public purpose

The global fight for genuinely universal healthcare is a fight we can’t afford to lose

Published by Anonymous (not verified) on Sat, 16/02/2019 - 4:00am in

GIMMS would like to welcome Jessica Ormerod and Deborah Harrington as its guest bloggers this week for the MMT Lens.  Jessica and Deborah, who were recently appointed to the GIMMS advisory board, are directors of the NGO Public Matters which is a research and education partnership focusing on public services and, specifically, the UK’s public health service, the NHS.

Doctor taking a patient's blood pressurePhoto by rawpixel on Unsplash

 

“We should highly value public services because this is created by people for all people. Public services ensure that no-one is left behind to suffer and that everyone has equal access to the services they need”

Jennifer Yu

The Importance of Public Services to keep our society strong and healthy

 

 

 

You can’t have a debate about the NHS without someone saying ‘how are you going to pay for it’.  Talk about increasing funding for the NHS and someone will always ask the question ‘how much more tax are YOU willing to pay?’ On the other hand, talk about going to war and there is silence on the topic.  Either tax does or doesn’t pay for things and there seems to be a clear contradiction in the public grasp of the mechanism by which governments actually spend. Understanding the basics of modern money clearly defines the real relationship between the different sectors of the economy, the availability of resources and how many of those resources a government chooses to divert to its own purpose.  It clarifies that such political decision-making is never about taxing to spend or cutting spending to ‘balance the books.’

From the perspective of the benefits which public services like the NHS provide and how resources fit into that paradigm, it can best be explained in the following way. If the government wishes to build a new hospital but the country is short of the professional and skilled tradespeople to design and build it, or the materials to provision it, or the clinical and associated staff to run it on completion then, no matter how much it is needed, spending money will not create that hospital.

If, on the other hand, there is an existing, staffed hospital serving real existing needs in its community then the government can fund it as long as those resources continue to be available and are needed. To close such a hospital on the grounds of ‘lack of money’ is as false an assertion as to say ‘we’ll have to stop February at the 10th because we’ve run out of dates in the calendar.’

Although Public Matters focuses on the UK’s healthcare system, it is highly conscious of this process being a part of a global move towards privatisation, driven by an economic and political orthodoxy.  However, this is not just a UK phenomenon. Across Europe the same orthodoxy is driving the same damaging reform and its citizens are suffering the loss not only of the services which form the foundations of a healthy economy but also the ethos that underpins those services.

The world needs an antidote to the neoliberal orthodoxy which has a firm grip on the way our politicians make their economic decisions. In the same way that Keynesian economics was the antidote to the chaos of the post gold standard years, modern monetary realities in the form of MMT (Modern Monetary Theory) is the same antidote to the challenges we are currently facing. Not just in relation to the decimation of public services and the erasure of the public service ethic but also solving the pressing and urgent issue of climate change and planetary survival.

To put this into a fundamental principle, all money creation, whether by government decree or bank license, is ultimately backed by government, not by the private sector. Regardless of who is in government this radically transforms any understanding of the relationship between the government and the non-government sector compared to the existing neo-liberal polity which places government as a supplicant at the feet of the City. That matters and it is political.

Criticism of MMT frequently comes from those who are defending the economic status quo (defending balanced budgets as an objective in its own right etc) whilst maintaining that they support strong social policies. The reason that we had strong social policies post WW11 was because there was a consensus around Keynes. Privatisation became the order of the day because Keynes was discredited and Friedman took his place in the economic ascendency, the ground having been assiduously prepared in advance by the Mont Pelerin Society.

If we are to reject austerity then this orthodoxy must be swept away. Some believe that rehabilitating Keynes will do the trick, but Keynesian economics is tied to the social, institutional and political conditions that existed pre-1971. That world has long disappeared, and we face new challenges. We need an economic narrative fit for public purpose and for the realities of modern sovereign economies.

 

 

GIMMS are pleased to announce that Bill Mitchell will be in London on 1st March to launch “Macroeconomics”, the textbook book he has written with L Randall Wray and Martin Watts. There is limited space at the venue so registration is essential for anyone who wishes to attend. Tickets are free and available here.

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The post The global fight for genuinely universal healthcare is a fight we can’t afford to lose appeared first on The Gower Initiative for Modern Money Studies.

Why fixing poverty and inequality does not depend on a benevolent global wealthy elite

Published by Anonymous (not verified) on Sat, 02/02/2019 - 4:00am in

Homeless man with suitcase and sign asking for foodPhoto by Steve Knutson on Unsplash

“Any man can make mistakes, but only an idiot persists in his error,” said the Roman philosopher Cicero. Now that we know how inequality harms the health of societies, individuals, and economies, reducing it should be our top priority. Anyone advocating policies that increase inequality and threaten the wellbeing of our societies is taking us for fools.

Kate Pickett and Richard Wilkinson

Why Inequality is bad for your health

 

Oh, the irony! Two worlds collide. Davos and the World Economic Forum versus the planet and its citizens. As David Attenborough hosts a series of talks on the dangers of man-made climate change and Oxfam shines a light on growing global wealth inequality, an estimated 1500 individual private jets fly into the Davos summit which is gridlocked all week with limos while the global elite sport their freebie ‘I’ve been to Davos’ blue bobble hats and quaff champagne.  It contrasts starkly with the world outside the bubble. A world where climate change is making its presence felt in extraordinary climate and weather events from drought and crop failures to storms, floods and rising sea levels, extreme temperatures and forest fires and the threat of ocean warming. A world where the damaging effects of a deliberately manufactured and growing gap between the world’s poorest and richest is made worse by climate change threatening to drive hundreds of millions of people into more poverty or into refugee status.  It is a stark and unsupportable future we face without direct and urgent action now.

The corporations, politicians and rich elite in Davos pay lip service to it, whilst divvying up the resource spoils ever more unfairly at huge expense, not in financial terms but in costs to the health of citizens and the survival of the planet.  The global elites have it well and truly all sewn up in their own favour, it would seem.

Last October in one of its first blogs GIMMS reported on the IPPC’s (Intergovernmental Panel on Climate Change) comprehensive report on the state of the climate which warned that we only have 12 years left to halt the worst effects of climate change. Regrettably, those warnings may not even reflect the true seriousness of the challenges we face as the clock ticks on and our leaders behave as if time were not of the essence. As the new leader of Brazil, Jair Bolsonaro, commented at the collapse of a dam which killed many workers a few days ago and which seems to reflect a common position ‘Environmental protection shouldn’t interfere with growth’. An ostrich with its head in the sand approach is being taken by our leaders, and not just the worst tyrants, at a time when the capacity of our natural world to support life is threatened.

And whilst the planet starts to behave like a fortress under siege, people are bearing the brunt of government choices led by orthodox economic ideologies which suggest that the rich are the wealth creators, that the state has only a minimal role to play in the economic success of a nation and that a lack of money is stopping government acting in the public interest. The shift of surplus value from labour to capital has left wages stagnant and working people ever more exploited and the foundations of civil society under threat.

Oxfam estimated in its 2019 annual report, released just before the Davos forum got underway, that 26 of the richest people in the world owned as much wealth as the bottom half of the world’s population put together. In 2018 it noted that 42 people held as much wealth as the poorest half of the world’s population and that 82% of global wealth generated in 2017 had gone to the wealthy 1%.

In 2018 it called on world leaders to tackle tax evasion and boost the pay of workers. This year it suggested that “a wealth tax on the 1% would raise an estimated $418bn (£325bn) a year enough to educate every child not in school and provide healthcare that would prevent 3 million deaths”.

Nobody can deny the well-meaning intent.  Equity is of paramount importance. But it is regrettable that Oxfam and other well-intentioned commentators from politicians to journalists and economic institutions focus on collecting tax to remedy not just this injustice but also to deal with the threat posed by climate change to the planet’s survival. If they did but know it, they are limiting the very action government could take to remedy these very serious issues.

Of course, most people believe that a government must collect tax (of whatever kind including National Insurance), or borrow, to cover government spending; how government provides public services, the NHS, the education system or pays for the social welfare which covers our pensions, unemployment and disability benefits.  It’s a natural assumption which is understandable. However, a tax on the rich, which no-one should doubt is needed for reasons of equity and to redistribute wealth and resources more fairly, will not raise a bean towards the capacity of any currency issuing government to spend on education or indeed healthcare.  In fact, a government which issues its own currency (in our case the £ – or it could be the dollar or the yen) has no need of the tax of the rich or anyone’s tax for that matter in order to spend. Indeed, logically, a government must spend the money into existence first before anyone can use it to pay their tax. This reveals the nonsense of the tax and spend narrative.

The story we’re constantly told is that we should ask the rich to pay for services to the poor in a Robin Hood kind of way; a sort of charitable donation or obligation on the rich to make a generous contribution to society. The implication is that without such contributions the state could not provide the public infrastructure on which we all depend.  Society, however, is not dependent on the rich man’s benevolence. It depends instead on a government acting to protect the interests of all its citizens through reducing income inequality which has very destructive consequences on the health and well-being of people.

Of course, there will always be those who say that objecting to excessive wealth is just the politics of envy.  However, we only have to look around us, on our streets and in our communities, even in our close or extended families, to see the destructive effects of income inequality. It is important to counter the arguments that the blame lies with individual irresponsibility. Excessive wealth has given a few people undue control, which enables them to buy influence in the corridors of political power. It enables them to appropriate an unfair share of the world’s natural resources and exploit those who labour to create the real wealth which sustains us.

The bottom line is that all governments make choices about their spending priorities which have nothing at all to do with the state of the country’s finances or whether it has collected enough tax to fund public services. They make their choices based on their ideologically driven political agendas. Neoliberal governments across the world have chosen to inflict damaging fiscal austerity on their citizens, which has driven the rising poverty and inequality which charities aim to address.

Yes, let’s tax the rich for equity, and to allow a fairer distribution of our wealth in terms of real resources, but it’s time for charities such as Oxfam to recognise that their taxing the rich to spend narrative does not represent the options open to any sovereign currency issuing government when making policies to deal with the challenges we face.  This is a political issue driven by ideology and it’s time for those with public voices to get up and say so.

It really is time for change.

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The post Why fixing poverty and inequality does not depend on a benevolent global wealthy elite appeared first on The Gower Initiative for Modern Money Studies.

The Myths and Legends of Hypothecated National Insurance

Published by Anonymous (not verified) on Mon, 28/01/2019 - 4:00am in

Over the last few days there has been a story whizzing around social media that our National Insurance contributions are being used to pay off the national debt. The Fund, as revealed by John Prescott in 2015, supposedly contained £30billion of spare money which at the time it was said could be used to save the NHS. Now it is being claimed, falsely, that the surplus fund is being used to pay down the national debt.


There is a fundamental public misunderstanding about how governments spend, the role of taxation (and after all National Insurance is just another tax) and even what the national debt is. The myth about government needing to tax or borrow in order to spend persists in the public mind. However, a government which issues its own currency, neither needs to tax nor to borrow in order to spend and shock, horror that big bad national debt burden is nothing but our savings and no threat at all for today or future generations.


In this excellent blog, originally published here, Public Matters tells the real story about NI from its history to the present day. With a better understanding of how National Insurance works, the questions about how public programmes will be paid for can move from it being dependent on prevailing financial conditions to a question of political choices and ideology.

 

 

Wordcloud on the subject of tax and the economyThere are pressing reasons for understanding a bit about how our tax system works and very specifically what National Insurance is. NI is used as successive governments’ tax increase of choice because of a widespread and mistaken belief that it is a direct payment to the NHS. The Liberal Democrats had it in their 2017 manifesto, Gordon Brown put 1p on NI to ‘pay for’ the NHS, Frank Field (Labour) gave evidence on NI to the Lords Committee on the long-term sustainability of the NHS and his website says he is working on this issue with Oliver Letwin (Conservative) and he wants to restore a ‘something for something’ society.

Frank Field’s website says:  ‘Polling last year found that while 42 per cent of the public would support an increase in tax to pay for a larger National Health Service budget, this figure climbs 11 points, to 53 per cent, once the public are asked about an increase in NI contributions.’

One of the most recent additions to this proposition was in an ‘exclusive’ from the Daily Telegraph (18 March 2018 paywalled):  “It is understood there is now broad agreement within the Cabinet that extra money must be provided for the health service. Some ministers have privately suggested an across-the-board rise in National Insurance to provide new ring-fenced funding for the NHS. However, The Telegraph understands that officials are drawing up plans for a more targeted tax rise on older workers as part of a new 10-year funding plan for the NHS championed by Jeremy Hunt, the Health Secretary. One idea under discussion is to make the 1.2 million pensioners who keep working past 65 to pay NI contributions. The move would raise £2 billion per year which could be spent on the health service. Scrapping universal free prescriptions for the over-60s is also under discussion.”

The Telegraph article incorporates many of the issues frequently raised when talking about how to pay for the NHS. These arguments have muddied the waters about how public funding is allocated giving rise to political decisions being made on the spurious grounds of ‘affordability’, ‘sustainability’ and ‘no money’. And it has led to campaigns and petitions calling for 1p in the £ tax or the hypothecation of NI to ‘pay for the NHS’.

Here we make the argument that this is not only misleading but it will undermine rather than support the NHS.

A political consensus – can we afford the NHS if the public won’t pay more?

Earlier this year, thousands of NHS campaigners marched and rallied across the country in protest at the de-funding, cuts and privatisation of the NHS. Anyone who isn’t an NHS campaigner could have been forgiven for missing it, it was given so little press attention.

In contrast, two days later the BBC gave headline space on its flagship news programme, Radio 4’s Today, and on BBC One’s Breakfast, to the Liberal Democrats’ perennial call for NI to be increased for the NHS. They are also calling for NI to be converted into National Health and Social Care Insurance – which they refer to as a hypothecated tax.

Simon Stevens has argued for different funding sources too:

“Would intergenerational fairness support a further increase in the share of public spending on retirees, at the expense of children and working-age people? Should it be easier for families to flexibly fund social care by drawing down resources tied up in housing, pension pots and other benefits?”

A little bit of history (but not too much)

Funding was a key issue in all the prototype versions of the health service that finally became the NHS. The debate about how to pay for the NHS was based around three elements, all of which are reflected to greater or lesser degrees in other healthcare systems around the world today.
These were (and are):

1. The Exchequer should pay a proportion via government run national insurance.
2. Local authorities should pay a proportion from the rates (council tax).
3. People should make a contribution from their own pockets -usually as some form of insurance.

Combinations of these are used across the world in a system known as the Bismarck Model.

NI already existed for working people in the UK before the creation of the Welfare State. It gave an entitlement to unemployment benefit, seeing a doctor and some pension benefits. But Prime Minister Clement Attlee supported Aneurin Bevan’s desire to break the connection with insurance to bring in something quite different for the NHS – and unique in a Western democracy. The NHS was to be paid for in full by the Exchequer. It has caused complaint and consternation ever since about its affordability – ‘growing and ageing populations’ have always been seen as a threat to its survival. Yet it has been consistently one of the lowest cost universal healthcare systems in existence. And that has been largely as a result of this direct funding method.

In 1952 Bevan wrote ‘In Place of Fear’ a remarkably modern set of essays showing that the questions about funding, who gets access, what should be provided are perennial and instantly recognisable across the years. He writes one of the best explanations of why NI was not chosen as the method of payment:

“When I was engaged in formulating the main principles of the British Health Service, I had to give careful study to various proposals for financing it (…) what was to be its financial relationship with national insurance; should the health service be on an insurance basis? I decided against this. It had always seemed to me that a personal contributory basis was peculiarly inappropriate to a national health service. There is, for example, the question of the qualifying period. That is to say, so many contributions for this benefit, and so many more for additional benefits, until enough contributions are eventually paid to qualify the contributor for the full range of benefits.”

So, to answer Bevan’s question, what is the NHS’ “financial relationship with National Insurance” in 2018?

Given the number of people who respond on social media to questions about funding the NHS by saying, ‘I pay for it already with my National Insurance’ – it looks as though the question is answered in popular consciousness, if not in reality.

It might surprise people to learn that the National Insurance Fund (NIF) today is used to calculate employment related and pension benefits, as it did before 1948. It doesn’t include paying to see a doctor! This Fund supposedly contains £30 billion of spare money. You may have seen the petition to parliament asking for the release of the money to save the NHS. John Prescott, former Deputy Prime Minister, was the person who discovered this ‘secret’ in 2015. But, like many things which have an eternal life on social media, it isn’t quite true.

Bevan talks about ‘the qualifying period’ for NI. NI still has qualifying periods for the various benefits it covers.

According to the government website the list below is what NI is for. Each of the benefits listed have different numbers of contribution years needed to be able to claim them. For example, it takes a minimum of 10 years contributions to earn entitlement to any state pension at all and 35 years to earn full entitlement. State pensions aren’t like private pensions. There is no personal money pot built up. Instead your contribution to society through your earnings is a social contract. There is an expectation that, having contributed through your working life, the government of the day will honour the contract when you retire.

Benefit 
Class 1: employees 
Class 2: self-employed 
Class 3: voluntary contributions 

Basic State Pension 
Yes 
Yes 
Yes 

Additional State Pension 
Yes 
No 
No 

New State Pension 
Yes 
Yes 
Yes 

Contribution-based Jobseeker’s Allowance 
Yes 
No 
No 

Contribution-based Employment and Support Allowance 
Yes 
Yes 
No 

Maternity Allowance 
Yes 
Yes 
No 

Bereavement Payment 
Yes 
Yes 
Yes 

Bereavement Allowance 
Yes 
Yes 
Yes 

Widowed Parent’s Allowance 
Yes 
Yes 
Yes 

Bereavement Support Payment 
Yes 
Yes 
No 

The NHS is conspicuous by its absence from the list above.

In the late 1970s over 65% of all unemployment benefits were based on contributions from previous employment with 35% being means tested. Today it’s almost the mirror image and contributory benefits are now just over 42% of the total.

Why do people say that National Insurance pays for the NHS?

Most people will remember Gordon Brown, when he was Chancellor of the Exchequer, saying he would put 1p on NI to ‘pay for the NHS’. There is that claim from John Prescott that he had ‘found’ £30bn in the NIF ‘for the NHS’. And the Liberal Democrats – along with Labour’s MP Frank Field – insist that NI should be changed to fund the NHS and Social Care as a hypothecated tax.

Is it any wonder that people believe that’s how the NHS is paid for, with so many politicians saying it is, or should be?

There is, in fact, a difference between the NIF and the National Insurance Contributions (NICs) collected. And the difference illustrates the confusion that exists about the tax system. At this point it is worth pointing out that, despite any statements to the contrary, NI is just a tax.

The Government Actuary’s Department has estimated that NICs will raise just over £125 billion in 2017/18, of which £101.8 billion will go into the NIF and £23.7 billion will go to the NHS.

What is accounted for in the NIF, as explained above, is the estimated amount of contributions needed to pay for the contributory benefits including pensions. Any excess over that amount is supposed to ‘go’ to the NHS, but it isn’t equivalent to the amount of funding the NHS needs. It is simply accounted for in the Consolidated Fund at the Bank of England which is a record of all the Government’s spending and receipts.

This brings us to the central issue of why politicians insist on making the link between the NIF and the NHS. At its most basic it is because politicians believe that if the public think that the tax is being spent directly on something they want and have a direct interest in (working benefits, pensions, health) they are less likely to complain when that particular tax is increased. And why do they believe it? Because countless polls tell them so. They also like going to the polls saying that they will not increase income tax – that’s a huge vote loser. But a manifesto commitment on ‘income tax’ can be neatly circumvented by increasing the other income tax – NI.

Is National Insurance a hypothecated tax?

A true hypothecated tax is one in which the tax is ring-fenced for a named service and pays for all that service. This system effectively enforces a spending cap on the service being paid for as it limits spending to an equivalent of the tax levied. That’s very difficult to do when necessary spending is required before the taxes are received. It’s also difficult to define the ‘whole’ of a service.

The NIF appears to be hypothecated. Its rules say that the Fund must always contain enough contributions to meet all its obligations as listed above. To this end it must have a reserve in hand (John Prescott’s £30bn ‘secret’). But the Treasury also makes grants available to the NIF to make sure it keeps to its rules when it doesn’t have enough contributions coming in. A further adjustment is made between the balances in the England & Wales account and the Northern Ireland account to make sure they both represent the right amounts for their relative constituencies. Yet more adjustments are made because the Department of Work and Pensions and the Department of Business, Skills & Innovation both make payments out of their own budgets for the benefits accounted for under the NI scheme so transfers are made between them to equalise the accounts.

There is also an excess of receipts required to fulfil the contributory principle over the course of the accounting year and that doesn’t go into the Fund at all. It is not a genuine hypothecated tax. It is a bookkeeping exercise.

If NI is just a tax and it isn’t hypothecated, what’s the point of it?

Historically people had a direct link between their NI contributions and the benefits that accrued to them as a result. Pensions retain that historic link, with a defined minimum and maximum number of ‘contribution years’ required. In and out of work benefits for those covered by the NI scheme also have minimum contribution periods. It is the contributory principle that makes NI difficult to abolish. Income tax is simply recorded as an annual amount, no matter what the source of the earned or unearned income. NI, on the other hand, is recorded as the number of consecutive weekly contributions. It is the appropriate number of full years in a given period that defines eligibility for the benefits.

People who take breaks from paid employment for any reason and therefore have a break in their contributions may receive a letter asking if they wish to make a voluntary payment to cover the missing contribution period. That couldn’t happen with income tax. Getting rid of NI therefore leaves a problem of how to calculate eligibility for contributions-based benefits.

NI hides the true levels of income tax

The headline rates for income tax are currently set at 20%, 40% and 45%. This looks as if we have a very fair system where the lowest earners only pay half what higher earners pay. However, if NI is added to income tax the picture looks very different.
NI (tax!) starts below the personal allowance level.

Income bracket 
Income tax rate  
NI rate 
Total tax 

£8164 – £11,500 
0% 
12% 
12% 

£11,500-33,500 
20% 
12% 
32% 

£33,500-£150,00 
40% 
2% 
42% 

£150,000 + 
45% 
0% 
45% 

People often call NI a regressive tax because it doesn’t increase with higher earnings but what is far worse is that it masks the real differentials between the rates of taxation. The lowest rate is quoted at 20% and the higher rate at 40% which leads people to reasonably believe that lower earners are not carrying the burden of tax but as the real figures are 32% and 42% respectively then it is a far less fair system.

So, when campaign groups call for a penny on income tax to fund the NHS or that there should be further increases in NI they may not be aware of how serious the impact is on lower paid workers.  In 2016-17 a fraction over 31p in every £ of tax collected was income tax. NI accounted for just under 22p. The rest is accounted for by other taxes.

Inter-generational Fairness – a concept designed to persuade people that you don’t get what you don’t pay for

Over recent years there has been a change in the general understanding of what the economy actually means. Politicians talk as if the economy consists of the private sector and its wealth creation with government wholly dependent on the taxes raised from that wealth creation. Government expenditure is framed as money lost or wasted or a drain on the economy. The tax ceiling is used as a whip to limit government who must be vigilant against overspending or allowing ‘debt’ to get out of hand. It also tends to focus on income tax and NI to the exclusion of other taxes.

This is the narrative that explains why services need to be reduced or more paid for them by the public. It creates an obligation on those who cost most to be asked to contribute more for the sake of ‘fairness’ and ‘not burdening the state’. It makes means testing into a harsh system of proving you really need state help before you can get it. It reflects Frank Field’s ‘something for something’ idea that you don’t get what you don’t pay for. It is the political and moral opposite of the NHS.

Far from ensuring intergenerational fairness, this system forces the burden of payment for the NHS on to people in paid employment who are paying NI as this tax is not paid on unearned income nor by various other income groups.

The idea of expanding NI to retirees and of extending its range, making it more progressive, also ignores the contributory element. The regressive nature of NI is directly attributable to its contributory nature. Once you have paid ‘enough’ to meet the contributions threshold there is no justification for levying any more, as there is no more additional benefit to be ‘earned’.

This is the landscape that gives rise to the NHS Five Year Forward View with its voucher scheme for maternity and personal budgets for disability and now for the Liberal Democrats arguing for a National Health and Social Care Insurance for older people. Asking pensioners to pay NI when they already made their contributions to earn the status of pensioners is clearly nonsense and anything but fair, but you can change that argument if you change the purpose of the tax.

An insurance-based health and social care system

The Liberal Democrats report says:

“we .. believe that an NHS funded by national taxation continues to be the best option for delivering our healthcare system, and so we decided early in our discussions that we would not explore options for an insurance-based health system as a means of raising additional revenue.
…. thanks to great strides made in tackling pensioner poverty, after housing costs pensioner households are far less likely to be in poverty than households of working age, particularly those with children.
For this reason, we suggest policy makers consider ending the exemption from paying NICs for people who continue working past the state pension age. NICs could either be equalised with the rates paid by the rest of the workforce, or introduced at a lower rate.
(…) this is the age group who are the biggest users of health and care services and, as described in the section on income tax above, on many measures this group of workers are proportionately better off than younger generations.”

Like many of the issues we have examined in this blog these statements appear to superficially make sense regardless of whether or not you agree with them. But health and social care now form part of a single government department and the NHS and local authorities are being brought together within integrated systems with combined budgets.

Despite saying they would not explore options for an insurance-based health system, the Liberal Democrats’ focus on paying some form of insurance for health and social care actually means converting NI to a state insurance scheme. They are calling for Theresa May to back their scheme. This would transform our Bevanite state-funded NHS into a Bismarckian system. Currently healthcare is free at the point of need and social care is means-tested, which brings an element of uncertainty to what exactly is to be covered by this insurance.

If this were simply an argument about tax there are, of course, many other forms of tax. It takes experts to calculate the changes in government receipts and the effect on households when tax thresholds are raised or lowered. That is what would be being considered if this was about changing our tax structures or raising taxes in general.

But this is not an argument about tax. This is an argument over the role of the government.

While it may appeal to many to call for increased taxes to ‘fund’ the NHS what we really need is to understand how public funding works. The root of the problem does not lie in our tax system. It lies in public policy decisions.

If you are asked to sign a petition or support calls for a hypothecated NHS & Social Care NI or for 1p in the £: just say ‘no’.

For further reading:
Post crash economics and ‘Professor’ George Osborne
Jeremy Hunt calls for increase in tax to pay for Trident

 

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Governments should be judged by the way they treat their elders not whether they balanced their accounts

Published by Anonymous (not verified) on Sat, 26/01/2019 - 4:00am in

Walking frame

‘How we treat our old people is a crucial test of our national quality. A nation that lacks gratitude to those who have honestly worked for her in the past while they had the strength to do so, does not deserve a future, for she has lost her sense of justice and her instinct of mercy.’

 

So said a former Prime Minister David Lloyd George around a century ago. Before 1948 social care meant that either your family looked after you or you died. The setting up of the NHS and the welfare state changed all that.

 

And yet, today social care for the elderly is on the brink of collapse. Only last week, following a 13-month enquiry into the challenges that older people face accessing social services, Human Rights Watch reported that people believed that they had been ‘denied crucial services or had services significantly reduced causing their health and well-being to decline’. The report signalled that vulnerable older people in England were at risk of being denied human rights because of failures in the way the government allocated care resources since cuts of almost 50% in central government funding for councils.  This report followed hard on the heels of the United Nation’s Rapporteur Philip Alston’s investigation into extreme poverty in the UK in which he laid blame on the UK government for inflicting ‘great misery’ on its people with ‘punitive, mean-spirited and often callous’ austerity policies’.

 

While Human Rights Watch talks about the misery caused to people because of cuts to public spending the government brushes aside the human scale of that failure for a discussion on finances and how elder care can best be paid for or reformed so as not to burden future generations of taxpayers. Indeed, last week’s MMT Lens focused on how thinks tanks, politicians and journalists frame their arguments, not in terms of dealing with how we tackle the very real human dimensions of ageing or ill-health, but how are we going to pay for it. Instead of a discussion about how we address the challenges we face through fiscal policy action we are invited to imagine household budgets and limited pots of money. For decades successive governments have chosen to skirt around or put off a proper discussion about how to pay for social care, in particular for older people, because they know that the false framing that tax might have to increase would be unpalatable to voters. It is presented as if there were no other options at all.

 

The seeds of the collapse in social care were sown decades ago by Mrs Thatcher and successive leaders.  Where prior to the 1980s almost two thirds of residential care was provided at local authority level, responsibility gradually passed over to the private and charitable sectors (the Independent Sector) and, over time, greater emphasis was laid on provision of care in the community. As has become clear the social care system has increasingly come under huge pressure as a result of the deliberate strategy to reduce the number of hospital beds coupled with insufficient funding to meet community care needs. This had its roots in NHS reforms begun by Labour and continued by the current government whereby between 1997 and 2017 around 45,000 hospital beds closed which as a result has put huge pressures on hospitals to discharge elderly patients into a financially pressed and failing social care service.

 

To give some context in 2016 figures published by the Observer showed that cuts to council budgets had been responsible for closures of residential and nursing care providers in 77 of the 152 local authorities it surveyed. Forty-eight councils had had to deal with the fall out caused by companies providing care for the elderly ceasing trading. Fifty-nine councils had had to find new care arrangements after contracts were handed back by private care providers who could no longer deliver services due to central government funding cuts and the drive to find savings at local level and the introduction of the living wage which was they said increasing their costs (and naturally decreasing their profits.)

 

However, whilst focusing on the impact of austerity and cuts to public spending on the provision of social care services to the elderly something else just as concerning is playing out in the residential care sector. As already mentioned forty years ago almost two thirds of care homes were run by local authorities but today over 95% have been outsourced to the independent sector both private and non-profit of which large private care home chains account for almost 25% of care home provision. This has been referred to as the ‘financialisation’ of care whereby private equity investors eying up the profit to be made by exploiting a growing population of older people have swooped into the market. As the Centre for Research on Socio-Cultural Change (CRESC) noted in a report in 2016

 

The techniques of debt based financial engineering (as developed by private equity) suit high risk and high return activities (e.g. cyclical businesses like commodities, tech start-ups and turnaround of failing businesses) but are here being applied completely inappropriately to an activity like adult care which is low risk and should be low return (e.g. utilities and most kinds of infrastructure). The chains bring a return on capital targets of up to 12%; cash extraction tied to the opportunistic loading of subsidiaries with debt; and tax avoidance through complex multi-level corporate structures which undermine any kind of accountability for public funding. The chains are effectively asking for a bail out when they are squeezed between austerity fees and rising wage costs. Through threats of home closure, they are now trying politically to spook the state into paying a higher price for residential care which will protect them from the losses that are an ordinary risk of capitalist businesses. Their own financial engineering is a major contributor to chain fragility and care quality problems so that private gain comes at the expense of costs for residents, staff and the state.

 

This is the reality of today’s adult care sector, but it has come at a price as CRESC notes.  The collapse of Southern Cross in 2011 should have been a wake-up call to the risks posed by outsourcing and private provision. Indeed, over the last few years fears have grown about the financial stability of many of these companies. The accountancy firm Moore Stevens estimated in 2016 that one in six UK care homes is at risk of failure due to unsustainable levels of debt.  Already it is being made clear that local authorities crushed under the weight of cuts to central funding will, in the event of further failures, no longer be able pick up the pieces when companies go under.  Meanwhile, the companies themselves put the blame on government, complaining of rising costs due to having to pay a ‘living wage’ and stagnant income due to government austerity. And at the same time the sector itself is haemorrhaging staff as low pay and poor working conditions drive people away. No wonder they are talking about crisis!

 

So, on the one hand, we have a social care system in freefall, on the brink of collapse caused by ideologically driven cuts to public spending which are blamed on the fiscal imprudence of the previous government. And on the other, we have a financialised business model for a sector which now functions ostensibly to deliver profits when social care would be better publicly managed and funded for the well-being of the nation’s citizens.

 

These two strands of the story represent a deliberate strategy that has been played out by successive governments. Firstly, politicians who, over decades, have embraced the idea that delivering public services is better achieved through outsourcing/privatisation funded from the public purse. And secondly, that governments must demonstrate that they are fiscally accountable to their electorate i.e. they spend taxpayers’ money responsibly and keep a tight rein on borrowing. It is sad to note that elections are won or lost on a government’s ability to show itself financially prudent and not on their economic record that is how their policy decisions have affected the economy and the nation’s citizens as a whole.

 

Founded on the big lie that there is no money the public has been hoodwinked into accepting a false narrative about how governments spend.  However, the wheels are now coming off the globally organised neoliberal wagon of free markets and fiscal discipline, as they are increasingly being shown up for what they are a fraudulent ploy designed to enrich the few at the expense of the well-being of the many.

 

While think tanks, political parties and even charities still discuss increasing taxes or raiding the Cayman Islands to address poverty and inequality, fund public services, healthcare, welfare and pensions, the reality of how governments really spend has continued to be brushed under the carpet as if there were no alternatives.

 

However, it is an upbeat sign that the lid is now being lifted on this cruel deception which claims that balanced budgets are more important than people’s lives or indeed the future of the planet.  It is translating into a public understanding that the UK government by dint of being the issuer, the creator of currency is not short of money. And, now, when the orthodox economic pundits mention money printing, Zimbabwe and hyperinflation all in the same breath, people are slowly beginning to understand that the only caveat to government spending are the limitations imposed by the nation’s own resources.

 

To use the economist Professor Stephanie Kelton’s analogy ‘we can all have a pony provided there are enough ponies.’ And that is the crux of this argument. That firstly it is not the role of government to balance the accounts it is the role of a good government to serve the public purpose by balancing the economy. Essentially this means two things; that a government’s spending should not exceed the productive capacity of the nation whether that’s labour or physical resources to avoid the threat of inflation; that it has a strategic plan to ensure that those available resources are used efficiently and effectively to meet the needs of citizens today and tomorrow. In the case of social care that means a government spending sufficiently to ensure there are enough trained, decently paid care workers, social workers and other professionals as well as social care infrastructure to guarantee that the needs of elder citizens are being met adequately.

 

And, of course, finally and not least the knock-on effect of people with more money in pockets and having more secure employment is that as money circulates around the economy people feel more confident and less anxious about the future leading to a happier society all round.

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“Austerity is theft, the greatest transfer of wealth from poor to the rich since the enclosures.”

Published by Anonymous (not verified) on Sat, 05/01/2019 - 4:00am in

Fuad Alakbarov (Azerbaijani-Scottish human rights activist, political commentator and humanitarian.)

 

Demonstrators and People's assembly banner at an Anti-austerity protestPhoto – Peter Damian

In the week before Christmas, the Secretary of State for housing claimed that the sky rocketing levels of homelessness were down to social issues and had nothing to do with the government’s housing policy.  Then just a few days later George Osborne added his pennorth dismissing outright the link between his punitive austerity programme and Britain’s homelessness crisis saying, ‘It’s not a lack of money – that’s not a consequence of austerity – that’s just a consequence of bad policy”. When interviewed on BBC Radio 4’s Today programme he went on to argue that poverty would have been worse without austerity. He suggested that when the Tories had come to power in 2010 the country was close to bankruptcy and that the public spending cuts were necessary to get the country back on its feet.

 

Within these words lie two dishonest and harmful narratives which have pervaded the public consciousness for decades and form the basis for people’s understanding of the world they inhabit.  They have set us on the road to a divided and unequal society.

 

Firstly, the ideological narrative that competition defines the human race, and thus the individual is responsible for his or her own fortune. It applies the biological evolutionary language of Darwin to the functioning of the economy and society. It posits that the State has no role to play in delivering public purpose and well- being and that it should not interfere in what is conceived to be a natural process of the survival of the fittest whereby the most motivated, strongest and powerful win.  It rejects outright the concept of mutual aid and cooperation as being fundamental to human and planetary thriving.

 

The political elites and the Fourth Estate have consistently demonised poor people, the sick and those with disabilities by the use of inflammatory language to create division both across and within the social classes. The constant reference by politicians and journalists to strivers and hard-working families is an example.  Or the provocative words of George Osborne who said “Where is the fairness, we ask, for the shift-worker, leaving home in the dark hours of the early morning, who looks up at the closed blinds of their next-door neighbour sleeping off a life on benefits.” Such images perpetuate hate, encourage violence, justify selfishness and a sense of entitlement as well drive the notion that personal fulfilment trumps the interests of the collective.

 

Secondly, the narrative that austerity was necessary to get the government’s accounts back into balance and that its role was to be fiscally responsible so as to not burden future generations with debt.

 

In 2010 and following George Osborne’s spending review Will Hutton noted that ‘Never before has a country with such a large economy, carrying so much private debt, taken the experience of near financial collapse to squeeze its budget with such severity and speed”.  The tried and tested Keynsian economics of fiscal spending were abandoned in a frenzy of cuts to public services, local government and welfare. The notion that the state money system was one great big household budget was invoked by deficit hawk economists and politicians alike and reference made to Liam Byrne’s note left in the Treasury that there was no money left.  Repeated allusions were made to paying down the state credit cards, taking the nation back from bankruptcy and the wisdom of living within one’s means.

 

George Osborne’s cuts drove deep cutting £81bn from government spending on the NHS, welfare, higher education, social housing, policing and local government to lead to the loss of over 500,000 jobs.  He vowed to restore ‘sanity to our public finances and stability to our economy’.  Using these false analogies, the Conservatives were able to justify their cuts to public services, the selling off of public assets and privatisation of public services, the paring down of the welfare state to bare bones to kick away the foundation stones of civil society.   Not for any financial imperative but because they made a political choice to do so.

 

Contrary to George Osborne’s claim that austerity was vital for the health of the economy the consequences have proved calamitous.  Every day the evidence piles up from overstretched hospitals, failing social care, crumbling infrastructure, the tragic personal stories of those affected by changes to benefits which have led to suffering and death, increased homelessness and death on the streets of Britain, hunger and the growth of food banks, closures of high street shops and a deteriorating economy. And yet, every day, government ministers shamelessly deny responsibility for the harm they are causing claiming that their policies are successful and defending their economic record.

 

In 1845 Friedrich Engels coined the phrase ‘social murder ‘whereby the class which holds social and political control places citizens in such a position that they inevitably meet an early or unnatural death.  Murder committed not by one individual against another but by the political elite against the poorest in society. One hundred and seventy three years on Dr Chris Grover from Lancaster University in a recently published report accuses the political elites of the same as a direct consequence of austerity and cuts to benefits which he says can be viewed as a form of “structural violence that is built into society and is expressed in unequal power and unequal life chances as it deepens inequalities and injustices and creates even more poverty.” He suggests that “as a result of austerity working class people face harm to their physical and mental well-being and in some instances are ‘socially murdered.”

 

People are not suffering and dying because of their own personal failings they are dying as victims of an ideology which has promoted austerity as a financial necessity when, in fact, it is the worst prescription of all. Umair Haque describes it as a force that is ripping the world apart, slashing through democracy, the future and society reducing the planet to a smoking wreck.

 

George Osborne boasted that austerity was necessary to save the economy by driving down deficits and the ‘national debt’ (never mind the fact it is our savings or that the government as the currency issuer can always settle its pound denominated liabilities).  This deliberate deception disguised its real purpose which was always about demolishing public services to shift the public narrative to acceptance of privatisation.  In this respect, it was shameful that Manchester University appointed the architect of Tory austerity as an Honorary Professor of Economics. In so doing it thoroughly insults all those who have suffered as a result of his unnecessary and harmful economic policies as well as discredits even further those subscribing to economic orthodoxy within the teaching profession.  Its decision to legitimise a man who has caused so much pain and suffering should have been called into question. Such servile behaviour in a seat of supposed learning was distasteful and has proved to be an odious appointment as his austerity chickens come home to roost.

 

It’s now time for the people to contest the lies and the cruel deception practised by ideologically driven politicians. Firstly, by recognising that nothing is set in stone and that there is an alternative to austerity. Secondly, by opening our eyes to the painful realities of cuts to public services and social security whereby people are suffering and dying as a result.  And thirdly, by getting to grips with how money works and the currency issuing nature of sovereign governments. Governments which need neither to tax nor to borrow to spend and whose limitations are not money but the real resources available to it to deliver its policies.

 

The truth is that government spending into the economy injects money into the purses and bank accounts of public sector workers who then take their earnings and spend them directly into the real economy, pay down their debts or save. In fact, a healthy economy depends on people spending, it depends on sales of goods and services. To give an example every £1 spent by government on the NHS will generate around £4.30 of spending as wages circulate around the economy. By cutting public spending, austerity has had the reverse effect which has led to soaring of unsustainable private debt and a downward economic spiral for all but the rich.

 

Once we grasp the essential truths of monetary realities we will be able to see the wood for the trees and recognise that the role of government is not to balance the budget but to balance the economy. Only in this way can we create a fairer, equitable and more sustainable world.

 

References

How Austerity Ripped the World Apart – Umair Haque

 

Austerity results in ‘social murder’ according to new research – Lancaster University

 

 

 

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Social Care and how we can pay for it

Published by Anonymous (not verified) on Sat, 15/12/2018 - 4:10am in

Elderly man standing by a windowPhoto by Alex Boyd on Unsplash

Social care is in a state of collapse. Despite an additional £2bn of government funding, cash strapped local authorities have been unable to afford the fees charged by private care providers many of whom are now walking away. There is a serious shortage of care workers who have been worn down by poor wages and stressful working conditions. It is expected that by 2025 there will be a shortfall of more than 600,000; add to that the exodus of EU workers who currently have been relied on to be the backbone of social care support. It is clear that if the situation continues to remain the political hot potato it has been so far the situation can only worsen, leading to more suffering and early death for those who deserve better in their twilight years. Despite the urgency of the situation the Social Care Green Paper promised by government has yet to be published and the issue, along with many others of domestic concern, has been set on the back burner whilst government deals with the political fallout from that other hot potato the exit negotiations with the EU.

Politicians across the political spectrum might agree that a solution must be found but the next question, by default, is always how are we going to pay for it? Predictably, the implication is that the public purse cannot sustain the financial burden of social care provision so other solutions must be found so as not to burden current and future taxpayers. And in this vein, earlier this week, it was revealed that the government is considering a hypothecated tax on the over 40s to fund social care with a proposal that people would be given personal cash budgets to help them pay for their care. Research by a pensions consultancy claims that a German-style system could raise half the money needed to plug the £30bn a year gap in funding that it is claimed the UK will be facing by 2031. Commenting on the research the consultancy said that ‘taxation of current and future generations will be needed’. On the same subject the IFS in a contributory piece for the Local Government Association which formed part of its series ‘Towards a sustainable adult social care and support system’ focused its narrative on how the social care black hole could be filled; whether one should pay for higher social care costs through general taxation the burden of which it claimed would fall on younger people, whether it should be funded by a hypothecated (ring-fenced) tax or even as the government is proposing forcing older generations to pay higher contribution rates.

When funding issues are discussed in the media, by institutions such as the IFS or politicians, the household budget narratives are glaringly in evidence. It is vital that we unpick this mythical narrative which claims that government funds public services through taxation.  It is indicative of how deep-rooted the myths are in the public consciousness that when asked if they would be happy to pay extra on their NI contributions to save the NHS, for example, people are ready and willing to do so, such is their attachment to this vital public service.

It is imperative that we debunk this false household budget narrative and show the public how governments really spend and why taxing people more is not the solution to funding public services. So, in short:

  • The Government is the currency issuer.
  • The UK government doesn’t need tax to spend and does not and cannot collect anyone’s tax to put aside for the future in a savings pot, whether that’s for social care or even state pensions.
  • There will be no funding black hole for social care in 2031 or ever. It is a government choice not to fund it today and it will be a government choice, whoever is in power, to fund it or not in 2031. It is never a question of financial affordability.
  • The only constraint in provision of social care services that any government will face will be a resource one not a financial one. In other words, did the government invest sufficiently yesterday to ensure that there will be enough trained people and resources to deliver care services today and is it investing enough today to ensure the same for tomorrow?
  • Finally, the wisdom of taxing the general population more in a declining economy where wealth inequality is already very high would cause more economic hardship and likely contribute to the already threatening recessionary pressures.

The funding of social care is a public policy decision driven by political ideology rather than financial necessity as the argument goes in political circles.

As Alan Greenspan, former head of the US Federal Reserve, said of funding the US social security system and which applies just the same here in the UK.

‘There is nothing to prevent the […] government from creating as much money as it wants and paying it to somebody. The question is, how do you set up a system which assures that the real assets are created which those benefits are employed to purchase.”

Once the nation grasps the monetary realities it must then decide whether it believes in the value of public services paid for from the public purse and available to all or whether it prefers delivery by the private sector on a for profit basis rather than public and economic well-being.

 

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The UN report

Published by Anonymous (not verified) on Sat, 24/11/2018 - 4:10am in

Mother and child washing hands in kitchen sinkAs reported in last week’s MMT Lens Philip Alston’s report on extreme poverty and human rights is truly shocking. Far from austerity being based on the need for financial prudence, as claimed by the government, it is a deliberate assault on some of the poorest and most vulnerable citizens in the country driven by a pernicious ideology which divides people and tears down communities. Such ideology values the individual over cooperation and places personal responsibility for an individual’s fate in their own hands.  

One of the areas where Philip Alston expressed considerable concern was the cuts to local authority budgets. In  his interviews with local authority leaders, he reported that they are increasingly reduced to emergency provision. Such cuts to central funding have been destroying the fabric of public infrastructure and services across the UK, ripping the heart out of local communities. As his report so brutally revealed it has brought about unnecessary hardship and suffering and lives blighted or cut short by unnecessary austerity.

Alston’s criticism comes after several councils in England including Northamptonshire, East Sussex, Somerset and Surrey have reported financial difficulties. Councils are being forced to plunder their reserves to keep essential services going and make cuts to spending to other essential services.  Staff have been sacked, pay frozen and libraries and other services closed or reduced to voluntary manning. Some councils are even facing the prospect of defaulting on their statutory duties to public health and social care or restricting services to the most vulnerable citizens.  David Cameron’s ‘Big Society’ is increasingly being expected to take responsibility for supporting its elders and vulnerablefriends and neighbours, paid for with goodwill.

The figures from the National Audit Office 2018 Report on Financial Sustainability of local authorities make for stark reading. There has been a:

49.1% real-terms reduction in government funding for local authorities between 2010-11 and 2017-18

28.6% real-terms reduction in local authorities’ spending power (government funding plus council tax) between 2010-11 and 2017-18

66.2% percentage of local authorities with social care responsibilities that drew down their financial reserves in 2016-17

Alongside reductions in funding local authorities have had to deal with growth in demand for key services as cuts to public spending have kicked in. Dealing with growing homelessness and coping with the extra demand for adult and children’s social care have all put huge pressures on local government. Eight years of austerity have increased demand for local government services associated with precarious employment, poverty, homelessness and rising crime.

The local charity sector has always played a significant role in supporting the needs of local communities and grants from local government have been its lifeblood. When David Cameron launched his big society drive to empower communities, he was less clear about how such work would be funded. Over the last eight years of central government-imposed austerity the charitable sector, which relied on local government grants for part of its funding flow, has been hard hit too.

One of the hardest hit services have been Sure Start Centres, a flagship New Labour policy, which was a local area–based programme delivering services and support to families with young children. Its aim was to reduce inequality whilst acting also as a gateway to more specialised service provision. Figures suggest that more than 1000 centres might have closed nationally in response to local authority funding pressures with a change of focus moving from a universal service to one targeting high need families.

Philip Alston referred in his press conference to the ‘mechanical economic analysis’ by government officials that ignores the damage being done to the fabric of British Society. Political choices are cloaked in the idea that there is no alternative to financial prudence. ‘Prudence’ in this context is seen simply in terms of the money-in, money-out of tax and spend and whether it ‘balances the books’. 

This is not just about our libraries or other local services closing. This is an attack on the fundamental belief in the value of public service and public services to deliver public and social purpose for the health and well-being of the nation. The increasing focus on individual consumer desires instead of cooperation to bring about vital social cohesion is fracturing society. The government’s digital strategy will also disenfranchise many people whilst at the same time removing their access to IT by closing public libraries which also often provide safe meeting places for local organisations and charities such as Home Start and Sure Start.

The government, whilst claiming that there is no money, is the only entity able to secure funding for our public services.  It has the currency issuing powers to ensure that funds are available to purchase the goods and services required to meet the needs of our local communities. By not investing today we are storing up, not a financial burden, but the burden of decaying infrastructure and the knowledge capital and know–how built up over decades at local level.  The government is denying the power of the public purse to support a network of ready to go services with staff skilled and experienced in tailoring services to meet their own community needs.

Our local communities, high streets and businesses are the backbone of the economy they provide the glue that holds the nation together. As local government struggles to provide even its statutory duties, cuts ever more vital services and slashes staffing levels the consequences for local economies become ever clearer both in financial and social terms. Furthermore, the Big Society dream that the voluntary sector can fill the gaps left by lack of local government provision is an ideologically inspired Conservative fantasy.

Alston’s report is a wake-up call to the real alternative to cutting public spending. Failure to do so will cause further privation and distress which will have long term effects on the health and well-being of citizens and the economy.

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Life at the sharp end of austerity

Published by Anonymous (not verified) on Sat, 17/11/2018 - 6:39am in

Rough sleeper sitting on a benchImage © Taylor Wilkins – Deamstime

In the news this week…..

“I’m scared to eat sometimes in case we run out of food.”
“We had people coming to us who hadn’t eaten for several days,”
“I wash in what I call a birdbath – a little hot water in a basin and have a spruce down,” she said. “To keep warm I wrap up in layers and layers. I never thought I would be 48 and in this position.”
“They have taken everything from me but my body. What do they want me to do? Do they want me to sell my body?”

These are some of the many shocking indictments of the UK government arising from the UN Special Rapporteur, Philip Alston’s two-week fact-finding mission to gather evidence about the impact of austerity on British families. He has been visiting some of the poorest cities and towns across the UK including Jaywick in Clacton, Newcastle and Newham where he has heard the heart-breaking testimony of families and individuals plunged into hardship and despair as a result of the government’s welfare reforms and cuts to public spending.

It is sure to prove yet another shameful assessment (the fourth so far) by the UN of the last 8 years of government imposed austerity. Here, in the world’s fifth largest economy, the UK has over 4 million children living in households that struggle to feed them. The growth of food banks and charitable food collection has become normalised and child homelessness is at its highest level since 2007. According to a report published by the Equality and Human Rights Commission last year, it is disabled people, single parents and women who have suffered disproportionately as a result of the government’s harsh welfare reforms which have left people in penury and abandoned.

In 2009 David Cameron declared that the ‘age of irresponsibility’ would give way to the ‘age of austerity’. The government committed to cutting £billions of government spending claiming that failure to do so would leave the country under mountains of public debt and facing bankruptcy. Public sector jobs were lost and benefits slashed as the government set in motion its programme for welfare reform.

Almost a decade on the consequences of its cuts are laid bare for all to see. The neoliberal belief that it was possible for a nation to cut its spending without wrecking the economy has proven catastrophic and has delivered unnecessary human suffering, increased poverty and rising income inequality.

As Philip Alston told a packed public meeting in Clacton:

“What tells you most about a society is how it treats its poor and vulnerable. A wealthy country could decide to help those who hit hard times, to ensure that they don’t slip through the net and are able to live a life of dignity. It’s a political choice.”

That is the crux of the matter. Beginning or ending austerity is a choice. An ideological choice by government. At the ballot box voters should base their decisions not on a party’s promise to be fiscally accountable but whether it has a clear agenda to act in the best interests of citizens for their economic and social well-being. That it will make its spending decisions based on the best use of resources it has available to deliver public, social and economic purpose.

An understanding of monetary reality is essential in challenging the idea that fiscal prudence, taken out of its wider context, is a stand-alone marker of good government.

https://www.theguardian.com/business/2018/nov/12/a-political-choice-un-envoy-finds-uks-poorest-feel-badly-let-down-in-jaywi

Restoring public service to its rightful place as a public good.

So said the Chancellor Philip Hammond in the Autumn Budget, conveniently sidestepping the increasing public concerns about public private partnerships which over the last year have been in the news again and again.

After the collapse of Carillion last year, the on-going fiasco over the part privatisation of the public probation service and now fears over the financial health of Interserve one of the British government’s biggest contractors alarm bells are ringing very loudly.

Adam Leaver, professor of accounting at Sheffield University claims that this ‘failure’ is due to ‘there [being] something structurally wrong with the outsourcing model”.

Over decades the rationale presented by politicians for private involvement in the delivery of public services is that it can deliver more efficient services at lower cost thus creating less of a burden for taxpayers. But at the root of free market ideology is a belief that when the state interferes in service provision it is distorting the market in such a way that it can’t find its natural ‘equilibrium’. The solution, therefore, must be for government to try harder to ‘liberate’ the market from the constraints of state interference by stepping aside and only providing the services that the market can’t or won’t provide because they are not profitable i.e. services for the poor.

In the meantime the so-called failure of Private Public Partnerships can be remedied, the government claims, not by a change of policy to bring services back into the public sector but by better negotiated contracts to deliver better value to the taxpayer. This is not just a fantasy but is also confirmation to corporations that it’s business as usual.

The nation is paying the price for the government’s obsession with balanced budgets. While the lie continues to be perpetuated that there is a finite amount of public money determined by taxation and the confidence of markets to lend it or that public debt not private debt is the real problem, the government will be able to continue its ideological assault. The damaging economic cost of the government narrative about creating value for the taxpayer will increasingly put more strain and pressure on the lives of citizens and the social and public infrastructure which will ultimately lead to further economic decline and unnecessary suffering.

If Philip Hammond was serious about restoring public service to being understood as a public good then he could start with the recognition that public service adds real value to society and its well-being. It provides the infrastructure upon which everything else depends including corporations, from the NHS and social care, to education, bin collection and street cleaning. Given their strategic importance to the health and well-being of the nation and the economy such services would be best delivered by the public sector not profit hungry corporations who derive profit through cutting costs. Secondly, recognising the value of public service must be accompanied by a better public understanding of how money works and the powers of a sovereign currency issuer so that we can challenge once and for all the narrative which has served market driven ideology so well that the government has no money but taxpayers’ money.

https://www.independent.co.uk/voices/budget-2018-latest-philip-hammond-axe-pfi-private-finance-initiative-treasury-public-debt-a8608611.html

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Put the Planet and the People First and the Fiscal Deficit Will Look After Itself

Published by Anonymous (not verified) on Sat, 03/11/2018 - 4:50am in

Gold coins with £ sign on each oneImage: © Chrisharvey – Dreamstime

The Chancellor of the Exchequer, Philip Hammond, delivered his Autumn Budget on Monday. Hammond took an upbeat tone, congratulating the public for its hard work and sacrifice which were now paying off, he said, allowing the economy to recover. Reassuring the House that austerity had always been about necessity and never ideology, ‘Spreadsheet Phil’ indulged himself at length in his introductory words in the classic but false framing of household budget economics focusing on tax windfalls, borrowing, deficit and debt narratives.

It was a budget that had no connection with the real world. Conveniently, the targets to eliminate the deficit (which have faded repeatedly into the distance and national debt has ballooned) were set aside. After eight years of punishing cuts and service closures which has caused economic and social distress to so many, the narrative is stuck in the myth where money for investment in the common wealth of the nation is still limited. It must be cautiously doled out, as gifts or rewards for good behaviour, not as the necessary spending of a government taking proper responsibility for the nation’s security and wellbeing.

Austerity is not over by any means.

Tax and Pay

Wealthy earners have benefited disproportionately from the income tax threshold increase. Hidden in the small print and left unmentioned in the Chancellor’s speech was an increase in National Insurance which diminished the income tax gains. Nonetheless, The Resolution Foundation has calculated that 84% of the gains related to the income tax cut will still flow to the top half of the income distribution and 37% to the top 10%.
There is substantial evidence that inequalities in income distribution have a direct relationship with inequalities to access essential services. There is a wealth of evidence that Universal Credit is having a seriously damaging impact on people’s lives and that people with disabilities are suffering disproportionately in cuts to their income and from cuts in services.
This budget does nothing at a time when wealth disparities are at their highest and people with low incomes and employment insecurity are already struggling to make ends meet. It would make far better economic and business sense to improve living standards of the lowest income section of society as they are the people who spend their additional income, unlike the richer sections of society who have a greater tendency to save.

Universal Credit and Social Security

The Conservative flagship policy Universal Credit has been coming under increasing pressure over recent months because of the suffering and hardship that has been caused. In 2017 The Resolution Foundation called the current design of Universal Credit ‘not fit for purpose’ in 21st century Britain. The UN rapporteur on extreme poverty and human rights is due to come to Britain in November to examine the impact of austerity, including Universal Credit.
The Chancellor has responded by allocating an additional £1bn to ‘smooth’ its roll out. He has made it clear, however, that Universal Credit won’t be slowed or stopped, and the cash injection will do little to deal with the inherent structural problems causing suffering and hardship often rendering people homeless and hungry.
The Treasury purse may have opened a crack but it will do nothing to make up or restore the losses of the last eight years of austerity. This is window dressing of the worst kind.

Environment

Three weeks on from the publication of the IPPC report the Chancellor did not mention climate change once in the budget. Caroline Lucas has challenged this inadequacy pointing out that it is in complete denial of the reality facing the country in our immediate future. Compare this to the Spanish Government’s recent announcement that they are closing coal mines and retraining the miners to develop sustainable energy.
Philip Hammond, by contrast, tinkered around the edges announcing a new tax on the manufacture of plastic packaging. For the ninth year running there is no increase in fuel duty but an allocation of £30bn for roads. This demonstrates a preference for cars over a strategic plan for developing an ecologically sound public transport system. Fossil fuel subsidies will continue. The Chancellor has allocated £60bn for tree planting, but environmentalists have questioned the value of this in the face of government support for environmentally damaging fracking over renewable energy.

Health

The NHS continues to suffer as it not only faces the continued real squeeze on its finances but also on-going privatisation. The Chancellor’s award of extra money for mental health services by 2023-24 is not extra funding and will come from the £20.5bn announced by the government in June this year. This is too little and too late. The crisis in mental health is happening now.
Furthermore, funding for public health services, training doctors and nurses, buying equipment and building new infrastructure will be cut by £1bn next year. The NHS is under increasing pressure in real terms as it tries to cope with picking up the slack after eight years of cuts to social care. The £650m increase to the budget for social care is only a sticking plaster.
There is an extraordinary piece of double-speak in the budget as the Chancellor announced he would abolish the Private Finance Initiative. However, he pledged that existing PFI contracts would continue to be honoured thus locking the hospitals into repaying their substantial debts until 2050. The future direction of who runs public services is also sealed as he indicated that he was firmly ‘committed to the [continued] use of public-private partnership.’ PFI is dead, long live PFI.

Conclusion

The Institute for Fiscal Studies has warned that as a result of the Budget the public finances could deteriorate and that an increase in spending could push the national debt higher.
The current reality in the UK is that we have both unmet need in terms of provision of services and unused resources in the number of people who are currently in low paid work which does not sustain them, or have given up looking in despair. A respectable and responsible budget should address those needs first and foremost if we are to have a successful economy.
This budget continues to frame government debt as a burden which must be dealt with. What is more it makes it the overriding concern well ahead of any real life public purpose such as addressing human suffering or the urgent need to combat the effects of climate breakdown.
A political illusion has been created that government has to finance its spending through borrowing or that it needs tax before it can spend. On the contrary it is the government’s duty as an elected body to assess the real resources that it requires to deliver its public and social purpose policy.
The Chancellor prefers to couch his budget in the narrative of fiscal discipline because it enables him to present spending as a kindly act and careful budgeting as a prudent one. This enables the continued dismantling of the NHS and the welfare state. Indeed, it reframes spending as an act of Victorian philanthropy rather than as the creation of common wealth for the benefit of people and a sustainable planet.

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The post Put the Planet and the People First and the Fiscal Deficit Will Look After Itself appeared first on The Gower Initiative for Modern Money Studies.

Budget Day 2018: The Gower Initiative Rules for a Successful Public Purpose Budget

Published by Anonymous (not verified) on Mon, 29/10/2018 - 6:00pm in

Scales balancing inflation on one side and unemployment on the otherSeen through the MMT lens, the success of the Chancellor’s Budget would be measured against a set of criteria agreed through the democratic process in the interests of the nation’s economic and social well-being. 2018’s Budget should address ecological concerns, inequality and access to essential services first and foremost. This means addressing which resources are available, not whether the use of those resources will ‘cost too much’ or upset the balance-sheet.

Philip Hammond has announced that this budget will increase spending in some areas. But in the event of a no-deal break with the EU, he said he would be forced to tear up his plans and institute an emergency budget, while setting the economy on a “new direction”. We think a new direction is needed right now to tackle all the major problems that we are facing from climate change to the devastation wrought by austerity. The government’s combination of penny-pinching and ideological objection to using the state’s machinery to deliver good public services will have an impact that will last for generations. It’s time for a change of direction. Brexit or no Brexit, the state of the nation depends first and foremost on the government’s actions.

Will the Budget fulfil all or any of the following criteria?

• Facilitate the best use of real and available resources either goods or services both in the private and public sector to meet the government’s public purpose objectives. Has the government got the balance right between the two?

• Meet the goals set for reductions in poverty, homelessness, improving nutrition and reducing infant and maternal mortality? And if not, what real resources might have to be freed up by government through taxation to achieve them?

• Meet the needs of citizens for well-paid employment either in the private or public sector, or when necessary through a government funded, locally delivered, Job Guarantee scheme? Does that employment give them the wherewithal to live a decent life and spare income to save?

• Enable the construction of sufficient numbers of good quality and truly affordable homes to meet the housing needs of all citizens?

• Enable the development of a strategic plan to develop a top-quality education service with adequate infrastructure including schools, teachers, support staff, equipment and school canteens to provide an engaging, happy and healthy environment for children to learn?

• Ensure that our universities and colleges are fostering the skills essential to deliver public purpose – research, engineering, education and health?

• Guarantee the health of the nation from cradle to grave through a well-funded, publicly managed and delivered health and social care service?

• Provide sufficient investment in the provision of a low-cost and efficient public transport network and ensure that the road network is kept in good repair to facilitate both the needs of the public and business?

• Provide for the restoration of strategic industries to remain in the control of government?

• Ensure that the nation meets its climate targets through reducing its carbon footprint using new technologies and investing in renewable energy?

• Support agriculture by developing a plan for national food security and encourage local food production to serve the needs of all income groups?

• Deliver sufficient deficit spending in the economy to meet the government’s economic and employment targets through a Job Guarantee as well as a Basic Income (for those unable to work due to illness or disability) to meet the needs of citizens to lead a comfortable and decent life and support a healthy economy?

• Is the banking system adequately regulated to avoid a repeat of the Global Financial Crash in 2008, are levels of private debt within serviceable limits and do businesses have access to sufficient bank credit to support their investment plans?

• Deliver the tax policies needed to ensure a balanced economy that matches the productive capacity of the nation without inflation, that wealth is redistributed fairly through progressive taxation and express the government’s social and environmental goals?

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The post Budget Day 2018: The Gower Initiative Rules for a Successful Public Purpose Budget appeared first on The Gower Initiative for Modern Money Studies.

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