this proposed legislation before it does great harm to the NHS. The British Medical Association and the Royal College of Nursing have voiced concerns, and the Royal College of GPs wrote last week to Mr Cameron to ask for the bill to be scrapped. The Faculty of Public Health became the latest healthcare body to call for the Bill to be dropped, “in the best interests of everyone’s health”.

Downing Street has insisted that Mr Lansley and his reforms have the Prime Minister’s full support, though.

At Prime Minister’s Questions, Mr Cameron said his government was increasing its spending on the NHS, while the Labour administration in Wales was making cutbacks. It is easy to dismiss this criticism, though – the cutbacks in Wales are entirely due to cuts in funding from Mr Cameron’s own Westminster government.

The government has offered more than 100 concessions in an effort to get the Bill passed, but this did not stop the House of Lords passing another amendment when peers discussed it on Wednesday.

So – as one can see – there’s a huge amount of opposition to this Bill. It is seen as undemocratic. Only a tiny minority of healthcare professionals want to see it implemented, and they tend to belong to the administrative side – the bean-counters and pen-pushers, rather than the medical practitioners themselves. And Mr Lansley’s time as Health Secretary has been a “disaster”.

Why, then, do both he and our comedy Prime Minister persist with it?

Well, it’s their vanity project, isn’t it?

It’s their attempt to write their names into the history books – the biggest change to the National Health Service since it was created in 1948 and, they hope, the blow that will lead it into a long-drawn-out death, to make way for private health companies and block millions of people from receiving health care of any kind in the future. You just won’t be able to afford it.

In short, they want to graffito “David and Andrew were here” across the face of Britain’s biggest and best-loved national institution, and they’ll do it at any cost.

Childish.

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