The New Statesman endorses the Alternative Vote

Why you should vote Yes to AV on 5 May.

In this week's Easter double issue (out today in London and the rest of the country tomorrow), the New Statesman endorses the Alternative Vote (AV). We argue that AV, though not a proportional system, would represent a significant improvement on first-past-the-post. Here, for Staggers readers, is this week's leading article in full.

Were one founding a new democracy, it is unthinkable that first-past-the-post (FPTP) would be adopted as the electoral system. It penalises small parties, wastes votes and encourages politicians to concentrate their policies on swing voters in marginal seats. FPTP might have been tolerable in 1955, when Labour and the Conservatives won 96 per cent of the vote and 99 per cent of the seats. But it is unfit for a three-party era in which political loyalties are more fluid. In the last election, Labour and the Tories won just 65 per cent of the vote but ended up with 87 per cent of the MPs. It was with good reason that post-apartheid South Africa, the former eastern bloc countries and the young democracies of Latin America all chose to adopt proportional models of voting, rather than FPTP.

On 5 May, for the first time ever, the British people will have a chance to reject FPTP and replace it with the Alternative Vote (AV). AV is not the system that we would have chosen. In some circumstances, it can lead to even more disproportional outcomes than FPTP. As the Jenkins commission on electoral reform noted, had the 1997 election been held under AV, Labour's majority would have swelled from 179 to 245. A genuinely proportional system, of the kind we support, remains the more desirable option.

But AV would represent a significant improvement on FPTP. It would lead to fewer wasted votes, greatly reduce the need for tactical voting and ensure that most MPs are elected with at least 50 per cent of the vote in their constituency. By requiring candidates to win second-preference votes, it would also encourage the parties to engage with all voters. The adoption of AV would enable the creation of a more pluralistic political culture, in which parties emphasise their similarities, rather than merely their differences.

The relentlessly negative approach of the No to AV campaign has only highlighted the paucity of the arguments for FPTP. In their desperation to preserve the status quo, the opponents of reform have claimed that AV would benefit the British National Party, that it would be "too expensive" and that it would prove to be too "confusing" for the electorate. In reality, no system is better at keeping extremists out; AV would not require expensive voting machines; and a system that is already widely used by businesses, charities and trade unions would not prove too complex for the electorate.

AV is not a panacea and, taken alone, it will not repair Britain's broken democracy. Reform of the voting system must be combined with the creation of a fully elected second chamber and the introduction of a written constitution. An increase in the number of directly elected mayors, as Andrew Adonis writes on page 74, is another measure that could address the democratic deficit. But it would be careless to miss an opportunity to reject the voting system that has done so much to discredit the UK's political system.

Those such as the former Social Democratic Party leader David Owen who have argued for a No vote in the hope of securing a more proportional system in the future are playing a dangerous game. As the Chancellor, George Osborne, has said, a No vote on 5 May would close the question of electoral reform "for the foreseeable future".

Not only would FPTP be preserved but it would be strengthened by a victory for the No campaign. A Yes vote, by contrast, would increase the possibility of a subsequent transition to proportional representation (PR). The claim that there is no appetite among the public for reform will have been exposed as a myth.

If the next election results in a hung parliament, the Liberal Democrats will no doubt demand a referendum on PR as the condition of any coalition. But that is a battle for another day. For now, the priority is to deliver a death blow to the unfair, undemocratic and unrepresentative FPTP system. It is for this reason that we encourage progressives of all parties to vote Yes to AV on 5 May.

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A swimming pool and a bleeding toe put my medical competency in doubt

Doctors are used to contending with Google. Sometimes the search engine wins. 

The brutal heatwave affecting southern Europe this summer has become known among locals as “Lucifer”. Having just returned from Italy, I fully understand the nickname. An early excursion caused the beginnings of sunstroke, so we abandoned plans to explore the cultural heritage of the Amalfi region and strayed no further than five metres from the hotel pool for the rest of the week.

The children were delighted, particularly my 12-year-old stepdaughter, Gracie, who proceeded to spend hours at a time playing in the water. Towelling herself after one long session, she noticed something odd.

“What’s happened there?” she asked, holding her foot aloft in front of my face.

I inspected the proffered appendage: on the underside of her big toe was an oblong area of glistening red flesh that looked like a chunk of raw steak.

“Did you injure it?”

She shook her head. “It doesn’t hurt at all.”

I shrugged and said she must have grazed it. She wasn’t convinced, pointing out that she would remember if she had done that. She has great faith in plasters, though, and once it was dressed she forgot all about it. I dismissed it, too, assuming it was one of those things.

By the end of the next day, the pulp on the underside of all of her toes looked the same. As the doctor in the family, I felt under some pressure to come up with an explanation. I made up something about burns from the hot paving slabs around the pool. Gracie didn’t say as much, but her look suggested a dawning scepticism over my claims to hold a medical degree.

The next day, Gracie and her new-found holiday playmate, Eve, abruptly terminated a marathon piggy-in-the-middle session in the pool with Eve’s dad. “Our feet are bleeding,” they announced, somewhat incredulously. Sure enough, bright-red blood was flowing, apparently painlessly, from the bottoms of their big toes.

Doctors are used to contending with Google. Often, what patients discover on the internet causes them undue alarm, and our role is to provide context and reassurance. But not infrequently, people come across information that outstrips our knowledge. On my return from our room with fresh supplies of plasters, my wife looked up from her sun lounger with an air of quiet amusement.

“It’s called ‘pool toe’,” she said, handing me her iPhone. The page she had tracked down described the girls’ situation exactly: friction burns, most commonly seen in children, caused by repetitive hopping about on the abrasive floors of swimming pools. Doctors practising in hot countries must see it all the time. I doubt it presents often to British GPs.

I remained puzzled about the lack of pain. The injuries looked bad, but neither Gracie nor Eve was particularly bothered. Here the internet drew a blank, but I suspect it has to do with the “pruning” of our skin that we’re all familiar with after a soak in the bath. This only occurs over the pulps of our fingers and toes. It was once thought to be caused by water diffusing into skin cells, making them swell, but the truth is far more fascinating.

The wrinkling is an active process, triggered by immersion, in which the blood supply to the pulp regions is switched off, causing the skin there to shrink and pucker. This creates the biological equivalent of tyre treads on our fingers and toes and markedly improves our grip – of great evolutionary advantage when grasping slippery fish in a river, or if trying to maintain balance on slick wet rocks.

The flip side of this is much greater friction, leading to abrasion of the skin through repeated micro-trauma. And the lack of blood flow causes nerves to shut down, depriving us of the pain that would otherwise alert us to the ongoing tissue damage. An adaptation that helped our ancestors hunt in rivers proves considerably less use on a modern summer holiday.

I may not have seen much of the local heritage, but the trip to Italy taught me something new all the same. 

This article first appeared in the 17 August 2017 issue of the New Statesman, Trump goes nuclear