CommentPlus: pick of the papers

The ten must-read pieces from this morning’s papers.

1. What we'll lose if we reject Labour (Independent)

Johann Hari says that a vote against Labour would be a betrayal of the party that gave us higher public spending, the minimum wage, tax credits and civil partnerships. Tactical voting by the anti-Tory majority could deny David Cameron outright victory and pave the way for electoral reform.

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2. The last Brown and Cameron battle could be yet to come (Guardian)

If Labour comes a decent second in the popular vote and even wins the largest number of seats, Gordon Brown will stay put in Downing Street and call the Lib Dems' bluff, says Seumas Milne. The Prime Minister is even expected to offer a referendum on full proportional representation.

3. Unsure how to vote? My contortions may help (Times)

David Aaronovitch argues that while Britain needs a new prime minister, the country also needs a Labour Party that can still be the best hope for social justice at home and progress abroad. Voters should choose Labour over the opportunistic and self-interested Liberal Democrats.

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4. Reform the euro or bin it (Guardian)

The Greek financial crisis has put the very survival of the euro at risk, says Joseph Stiglitz. Europe must implement the institutional reforms that should have been made when the currency was launched.

5. BP is drilling itself into deep water (Financial Times)

The BP Gulf of Mexico disaster is an example of the safety and environmental dangers that it and other oil companies face by drilling in such difficult spots, writes John Gapper.

6. Back the person, not the party (Independent)

Voters should support the candidate most likely to raise the quality of the House of Commons, says Andreas Whittam Smith. That means ruling out expenses cheats as well as timeservers.

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7. Call in the IMF to tell us how bad it really is (Times)

If the Conservatives win tomorrow, they should turn to the IMF to lay out a plan that the government can present as the Authorised Version, writes Camilla Cavendish.

8. The fantastical dream of a united Korea (Financial Times)

Polls may suggest that half of all South Koreans wish for national reunification, but North Koreans rarely receive a warm welcome when they enter the country, says David Pilling.

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9. My moment is yours, Balls (Guardian)

Ed Balls should not despair if he loses his seat tonight, says Michael Portillo. Life is better outside Westminster.

10. A bracing reminder of the price we pay for political freedom (Daily Telegraph)

Benedict Brogan reflects on a visit to the National Memorial Arboretum in Staffordshire and recalls that the greatest duty of the nation and its politicians is to remember the cost of freedom.

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The big problem for the NHS? Local government cuts

Even a U-Turn on planned cuts to the service itself will still leave the NHS under heavy pressure. 

38Degrees has uncovered a series of grisly plans for the NHS over the coming years. Among the highlights: severe cuts to frontline services at the Midland Metropolitan Hospital, including but limited to the closure of its Accident and Emergency department. Elsewhere, one of three hospitals in Leicester, Leicestershire and Rutland are to be shuttered, while there will be cuts to acute services in Suffolk and North East Essex.

These cuts come despite an additional £8bn annual cash injection into the NHS, characterised as the bare minimum needed by Simon Stevens, the head of NHS England.

The cuts are outlined in draft sustainability and transformation plans (STP) that will be approved in October before kicking off a period of wider consultation.

The problem for the NHS is twofold: although its funding remains ringfenced, healthcare inflation means that in reality, the health service requires above-inflation increases to stand still. But the second, bigger problem aren’t cuts to the NHS but to the rest of government spending, particularly local government cuts.

That has seen more pressure on hospital beds as outpatients who require further non-emergency care have nowhere to go, increasing lifestyle problems as cash-strapped councils either close or increase prices at subsidised local authority gyms, build on green space to make the best out of Britain’s booming property market, and cut other corners to manage the growing backlog of devolved cuts.

All of which means even a bigger supply of cash for the NHS than the £8bn promised at the last election – even the bonanza pledged by Vote Leave in the referendum, in fact – will still find itself disappearing down the cracks left by cuts elsewhere. 

Stephen Bush is special correspondent at the New Statesman. He usually writes about politics.