The real reason Clegg saved the NHS bill

If the junior coalition party had killed the bill, Cameron would have appointed a Lib Dem health sec

The Budget has blown most other political news off the agenda, so it is worth recalling that earlier in the week the cabinet was celebrating what it thought was the passing of a different headache: Andrew Lansley's NHS reforms. There was apparently a hearty banging of the cabinet table on Tuesday in celebration of the Health and Social Care Bill's gruesome completion of its parliamentary odyssey. I suspect that jubilation expressed relief rather than pleasure.

Either way, it was premature. Downing Street is hoping that the noisy fury around the NHS reforms will die down now that they aren't the subject of legislative trench warfare, but no-one is so naive as to think the issue will go away. Every increase in waiting times, every closed ward, every bungled operation will now be firmly blamed (fairly or not) on the choices made by the coalition. This is one area where "clearing up Labour's mess" really doesn't apply as a defence.

It has been something of a mystery to me as to why the Lib Dems - who have been well aware of the political toxicity of the health reforms for over a year - didn't demand that they be dropped. I know that there was some regret in Nick Clegg's team that the "pause" declared in the passage of the bill was not turned into a full stop last year. I also know that quite a few senior Tories and Downing Street aides came to the same view and rather wished the Lib Dems had killed the monster when they had the chance.

But at that time, Clegg was still very much concerned about coalition being seen to work as a form of government and was wary of obstructing such a big public sector reform. The Tories would have milked the episode for plenty of concessions of their own. Eventually, the Prime Minister decided that it was better to take the pain of trying to implement the reforms than absorb the humiliation of a gigantic u-turn (especially since an irreversible budget squeeze ensured a dose of NHS pain either way). Once Cameron had made that call, the Lib Dems fell into line.

But if they had really wanted to stop the thing, they still could have insisted. And the threat of being contaminated with Tory toxicity on the health service was substantial. So why did Clegg still press ahead? One explanation given to me recently is highly revealing about the way coalition works. There were, I am told, senior Lib Dem discussions until very late in the day about whether or not to kill the NHS bill. The key problem, it was decided - no doubt with the help of dark warnings from the prime minister - was that the quid pro quo for blocking Tory reform of the health service would be total Lib Dem ownership of the issue in the future. In other words, if Clegg wanted to block Lansley, he would have to accept having a Lib Dem secretary of state replace him in the next reshuffle and take responsibility for whatever happened next.

The message from Cameron was: you break it, you fix it. Wisely, Clegg decided that was not an opportunity he felt like taking. That explains also why there has been chatter about a Lib Dem taking the health portfolio in the near future. They weren't rumours, they were threats. I'm now fairly sure it won't happen. That doesn't mean Lansley won't be shuffled out - but he'll have to be replaced by another Tory.

Rafael Behr is political columnist at the Guardian and former political editor of the New Statesman

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“Trembling, shaking / Oh, my heart is aching”: the EU out campaign song will give you chills

But not in a good way.

You know the story. Some old guys with vague dreams of empire want Britain to leave the European Union. They’ve been kicking up such a big fuss over the past few years that the government is letting the public decide.

And what is it that sways a largely politically indifferent electorate? Strikes hope in their hearts for a mildly less bureaucratic yet dangerously human rights-free future? An anthem, of course!

Originally by Carly You’re so Vain Simon, this is the song the Leave.EU campaign (Nigel Farage’s chosen group) has chosen. It is performed by the singer Antonia Suñer, for whom freedom from the technofederalists couldn’t come any suñer.

Here are the lyrics, of which your mole has done a close reading. But essentially it’s just nature imagery with fascist undertones and some heartburn.

"Let the river run

"Let all the dreamers

"Wake the nation.

"Come, the new Jerusalem."

Don’t use a river metaphor in anything political, unless you actively want to evoke Enoch Powell. Also, Jerusalem? That’s a bit... strong, isn’t it? Heavy connotations of being a little bit too Englandy.

"Silver cities rise,

"The morning lights,

"The streets that meet them,

"And sirens call them on

"With a song."

Sirens and streets. Doesn’t sound like a wholly un-authoritarian view of the UK’s EU-free future to me.

"It’s asking for the taking,

"Trembling, shaking,

"Oh, my heart is aching."

A reference to the elderly nature of many of the UK’s eurosceptics, perhaps?

"We’re coming to the edge,

"Running on the water,

"Coming through the fog,

"Your sons and daughters."

I feel like this is something to do with the hosepipe ban.

"We the great and small,

"Stand on a star,

"And blaze a trail of desire,

"Through the dark’ning dawn."

Everyone will have to speak this kind of English in the new Jerusalem, m'lady, oft with shorten’d words which will leave you feeling cringéd.

"It’s asking for the taking.

"Come run with me now,

"The sky is the colour of blue,

"You’ve never even seen,

"In the eyes of your lover."

I think this means: no one has ever loved anyone with the same colour eyes as the EU flag.

I'm a mole, innit.