The value of the NHS and the BBC is immeasurable
Attempts to denigrate these public institutions must be resisted
By George Chesterton Published 16 May 2012 10:55
It has never been easy to justify making people pay for something they don't use. That is often how disgruntled Britons now see the NHS and BBC, despite the fact that often those who complain about their high taxes or the licence fee conveniently forget their recent trip to their GP, the maternity ward or the hours they spend enjoying commercial-free TV and radio. But the greatest value of these last major publicly owned institutions is not even quantifiable and it is the consistent failure to make this most difficult of cases for the defence that leaves them so vulnerable.
There is a lot to moan about at the moment. We can gripe about crime and bad schools or the Olympics bringing London to standstill or corrupt and elitist politicians – a dog even won Britain's Got Talent. But there are still a few things that make me relatively pleased to live here. Two things, in fact. The poor raggedy old NHS and the bloated, sometimes crappy but often wonderful BBC. The reasons for lumping these two behemoths together is simple: they both contribute to something well beyond their material value and they are both under dire threat.
Sometimes it seems as if the forces of free-market conservatism are out to get the NHS and BBC precisely because their true worth cannot be expressed on a balance sheet. They are the unfinished business of Thatcherite reform. It's as if it is not just that the government wants to dismantle the NHS for the benefit of profiteering healthcare firms and the BBC for their media-mogul friends, but that it simply can't stand the idea of people contributing to a communal pot for the benefit of everyone. It must really get up the noses of Boris Johnson, who called for a Tory director general this week, and Andrew Lansley, who has fewer friends in public health than the MRSA superbug, to see people “wasting” their money on obscure radio stations and someone else's heart op.
What the NHS and BBC embody and promote is that most slippery and seemingly useless political trope - the public good. This makes it even easier for their opponents. That the mayor of London, not exactly unencumbered by friends in the media, thinks he has the right to meddle in the affairs of the BBC shows the danger it is in. That, after labelling nurses and doctors as communists, the health secretary can this week effectively accuse the Royal College of Nursing of lying over job cuts again demonstrates the way opposition to NHS privitisation is portrayed as wrong economically and ideologically. So in both cases, the fight to save the head and heart of the nation should not only employ facts and figures, but the abstract. Sharing, redistribution, pluralism, protecting the less able and serving the less resourced - these are not worthless because they cannot be rendered statistically. The issue goes far beyond ratings for Eastenders and Radio 3 or cancer recovery rates and waiting times for hip replacements.
It is logical for me to pay for a local radio station that I don't listen to because it serves a community in a way a commercial one never could - or a national network I don't like because it enriches our culture in a way a profit-seeking company would never have the freedom to. I don't need to benefit directly or even “see” the benefit in others, because I am already benefiting by living in a society where such things exist. In the health service the advantages are even more blatant. By contributing to the cost of healthcare for the poorest in society, the wealthiest are helping to reduce suffering in others and by extension for everyone. The social benefits of better universal health, more workers and less crime for example, are obvious, but an explanation involves the kind of conceptual thinking politicians do not trust themselves to present to the public.
The enormous cost of the NHS and the BBC and the way the funds are collected from the public are being used as a hammer to provoke the basest reflexes of self-interest and insularity, Preying on the short-termism and anxiety of recession, the enemies of public ownership are seeking to create an environment in which such ideals are seen as redundant and archaic. It doesn't help that the BBC is guilty of grandiloquent and budget busting projects, yet turns to cutting local and specialist radio – perhaps the greatest expression of its public service – to save money. Despite the faults and weaknesses of both institutions, the forces against them should be resisted. The NHS and BBC, flawed as they are, are not merely worth protecting, they are just about the only two things left that preserve any sense of national community and cohesion.
The mere act of public funding has value. It is not selfless charity or waste; providing our hard-earned wages for something not solely for our own good contributes to our own good because the world we live is a kinder, better, less dumb, less rapacious place for it. In other words, if you think Britain is a divided, violent, parochial and unenlightened country to live in now, without the NHS and the BBC it would be immeasurably worse. There's the rub: the NHS and the BBC make Britain a better place to live - immeasurably.
George Chesterton blogs on politics and culture for the Huffington Post UK
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4 comments
Overall, a good article making sound arguments - but the faults at the core of both institutions cannot be ignored or glossed over if they are to be effectively defended.
The NHS has a bureaucracy that gives the word 'bloated' a bad image. There are no less than 14 agencies involved in purchasing and supply - and that is just counting the 'vertical' structure, not the 'horizontal' (duplicated in different regions) ones. That structure itself requires extensive duplication at the sharp end (where its purpose - the delivery of healthcare - is carried out) to understand and work through. When I recently had a query relaed to a prescription charges exemption certificate, I was directed round no less than five agencies in my local area - none of whom wanted to take anything resembling responsibility. Funding for the NHS has more than tripled since 1997, which should, in principle, be welcomed. But where has it gone? Is health provision three times as good as it was 15 years ago? Have hospitals been re-equipped with modern technology, such a up-to-date MRI scanners? Has computerisation of patients records - which has been achieved effectively in American healthcare organisations quite cheaply - even managed to deliver a single system, accessible by GPs, clinics and hospitals? I am advised by my GP that his surgery has at least two, incompatible, systems - you have to log out of one before going into the other.
The BBC's bureaucracy looks to be along similar lines. Both organisations respond to squeezes in funding by cutting the services they are supposed to be providing, rather than making the operation more efficient and effective - the inefficient bureaucratic structure seems to continue, unaffected - except to become more complex and sclerotic. Consider how much new quality drama or factual programmes have come out of the BBC over the past 12 months. What does its sports coverage look like, compared with the days of Grandstand? While one accepts that Sky has outbid for football, and will continue to do so, it appears that the BBC is not prepared to bid strongly for anything. So, one has to ask, in both cases: where has the money gone?
Having said that, I agree with the writer's contention that these two organisatons make the country a better place to live. In much the same way as paying for a police force - even when one has not personally suffered from criminal activity - does the same. For all their faults, I would rather have them than not. I just wishe they would use the funding they get in a more effective way.
Did the moderators delete my comment and about 4 others? What's up with that? To reiterate, the BBC funding model is indefensible and people shouldn't force their philosophical beliefs about what a 'good' society is on others. If you want the BBC you pay for it, that's your choice, not mine.
Brilliant.
Also, I spat out my tea with laughter at "Andrew Lansley, who has fewer friends in public health than the MRSA superbug".
Agree 100%. Both these democratic institutions are key points in the ongoing resistance to the commodification and marketisation of every corner of ordinary life. Which is why they attract such vitriolic hatred from the cheerleaders of money, whether its mouthpiece newspapers or bought/rented politicians of the right. Yet inroads have been into both, and both are in danger of being dismantled entirely, with only some brand-like shell remaining. so that eventually we'll have the BBC's entire output sourced from external production companies but being broadcast with the BBC brand. And we'll have something like NHS Service (as provided by International Healthpillage Inc).