Osborne lays the groundwork for IMF cash increase

The Chancellor has indicated that Britain could increase its IMF contribution - again. Tory Euroscep

George Osborne has said that Britain could provide more funds to the IMF if there is a "strong case" for an increase. Speaking at the World Economic Forum in Davos, the Chancellor said that he would consider increasing Britain's contributions above the £10bn extra already pledged, if there were adequate reassurances.

This is nothing new: Osborne has been laying the foundations for an increased British contribution for a while. It's vital for Britain that the IMF has enough cash to help struggling eurozone countries, because of our geographical position and trade links with Europe. But David Cameron gained some serious brownie points with his party when he opted out of further contributions to the eurozone bailout, and it will be difficult for the government to sell this as anything but propping up the eurozone by another name.

My colleague Rafael Behr recently explained why increasing IMF contributions is a political headache for Osborne:

The epicentre of instability is, of course, the eurozone, but Osborne cannot make an explicit commitment to bailout Britain's continental neighbours for fear of aggravating eurosceptic Tory backbenchers. Labour has also made it clear that it would oppose a direct transfer of UK money to a dedicated EU bailout fund - even one administered by the IMF. If enough Tories rebelled, a vote in parliament that ended up being framed in terms of whether or not good British pounds should be thrown after bad euros would be very tricky for the government. So any UK assistance to precarious eurozone economies has to be laundered through the general IMF kitty. (In practice that is hardly different from contributing to a specific euro bailout fund and eurosceptic rebels are unlikely to accept the distinction.)

Yet it looks as if it is edging closer to happening. The FT today reports that "Osborne has swept away most of the hurdles the government had erected to prevent Britain pledging billions of pounds for the International Monetary Fund", suggesting that the funds could be upped as soon as March.

Osborne will not be relishing the prospect of returning to parliament to ask for more funds -- particularly given the struggle he faced in July when the Commons voted on the last funding increase.

Sir Peter Tapsell summed up the feelings of many on the Conservative backbenches when he told David Cameron this week that "for Britain to commit still more funds to the IMF would, in effect, be providing a subsidy to Germany" because Berlin was not doing enough to support the euro.

The government is braced for a rebellion on this, but that will not mean it will not go ahead. It all comes down to Labour's position. The party sided with the sceptics in July (Ed Balls took a notably hostile position) but the Tory rebellion was not big enough to defeat the government. It's likely that there would be a higher turnout, and more strong feelings, in a repeat. The question is whether Labour decides to play the role of responsible global citizen (and some are reporting they might), or whether the chance to destabilise the coalition is too good to miss.

Samira Shackle is a freelance journalist, who tweets @samirashackle. She was formerly a staff writer for the New Statesman.

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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