Many British conservatives look at America’s Republican Party with envy. They have a slate of talented potential candidates for the 2024 US general election, and what with increasing numbers of Hispanics and black Americans voting for the GOP, they are likely to triumph in this year’s midterm elections in the face of a crumbling Biden administration that has pandered to the left over trans and cultural issues. They are also confronting many other problems that have started to destroy America’s self-confidence such as critical race theory and Black Lives Matter. It is a good time to be an American conservative right now.
Compared to the Republicans, the British Conservative Party is like the black sheep of the Western conservative family. Anyone who did their research on Boris Johnson before he gained the highest office in the land, such as me, knew his time as prime minister would be short and full of scandal. Those who knew this Conservative leadership race was inevitable suspected that the selection of candidates to replace Boris would be underwhelming. But there was one person who changed this year’s Tory leadership election: Kemi Badenoch.
It was always unlikely that she was going to win. Kemi was an equalities minister, an unknown government position. Her profile was quite low before she entered the race. I have no doubt that she wanted to win the Tory leadership contest and implement the changes she talked about. However, arrogant Tory MPs thought they knew best and eliminated her. The truth is that she was too radical for them. Regardless, she has transformed Conservative leadership races forever.
The reason why I made a reference to the culture wars the Republicans are fighting in the US above is because the UK is facing the same issue, and whilst Liz Truss and Rishi Sunak were clashing over the best way to generate growth, Kemi was the only candidate to discuss the impact of political correctness on Britain. As Louise Perry wrote for The New Statesman, she is a black woman from Nigeria who is resistant to groupthink.
Perry further explains that it wasn’t the fact that Badenoch is a black conservative that distinguished her from her talentless rivals; it was because she demonstrated how wrong her critics are about the assumptions often made about ethnic minority individuals in politics. She does not succumb to groupthink on Black Lives Matter in Britain, which would have made her the perfect person to take on that group’s victimhood mentality. They believe black people are victims of institutional racism. Their influence over British politics has increased since the death of George Floyd, and whilst the gutless Keir Starmer bent the knee for Black Lives Matter, Badenoch never did. If she became leader of the Conservative Party and prime minister, she would have proved the UK does not have a problem when it comes to institutional racism.
Furthermore, Badenoch had a plan to deal with political correctness. She is against gender-neutral toilets and she is opposed to throwing money at staff wellbeing coordinators (whatever they are). Despite being an immigrant herself, she also pledged to end the illegal Channel crossings that Boris has failed to deal with. Badenoch said she would do ‘whatever it takes’ to tackle illegal immigration, and in my opinion, that is a huge hint that she would have eventually pulled the UK out of the European Convention of Human Rights that thwarted the recent Rwanda flights. She stood out as a woman of principle, unlike Penny Mordaunt who proved to be nothing more than a fraud by reversing her previous pro-trans positions.
As a result of her anti-PC stance, Badenoch enthused the Tory membership base. There were numerous ‘Back Badenoch’ hashtags on Conservative Party members’ Twitter profiles, which further disproves Black Lives Matter’s theory on institutional racism because a mostly white, middle-aged party was so excited about the prospect of a Nigerian black lady becoming Tory leader. Her ideas were music to their ears.
And it is no wonder they were so enthused by Badenoch’s ideas. As Frank Feudi wrote for Sp!ked, Boris’s record on tackling political correctness is dreadful. Whilst he remained opposed to trans ideology in principle, last October him and his wife Carrie attended a Stonewall event at Conservative Party Conference, an organisation that has done more than any other to impose trans ideas upon society. Tucker Carlson also claimed Boris’s failure was that he did not govern like Trump, who took a tough stance towards the culture wars throughout his presidency. Boris even said himself he did not want to engage in a culture war. It is no wonder his cowardice paved the way for excitement about Badenoch amongst Conservative activists.
The Conservative Party is heading for defeat in 2024. Though Labour might not win a majority, I cannot see either Truss or Sunak being able to reverse the damage Boris has inflicted upon the political system and this country. They have been in power for too long and the lack of originality from the two remaining leadership candidates shows they are out of ideas. Their best outcome before 2024 would be to lose to a Labour-led government, retain a reasonable number of seats so that they can win again in 2028 or 2029, and elect Badenoch to provide the Tories with some fresh thinking and new policy positions.
It is a relief to say that the Conservatives have finally found a refreshing new candidate with bold ideas. Nonetheless, it is a pity that out-of-touch Tory MPs felt that she was not leadership material this year, and that they knew better than their members who help them get elected. The Conservatives would be wise to at least provide Badenoch with a cabinet position. But for now, they have made a dreadful mistake and they deserve to lose in 2024. The Tories can only redeem themselves by electing Badenoch as leader in the aftermath of an embarrassing electoral defeat.
-
The Death of the Young Conservative Dream
All my life I have had a certain idea of Britain. A sense of patriotism that is derived from the instinct to defend and preserve one’s own home. But what happens if the prospect of owning your own home is merely a dream of generations gone by?
Last week I attended my third Conservative Party conference: I encountered many energetic and optimistic Young Conservatives (YCs) who shared my once glowing optimism. I also encountered many older, veteran Tory members who didn’t share that level of enthusiasm but rather stubbornness to defend the tired, mediocre and boring status-quo of conservatism. Dislike some aspects of Tory policy? Lib Dem Labour leftwaffe loony. Want more houses built? Not in my borough you’re not. Want a better Britain? Woke. This is not an environment in which young conservatives’ interests are welcomed.
The biggest barrier to any centre-right young person voting Tory is the lack of commitment to homeownership by the government and by local associations. This can be divided by examining the demand side and supply side aspects of this issue. On the demand side, the government has failed to lower net immigration to the ‘tens of thousands’ since 2017, inevitably resulting in more homes being occupied and thus shooting up house prices. On the supply side, the government consistently promises a bold target of housing that mysteriously fails to come to fruition. Why? Partially the threat of Lib Dems sucking up the core Tory vote of older, relatively wealthy voters on the local council level that run on the platform of NIMBYism. Also, however, a shared generational trait of stubbornness and disdain for the future generation, that cannot be denied. Some may be aware of a certain Vox Pop of a Somerset Conservative councillor by Times Radio urging young people to be ‘more realistic’ on homeownership. Help-to-Buy is not good enough: if the government is failing to meet housing targets, betraying their promise to cut immigration and local councillors/backbench MPs actively opposing housing development then what is there for the next generation to achieve in society and thus conserve?
On this theme of holding a stake in society, young people want to see a vision resulting in them reaching personal milestones along the same trajectory as their parents. They want to choose life. They want to choose a career, choose a family, choose a starter home. These facets are the fundamentals to sustaining conservatism and thus the Conservative vote for generations to come.
To quote Australian Prime Minister Robert Menzies’ Forgotten People speech ‘Now, what is the value of this middle class, so defined and described? First, it has a “stake in the country”. It has responsibility for homes – homes material, homes human, and homes spiritual.’ Look to those nostalgic Conservative election posters championing ‘New homes for a million folk last year’ from decades gone by. The solution is there: Homes for Britons and Make Every Briton a King. Combine populist messaging to deliver basic conservative policies and the Zoomer vote can be tapped into and thus sustain the long-held notion that people gradually become more conservative as they get older.
What is to be Done?
To view the Corbynite Momentum movement, despite however left-wing this organisation is, serves as a good example of how the youth can be energised and organised. Momentum serves as a hub for welcoming radical policy proposals that can be relatively easily pitched to MPs and thus become party policy. Let us not forget that the Monday Club essentially was a right-wing Momentum in the 1980s advocating for ‘radical’ policies such as curbing immigration, ‘cancelling’ left wing agitators such as Ken Livingstone and Gerry Adams, and condemning the European Economic Community. God forbid those things ever happened today.
The Conservatives have become too scared of radicalism in the present day. The conference agenda is tightly controlled and so is the Conservative Policy Forum and, too, the Young Conservatives organisation. Margaret Thatcher is consistently idolised at conference yet in a caricature manner, rather than understanding that it was her radicalism and commitment to the strong state and free economy that energised a generation of conservatives. Sadly, the Labour Party is much better at listening to its youth grassroots. Young Labour members feel more welcome, their ideas are welcomed by the party leadership, and they are energised. The CCHQ led organisation of the Young Conservatives’ only function in the present day is to connect YCs to campaigning opportunities and little beyond that. Treating YCs merely as free labour to campaign for policies which do not directly benefit them is not a sustainable strategy for future elections.
What is the alternative? Ignore the next generation of conservatives and the Tory Party will find its vote share steadily declining as years go on. Real wages have stagnated since the 2008 Financial Crisis and today’s average house prices are between 12 and 24 times the average workplace-based earnings in 23% of local authority areas. This gives today’s youth no reason to vote Conservative but rather to destroy the system (the free market) which has failed them. Recall that 42% of 18–24-year-olds voted Tory in 1979 and 1983. Today that number is less than 10%. My generation are not ‘woke’ en masse, my generation is more attracted to a bold, hopeful and alternative vision – as consistently hammered by the idolised Jeremy Corbyn. Look to Hungary and Poland, who have eliminated income tax for under 25s, and 26s in Poland respectively, and you will discover an attractive and successful environment for young conservatives to emerge from.
The conservative future is real and must be transmitted from the grassroots membership, moulded by the philosophy of conservatism itself. The Conservative Party must move beyond the repetitive ‘Same Old Labour’ attack lines and adapt by offering a principled and optimistic Conservative future if it wants to survive beyond the 2020s.
-
Against assisted dying
It is unsurprising the government is rushing through ‘assisted dying’. Having decimated what little political capital it possessed after a hollow election victory, Labour is clearly desperate to shore up as many achievements as quickly as possible; successes which can be fashioned into something resembling a coherent and tangible legacy at a later date, showing little-to-no regard for the common good.
What is surprising is how limp-wristed and tepid the opposition to this policy has been, especially from Britain’s commentariat. In no uncertain terms, the assisted dying bill is one of the most radical proposals for social liberalisation in decades, yet our opinion-having class has alarmingly little to say, at least when compared to other matters. Those eager to broadcast their intelligence on other issues – which they’re similarly unqualified to write about (that’s not a bad thing, by the way; far from it!) – are inexplicably scared to take a crack at this offputtingly complex but highly important matter which affects us all.
What little discussion has occurred in the commentariat (never mind Parliament) has revolved around the foreseeable practical issues of such a policy, typically pointing to the results of Canada’s assisted dying policy (MAID; Medical Assistance in Dying), the initial proponents of which say is being abused. As such, opponents of assisted dying in Britain essentially oppose it on the basis of negative and unintended consequences, specifically the gradual loosening of safeguards overtime, killing people who should’ve received non-lethal forms of care.
None of this is wrong per se, although it’s hard to treat this angle as anything other than unsatisfying. It does not bode well for a civilisation that its only barricade against its destruction is the ineptitude of the barbarians.
More than a total lack of faith in anything improving at all, it suggests that we are caught between our reluctance to end life yet struggle to justify such an instinct; we retain the form of a society which professes something like the sanctity of life, but lack any of the substantial belief, frightened to unlearn that which can’t so easily be relearnt once lost to history as another primitive superstition.
It’s difficult to be truly hard-line on something like assisted dying because it elicits so much sympathy. No right-minded person wants people to suffer, never mind be made to feel that they are forcing people to suffer. After all, humans are motivated by aversion to pain more than most things. However, advocates of assisted dying use this fact to strongarm more hesitant individuals into agreeing with assisted dying in principle, disagreeing solely on the technicalities of implementation.
More often than not, support for assisted dying is couched in the idea that if you’re in ‘unbearable’ pain, you might as well be given the choice to end your life, especially if you’re going to die in six months anyway. Putting aside the remarkable precision of such a prediction, it never occurs to advocates that if you’re going to die in six months anyway, you might as well tough it out, if not for the sake of yourself or your loved ones, then for the sake of ensuring that society-at-large doesn’t suffer the wrath of short-sighted policy.
Of course, this is assuming unbearable pain is the main reason for assisted dying, contrary to plenty of evidence to suggest otherwise.
According to data from places where it’s already legal, the main reasons for assisted dying are the inability to fulfil day-to-day tasks and engage in ‘meaningful activities’. Even abstract notions like autonomy and dignity are cited as more important than pain. Even fear about being a burden on one’s family is reportedly just as common.
A real shame, that’s for sure. There are few greater exertions of autonomy than refusing to die for someone else’s benefit, and there is nothing more ‘undignified’ than having so little sense of self-worth that you sacrifice yourself for others in your most intimate and personal moment. If we can’t reserve ourselves for our own death, it’s no surprise that things like sex and marriage continue to lose any sense of exclusivity.
Concepts like ‘anarcho-tyranny‘ and ‘two-tier policing’ are typically used in discussions surrounding criminal justice, but the underlying logic surely applies to a system which releases unrepentant, serially violent criminals as it provides the sick and vulnerable – many of whom needlessly swell with guilt over their condition – with the option to end their own life. This sense of guilt will only become stronger when someone in a position of medical authority – in a culture which reveres expertise, even when it fails us – tells them they can make it go away. That which is legally a ‘right to die’ will feel like the duty to die, and by extension, those expected to sign-off on the procedure will feel as though they have a duty to kill.
Far from acting as a safeguard, medical professionals will act as affirmers to something which they’ve been told is not theirs to dictate in the first place. When the option is available, like the patient, the fact something can be done will weigh down upon them, and whilst they may be motivated by a desire to alleviate or prevent suffering, those once hesitant are now incentivised to act with urgency.
Indeed, the same can be said of the patient’s family, the consultation of which is notably absent from the bill’s supposedly stringent requirements, although they’ll certainly weigh on the patient’s conscience. If patients don’t feel burdensome to their loved ones, they’ll absolutely feel burdensome to the NHS, an institution our country continues to revere with mindless zealotry.
Courtesy of the selfish (but outwardly generous) nature of our present culture, the patient’s expectation of good care risks being outweighed by the ’empathy’ we demand them to have for others in a different position. Assisted dying is not yet legal and yet many already feel (perhaps not without reason) that the elderly are spitefully overstaying their welcome on this mortal coil.
Advocates of assisted dying (similar to advocates of abortion) like to believe that leaving something up to choice absolves the decisions made of any and all comparable virtue. Far from removing an ideological imposition on society, this notion that we have no choice but to leave everything up to choice, that all options must be on the table, is one of the most duplicitous and tyrannical value systems afflicting contemporary society; so much that life itself is ceasing to be the default, becoming just another option for which one is cruelly judged behind a veil of strained, artificial tolerance.
Extending the comparison, liberalising assisted dying doesn’t just implicate those who’ll be inevitably and unjustifiably killed in the name of healthcare, it devalues death outside of the circumstances in which assisted dying would be viewed as an option. When abortionists downplay (or functionally deny) the value of the child, they’re implicating any baby which (for whatever reason) doesn’t make it. A procedure once permitted for the sake of saving the mother’s life, balanced against the life of the child, is now a simple matter of preference, exalted as a form of empowerment.
Followed to its conclusion, an involuntary miscarriage, rightfully treated as a tragic incident deserving sympathy, can only be regarded, in all sincerity, as ‘tragic’ as receiving a bad hand in a game of Blackjack. Of course, insincerity is the essence of civility, and therefore integral to any tactful interaction, but this is not the same as having a genuine moral compass. The tragedy lies in the fact we know something deeply valuable has been lost. We say “I’m sorry for your loss” not “better luck next time” for a reason. As such, unless you intend to engage in mental gymnastics to suggest “terminating” highly viable babies past the legal limit is worlds apart to killing newborns, the recent movements for decriminalisation should be concerning, even if wholly in-step with our opponents’ revealed attitude towards the unborn.
In a similar vein, if assisted dying should be liberalised to alleviate suffering on the basis that our life is ours to use as we see fit, then suicide becomes just another expression of individual choice which needs to be destigmatised. After all, why should we need to suffer? Why would such a precondition exist if life didn’t have an inherent value, and if life has an inherent value, how could we justify a policy like assisted dying in the first place? Because the suffering outweighs that inherent value? How would you know when suffering outweighs this value? After all, suffering is extremely subjective. You can make this assessment for your own quality of life, but not for another person’s. Confronted with the potential suicide of another person, there’s not a lot you could do. You needn’t assist the act or condone it, but you’d be a hypocrite for showing or feeling anything more than defeated indifference. After all, who are you to judge? Again, it’s not your life. In order to override them, you’d need to believe life has a value beyond quantification, which it certainly does.
If one’s suffering is one’s business, then it becomes one’s business to deal with it, using their preferred option of the many made available. Although plausibly convenient, it makes life less rich, for what good are the virtues of mercy, assurance, and even heroism itself? More than rendered obsolete by consent-based ethics, they are contorted into acts of undue, arbitrary interference.
Life is worth suffering, not merely because of what can be done between our birth and death but due to its facticity; it is given, not chosen. Nobody derives meaning from the things they consciously choose; at least, not for long. There will always be the sense that relying on such things feels constructed, inviting us to seek something more essential. We don’t choose our nationality, our sexuality, our name, our family, and so forth, and so the importance of these things is heightened in an era with an abundance of choice.
The present political landscape serves as testament to this fact, not solely in the form of progressive-left identity politics. Regardless of how his economic prospects ebbed and flowed, the Englishman could rely on having won the lottery of life. He was born into a community with just cause and proficient capability to take his welfare seriously, as well as provide him with a sense of rootedness in an otherwise changing world. He had a cultural heritage which suggested he was part of something greater than himself; any belief in his abilities was well-founded and any shortcoming would surely be redeemed by the successes of his kin. Confronted with large scale demographic change from immigration, he feels himself in revolt against a class which has not yet taken everything from him, but is in the process of trying to destroy his few but cherished saving graces.
Even things which aren’t pleasurable, such as personal tragedies, supply us with a greater and much needed confrontation with the involuntary nature of our existence than even the most high-brow, profound, and enriching pastimes.
It is often said that the value of life lies in its depth, not its length; in other terms, life is about having a good time, not a long time, and whilst there’s certainly truth in this idea, it detracts from the distressing fact that we have time at all; a fact we tend to avoid truly thinking about until we’re out of it. Indeed, I suspect many have thought about how they’d spend their last day on Earth before resuming their lives as if their mortality was part of the hypothetical. The fact death takes us without our prior consent frightens us; it goes against what we regard as the basis for permissibility, so we’re inclined to ignore it.
The simple fact of the matter is that assisted dying is never abused; it merely comes to better embody the spirit in which it was introduced. The process misconstrued as the ‘slippery slope’ is nothing more than a superficially innocent argument being carried to its garish but logical conclusion. The ever-ambiguous safeguards aren’t meant to shield against improper uses of the system, merely to shield against uses which haven’t achieved mainstream acceptance, and could be used as a justification to prevent (or outright reverse) its full implementation. Things called insane right-wing conspiracy theories today will be referred to as inevitable and necessary progress tomorrow.
So, let’s cut to the chase. Instead of obsessing over regulations which will be altered or subverted, let’s be very frank about our fundamental and irreconcilable differences, and eagerly embrace the intellectually demanding and morally sensitive nature of this matter.
Those in support can make their case for life’s essential hollowness, and that our time on Earth is nothing more than taking the path of least resistance to the grave, filling our time with surrogate activities until it becomes too much, at which point we hop-off the existential ride. As for those opposed, we must more staunchly make the case for death as it comes for us, as it does. Just as we can gain value from being born here rather than there, from being this rather than that, the same must be said of our death. We do not view life as an empty vacuum to be filled with things that matter. The fact we do what we do, in the knowledge that our time is finite, makes what we do meaningful. Life gives meaning to our activities, not the other way around.
The advocates of assisted dying are right about one thing. We don’t get to choose what we do with our life, but it is because of this fact that our death remains our own. Therefore, the only way to ensure our death remains truly ours, something indivisibly belonging to us as individuals, free of aggregated social pressures and bouts of false consciousness, immune to last-minute bargaining and uncontaminated by ambiguity over cause-and-effect – altogether free from the risk of coercion – is to prevent it from being turned into a choice in the first place.
-
Bring Back Food Rationing!
Having never experienced food rationing myself I cannot say what it is like, but I am assuming the experience is not as bad as images suggest. My reasoning is straightforward and can be put in the form of an argument as follows: (1) The National Health Service (NHS) is good; (2) Food is more important than health; therefore, (3) A National Food Service (NFS) would be good. Is there anything wrong with this argument?
Let’s look briefly at the truth or falsity of the premises, before elaborating. A supporter of an NFS, along with many millions of others, would affirm with confidence that the NHS is a ‘good thing’. That is, it is a desirable if not indispensable institution, at the beating heart of our national life, a support and a lifeline for all of us, relatively free at the point of use, providing the full panoply of basic medical services, from care for minor ailments to treatment for serious illnesses and conditions such as cancer, heart disease, broken limbs, disfigurement, deadly infections, and so on. Yes, it is currently in the worst shape it has been in for decades, to the point that in the current election campaign the major parties do not even pretend to mouth slogans such as ‘Twenty-for hours to save the NHS’, so far gone is the patient.
That does not mean the NHS is undesirable, though, does it? Anyway, just suppose it is a good thing for the sake of argument and let’s revisit the premise later. Premise (2) says that food is more important than health, and the truth or falsity of this depends on what we mean by ‘important’. Think of it this way. Although both food and health are quite basic human goods, there is an asymmetry. Without food – by which I mean adequate nutrition, not simply fasting for a bit or going on a diet – you are guaranteed to be unhealthy. But if you are unhealthy, it is not guaranteed you will lack adequate nutrition. Some illnesses make it hard to keep food down. Some illnesses deprive a person of their appetite. But these are exceptions. You can be seriously unhealthy, headed for the grave, and yet still not be suffering from malnutrition. If you are malnourished, however, you will be unhealthy there and then, with no further steps required, no exceptions to be made.
Ask yourself this admittedly remotely hypothetical question: faced with the choice between inadequate food and inadequate health (short of death!), which would you choose? I’d go for inadequate health, thinking that with inadequate food I’ll be unhealthy anyway, so why not just have ill health but at least plenty of food, hoping that I can maintain my strength and give myself a fighting chance against my illness? Again, as a general rule if you have zero food you are dead in a few months. You’d have to have a pretty rare condition – pancreatic cancer, say – to be dead in a few months. If you add not having water to not having food – and I do want to add that since I am classing food and water together when I hypothesise about a National Food Service – you are dead in a few days. Very few illnesses or combinations of conditions kill you in a few days – maybe bacterial meningitis or necrotizing fasciitis.
So yes, of course health is important, but food is just that bit more important. That said, by ‘important’ in premise (2) I am packing a little more into it than the asymmetry just outlined. I also mean that if there is such an asymmetry, then however society is structured so as to make health care readily available should be similar in key respects to how society should be structured so as to make food readily available. This is how the conceptual connection between ‘good’ in (1) and ‘important’ in (2) should be interpreted. (I could split the argument into sub-arguments to make this crystal clear, but it’s not necessary).
Now, does our conclusion (3) – ‘A National Food Service (NFS) would be good’ – follow from the premises? If so we have a valid argument, and if the premises are true then we have our ultimate goal, a sound argument – to lapse into philosophy-speak. Well, I’ve gestured at the truth of (1) but also said we should just assume it for the fun of the argument. A full defence of (1) would come from the endless literature doing just that – defending the goodness of the NHS. I’ve argued at greater length for the truth of (2) and its connection to (1). Suppose I’ve done the job. Then how could the conclusion not follow? It must, of logical necessity. There is no escape. We need a National Food Service.
Er, do we? The title of this article refers to ‘rationing’. Actually, food rationing is really not something you’d want to experience. Nobody in their right mind wants food rationing, except the crooks who make money off it and are not subject to the rationing themselves. I think I’d rather emigrate than have food rationing – at least as a way of life. So what I really think – and I’m sure you agree – is that food rationing is not something we’d want brought back. And so the prospect of a National Food Service should fill me – and you – with utter dread. If that is the case, then we must do what we philosophers call a modus tollens: I give you an argument pointing inexorably to a certain conclusion. But that conclusion is on its face absurd. You and I won’t accept it. So we are forced by logic to deny at least one of premises (1) and (2). Having already made a pretty good case for (2), we have to deny (1) after all, contrary to the initial ‘for the sake of argument’ assumption. The NHS is not good – not in concept any more than in current execution.
Wait a minute, you might object: I’m comparing apples and oranges. There is no rationing in the NHS! But there is, I insist. True, we don’t all walk around with health care ration books with quotas of medicines or treatments printed on each ticket. But health care is rationed nonetheless, as any fule kno. You get a precious ten minutes with your GP, then you are politely expected to leave (unless things are serious as judged by that GP alone). You cannot get any treatment you want, no matter how effective or promising; it all depends on cost and the voluminous guidance of the National Institute for Clinical Excellence (NICE). Ultimately, who gets what is for the government of the day, acting on the advice of – sorry, I can’t resist – Twenty-First Century Science.™ The details of NHS rationing are there for all to see. This leads to very bad consequences for patients in a multitude of cases, with the example of breast cancer drug Kadcyla being instructive.
A critic of my argument might insist that food and health are dissimilar in important ways that undermine premise (2), the claim that food is more important than health. Recall that my argument is not just that food is prior to health in terms of human well-being, but that because of this its allocation in whatever way society allows should be the same as the way health care is allocated in that society. All things being equal, perhaps that is true. But all things are not equal, says the critic. There is a whole side to food provision that has no health care parallel. There are restaurants, gourmet dining, eating for pleasure, eating as a cultural pastime. Whereas health care is about meeting needs, there is more to food provision than simply meeting needs.
It is not clear to me that there is a disanalogy. Health care also has its niche, exotic, cultural, aspirational side. Think of purely aesthetic surgery – nose jobs, teeth whitening, skin lightening, Botox, hair removal, hair transplants, body modification, and so on. These are all far more about satisfying desires than meeting real needs. They are generally not necessary for health. The critic retorts: ‘then they are not about health care, so why are you bringing them into the discussion?’ My reply: ‘then neither is fine dining or wine tasting part of food provision, so why are you bringing them into the discussion?’ In other words, cheek filler and fine dining stand or fall together. Either both are on the table or neither are. I think it’s more plausible to say they are both on the table as quite remote parts of health care and food provision, respectively. Now, cosmetic surgery is not routinely available on the NHS, except for mental health reasons or if the cosmetic aspect is accompanied by a real functional need (e.g. to breathe clearly). This is well and good. Similarly, in my National Food Service regime, oysters and crab-flavoured ice cream would also not routinely be available (except perhaps if they were essential to nutrition!). These would have to be purchased on the private market.
The critic might try this gambit: health care, the kind of care that doesn’t just maintain health but that keeps you alive, can be astronomically expensive. People can’t generally afford it. Adequate nutrition can be had very cheaply. So people need help from the state with the former but can pay for the latter themselves. My reply is that if this point is a good one, it only favours restricting the NHS to the really expensive treatments, not retaining the kind of all-encompassing, womb-to-tomb NHS we have now. So the critic’s point undercuts their own idea that an NFS is not desirable but the NHS is. Moreover, some staple foods, which millions require for nutrition, are particularly expensive to produce, e.g. rice; these rely heavily on government subsidies, loans, and other price support mechanisms. So why not go the whole hog with food, so to speak, and bundle it into an NFS? Anyhow, the overall cheapness of food argues in favour of an NFS because it is really, truly, hard to believe that an NFS would cost more than the NHS – which is pushing £200 billion in annual cost, that is to say, about £3000 annually for every human being in England. I am having to stretch my credulity beyond breaking point to suppose that universal food rationing would cost anywhere near that much. But I have no method of estimating it. (The last I looked, by the way, £3000 would buy every human being in England a helluvalot of health insurance. Just saying.)
OK, how about the ‘black market’ objection? This says that just as we saw a lot of illegality during wartime food rationing, we would see the same the minute an NFS came into existence. And we don’t want that. In reply, this presupposes we do not see illegality as a result of having the NHS. I’m not talking about dodgy tattoo and piercing parlours or lunchtime liposuctions. I’m referring to ‘medical tourism’, where thousands upon thousands of UK citizens go abroad for medical treatment (234,000 in 2021, with 34,000 foreigners coming to the UK for treatments, stats here; gets the noggin joggin’ doesn’t it?). That in itself is legal, of course, but it is surely the case – data are hard to come by – that at least hundreds, if not thousands, of people are injured by negligent doctors, in dodgy or uncertified clinics, or by illegal procedures abroad. I am not thinking of cosmetic surgery (which is the number one reason for medical tourism) since that is not available on the NHS anyway, but rather of things like orthopaedic surgery and dental procedures (it being notoriously hard to get on the books of an NHS dentist).
It is tough to see a significant disanalogy between health care and food provision when it comes to the idea of a nationalised service – socialism, effectively. If there is none, then either we should go with food rationing or we should dismantle and privatise the NHS. As I said, I’m not a fan of food rationing and I doubt you are. I like my private supermarkets, the abundance of choice, the full range of pricing, the efficient delivery, and the reasonably pleasant shopping experience. (Things are going downhill, to be sure; thanks a bunch, America.) But that’s only the supermarkets. I live near an award-winning cheese shop, an award-winning butcher, an overpriced organic shop, and can get pretty much any food online that I can’t find locally. All in all, I can’t complain. Do I want all this to be turned into a bunch of Stalinist showrooms with tasteful lighting illuminating a few mouldy potatoes? All right already, I’m exaggerating. But you can bet that an NFS would be a sodding awful experience without end (unlike post-World War 2 food rationing, which ended in 1954).
And a privatised health service? I admit, my own experience with the NHS has been pretty positive. Our local surgery is clean, neat and friendly, the local hospital likewise, so again I can’t complain. But that’s my area. Stories abound of shoddy service: paint peeling off the walls, DNRs on anyone over 70 (at least during COVID), old people lying on trolleys in corridors for hours and days on end, people sleeping on the floor, half a day to get seen by accident and emergency, botched maternity care, murderous nurses, sepsis here and sepsis there, often woeful food, radical discontinuity of care, hospitals rated inadequate, a culture of cover-up, bullying, endless negligence payouts, bloated bureaucrats on golden pensions, and so on and on. The word on the street these days about the NHS is not exactly positive.
There is no room to rehash the endless debate over privatised health care. That said, I am not advocating for a fully privatised system anyway. Not even our private food system is without government supplementation, for example free school meals and financial assistance to food charities, not to mention government subsidies for agriculture. In a private medical system, there would be similar government assistance, safety nets, and the like. In addition, just as private food is heavily regulated so as to reduce the risk of contamination, food poisoning, and waste, so a private medical system would also be heavily regulated to ensure basic standards from top to bottom.
The worry that is perhaps most often raised is that whereas food products are commodities and hence subject to commodity pricing, many life-saving medicines and treatments are the result of decades of high-cost research and development, require intellectual property protection, and need to have their costs recouped through high pricing. The hope that I and many others have is that as long as technology progresses, prices will trend downwards and affordability will increase. This is particularly so with the mass production of generic medicines. A hundred years ago, hardly anyone ate steak. And hardly anyone had access to antibiotics. Still, there is a long way to go in light of the Big Pharma quasi-cartel, corrupt regulators and legislators (the old ‘revolving door’), and the artificial stimulation of demand due in large part to a woeful lack of government or private interest in preventive health care – the best health care of all.
No, I don’t want to stand in a queue outside a state-run food dispensary. And I want more than ten minutes with my GP. The logic of not bothering about the latter leads to not being fussed about the former, at least if my reasoning is correct. I think we should reject rationing altogether, outside of war and national calamity. If I want a National Food Service, I’ll head over to North Korea. Thanks but no thanks; I’m off to Tesco for a sirloin.
David S. Oderberg is Professor of Philosophy at the University of Reading; d.s.oderberg@reading.ac.uk; www.davidsoderberg.co.uk; davidsoderberg.substack.com. All opinions expressed are personal and not associated in any way with my employer.
