A bitter pill to swallow

The sketchy evidence for the effectiveness of homoeopathic medicine has no scientific basis, and pos

There was an outcry in September when we learned that children in Scotland were being given a homoeopathic "MMR vaccine", a product that offered no protection against the serious dangers posed by measles, mumps and, for pregnant women, rubella. This had echoes of the discovery a few years ago by Sense About Science, Simon Singh and Newsnight that some pharmacists were offering homoeopathic pills for protection against malaria to people travelling to Central Africa. Such practices may be disturbing, but they occur because we tend to think there is no harm in indulging the clamour to maintain the alternative health market.

Reading the 11 October issue of the New Statesman, I was shocked by an advertisement in the accompanying supplement, "Social Care: Who Pays?", referring to me and my work. Rarely had I seen an advert so inaccurate and borderline libellous in a respected publi­cation. The advert, which appeared to breach the British Code of Advertising, was by a lobby group called Homeopathy: Medicine for the 21st Century (H:MC21). It contained unjustified attacks on myself and colleagues, including statements that gave a dangerously false impression of homoeopathy's therapeutic value.

As the advert questioned my own competence, I should address this first. I started my medical career in a homoeopathic hospital, where I was trained in homoeopathy for several months. Many years later, it became my job to apply science to this field and I felt I had a duty to keep an open mind - open but not uncritical.

A critical mind would notice that the two basic principles of homoeopathy fly in the face of science, logic and common sense. The first assumption is that "like cures like". For instance, if onions make my eyes and nose water, homoeopathic remedies derived from onions can be used to treat my patients' hay fever, which sometimes causes runny eyes and noses. The second assumption proposes that diluting remedies homoeopathically makes them not less but more potent, even if the final preparation no longer contains a single molecule of any active substance. These theories are not based on anything that remotely resembles fact. Like does not cure like, and endlessly diluting remedies certainly does not render them stronger, but weaker. But is there some entirely new energy to be discovered that we do not yet comprehend? Not understanding homoeopathy does not necessarily mean that it is useless.

The best way to find out is to determine whether homoeopathic remedies behave differently from placebos when patients use them. In other words, we need clinical trials.

Data gap

About 150 such studies (mostly conducted by homoeopaths) and well over a dozen syntheses of this research are available. Their results are sobering: the totality of the most reliable evidence fails to show that homoeopathic remedies work better than placebos. So, after about 200 years of research, there is no good data to convince non-homoeopaths that homoeopa­thic remedies are any different from pure sugar pills. Pro-homoeopathic lobby groups such as the one that placed the advertisement therefore have to employ propaganda to try to convince consumers who may not know better. This is perhaps understandable, but surely not right.

What of patients' experience, some might ask. Thousands of people across the world swear by homoeopathy. Are they all deluded? Clearly not. People undoubtedly do get better after seeing a homoeopath. There are many observational studies to show that this is true. Homoeopaths therefore keep telling us that their treatments work, regardless of the implausibility of homoeopathy's principles and the largely negative trial evidence.

When we rationally analyse this apparent contradiction of evidence versus experience, it quickly dissolves into thin air. The empathic encounter with a homoeopath is just one of many factors that provide ample explanation for the observation that patients can improve even when they receive placebos. A case in point is Bristol Homoeopathic Hospital's 2005 study, cited in the offending advert. The 6,500 chronically ill patients might have im­proved because of the concomitant use of conventional treatments, or because of the attention they experienced, or because of their own expectation to improve, or because the disease process had come to an end. In fact, they might have improved not because of, but despite, the homoeopathic remedies they were given.

Still, some people ask what is wrong with using placebos as long as they help patients feel better. The answer is that it prevents clinicians telling the truth to patients. Being honest would defeat any placebo effect: if I tell my patient, "Take this remedy; it contains nothing and the trial data shows nothing," she is unlikely to experience a placebo response. Hence, homoeopaths, knowingly or unknowingly, deprive patients of informed consent. This paternalistic approach is recognised as unethical. Also, placebo effects are unreliable and normally short-lived; they happen occasionally but often do not. Even if placebo responses are generated, they are usually small - certainly too small to compete with effective therapies.

Twin-track effect

Endorsing homoeopathic placebos would mean that people might use them for serious, treatable conditions. In such circumstances, homoeopathy can even cause (and has caused) the death of patients. Furthermore, if we allow the homoeopathic industry to sell placebos, we must do the same for "Big Pharma". Imagine a world where pharmaceutical companies could sell us placebos for all sorts of conditions just because some patients experience benefits through a placebo response.

Crucially, and paradoxically, we don't need placebos to generate placebo effects. If I, for instance, prescribe an antihistamine for a patient suffering from hay fever, with empathy, time and understanding, that patient benefits from a placebo effect as well as the pharmacological action of the antihistamine. If, by contrast, I prescribe a homoeopathic remedy, I deprive her of the latter, crucial benefit. It is difficult to argue, as most homoeopaths try to, that this approach would be in the interest of my patient.

What follows is straightforward: there is no good evidence that homoeopathy does more good than harm. This is not just my conclusion after 17 years of researching the subject, but a fact based on the best available evidence, which is supported by virtually all experts who are not homoeopaths. The recent decision by the coalition government to continue homoeopathy on the NHS is thus puzzling, to say the least.
The advertisement that prompted this article is misleading about the work of experts which has conclusively shown that homoeopathy can have no place in evidence-based medicine. It is an insult to our intelligence.

Edzard Ernst is professor of complementary medicine at the Peninsula Medical School, University of Exeter, and co-author, with Simon Singh, of "Trick or Treatment? Alternative Medicine on Trial" (Corgi, £8.99)

Here comes the non-science

Homoeopathy was developed in 1796 by the German physician Samuel Hahnemann. He based his treatments on the twin ideas that "like cures like" and "less is more". The latter notion was implemented by taking a substance and diluting it over and over again, so that the final product generally contains not a single molecule of the original active ingredient.

Homoeopaths accept that most of their remedies are devoid of pharmacologically active principles, but they argue that the pills contain a "memory" of the original ingredient. The memory is supposedly imprinted in the diluting agent, which is used to moisten sugar pills.

Although homoeopathy defies the laws of physics, chemistry, biology and therapeutics, there have been numerous attempts to test its impact on patients through clinical trials. In 2005, Aijing Shang and seven colleagues from the University of Berne published an analysis of the best trials in the Lancet.

Their findings confirmed many other such published assessments. Commenting on the paper, they wrote: "This finding is compatible with the notion that the clinical effects of homoeopathy are placebo effects." An accompanying editorial entitled "The end of homoeopathy" said: "Doctors need to be bold and honest with their patients about homoeopathy's lack of benefit."

This article first appeared in the 08 November 2010 issue of the New Statesman, Israel divided

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The French fracture

A social thinker illuminates his country's populist divides.

The property market in any sophis­ticated city reflects deep aspirations and fears. If you had a feel for its ups and downs – if you understood, say, why young parents were picking this neighbourhood and drunks wound up relegated to that one – you could make a killing in property, but you also might be able to pronounce on how society was evolving more generally. In 2016, a real-estate developer even sought – and won – the presidency of the United States.

In France, a property expert has done something almost as improbable. Christophe Guilluy calls himself a geographer. But he has spent decades, as a housing consultant in various rapidly changing neighbourhoods north of Paris, studying gentrification, among other things. And he has crafted a convincing narrative tying together France’s various social problems – immigration tensions, inequality, deindustrialisation, economic decline, ethnic conflict and the rise of populist parties. Such an analysis had previously eluded the Parisian caste of philosophers, political scientists, literary journalists, government-funded researchers and party ideologues.

Guilluy is none of these. Yet in a French political system that is as polarised as the American, both the outgoing Socialist president, François Hollande, and his Gaullist predecessor Nicolas Sarkozy sought his counsel. Marine Le Pen, whose Front National dismisses both major parties as part of a corrupt establishment, is equally enthusiastic about his work.

Guilluy has published three books, as yet untranslated, since 2010, with the newest, Le crépuscule de la France d’en haut (roughly: “Twilight of the French Elite”), ­arriving in bookshops last autumn. The volumes focus closely on French circumstances, institutions and laws, so they might not be translated any time soon. But they give the best ground-level look available at the economic, residential and democratic consequences of globalisation in France. They also give an explanation for the rise of the Front National that goes beyond the usual imputation of stupidity or bigotry to its voters.

Guilluy’s work thus tells us something important about British voters’ decision to withdraw from the European Union and the astonishing rise of Donald Trump – two phenomena that have drawn on similar grievances.

***

At the heart of Guilluy’s inquiry is globalisation. Internationalising the division of labour has brought significant economic efficiencies. But it has also brought inequalities unseen for a century, demographic upheaval and cultural disruption. Now we face the question of what – if anything – we should do about it.

A process that Guilluy calls métropolisation has cut French society in two. In 16 dynamic urban areas (Paris, Lyons, Marseilles, Aix-en-Provence, Toulouse, Lille, Bordeaux, Nice, Nantes, Strasbourg, Grenoble, Rennes, Rouen, Toulon, Douai-Lens and Montpellier), the world’s resources have proved a profitable complement to those found in France. These urban areas are home to all the country’s leading educational and financial institutions, as well as almost all its corporations and the many well-paying jobs that go with them. Here, too, are the individuals – the entrepreneurs and engineers and CEOs, the fashion designers and models, the film directors and chefs and other “symbolic analysts”, as Robert Reich once called them – who shape the country’s tastes, form its opinions and renew its prestige.

Cheap labour, tariff-free consumer goods and new markets of billions of people have made globalisation a windfall for such ­prosperous places. But globalisation has had no such galvanising effect on the rest of France. Cities that were lively for hundreds of years – Tarbes, Agen, Albi, Béziers – are now, to use Guilluy’s word, “desertified”, haunted by the empty shopfronts and blighted downtowns that Rust Belt Americans know well.

Guilluy doubts that any place exists in France’s new economy for working people as we’ve previously understood them. Paris offers the most striking case. As it has prospered, the City of Light has stratified, resembling, in this regard, London or American cities such as New York and San Francisco. It’s a place for millionaires, immigrants, tourists and the young, with no room for the median Frenchman. Paris now drives out the people once thought of as synonymous with the city.

Yet economic opportunities for those unable to prosper in Paris are lacking elsewhere in France. Journalists and politicians assume that the stratification of France’s flourishing metropoles results from a glitch in the workings of globalisation. Somehow, the rich parts of France have failed to impart their magical formula to the poor ones. Fixing the problem, at least for certain politicians and policy experts, involves coming up with a clever short cut: perhaps, say, if Romorantin had free wifi, its citizens would soon find themselves wealthy, too. Guilluy disagrees. For him, there is no reason to expect that Paris (and France’s other dynamic spots) will generate a new middle class, or to assume that broad-based ­prosperity will develop elsewhere in the country (which happens to be where the majority of the population live). If he is right, we can understand why every major Western country has seen the rise of political movements taking aim at the present system.

***

In our day, the urban property market is a pitiless sorting machine. Rich people and up-and-comers buy the private housing stock in desirable cities and thereby bid up its cost. Guilluy notes that one estate agent on the Île Saint-Louis in Paris now sells “lofts” of three square metres, or about 30 square feet, for €50,000 (£42,000). The situation resembles that in London, where, according to Le Monde, the average monthly rent (£2,580) now exceeds the average monthly salary (£2,300).

The laid-off, the less educated, the mistrained – all must rebuild their lives in what Guilluy calls (in the title of his second book) la France périphérique. This is the key term in Guilluy’s sociological vocabulary, and is much misunderstood in France, so it is worth clarifying: it is neither a synonym for the boondocks nor a measure of distance from the city centre. (Most of France’s small cities, in fact, are in la France périphérique.) Rather, the term measures distance from the functioning parts of the global economy. France’s best-performing urban nodes have arguably never been richer or better stocked with cultural and retail amenities. But too few such places exist to carry a national economy. When France’s was a national economy, its median workers were well compensated and well protected from illness, age and other vicissitudes. In a knowledge economy, these workers have largely been exiled from the places where the economy still functions. They have been replaced by immigrants.

After the mid-20th century, the French state built a vast stock – about five million units – of public housing, which now ­accounts for a sixth of the country’s households. Much of it is hideous-looking, but it’s all more or less affordable. Its purpose has changed, however. It is now used primarily for billeting not native French workers, as once was the case, but immigrants and their descendants, millions of whom arrived from North Africa, starting in the 1960s, with yet another wave of newcomers from sub-Saharan Africa and the Middle East arriving today. In the rough northern suburb of Aubervilliers, for instance, three-quarters of the young people are of immigrant background. Again, Paris’s future seems visible in contemporary London. Between 2001 and 2011, the population of white Londoners fell by 600,000, even as the city grew by one million: from 58 per cent white British at the turn of the century, London is currently 45 per cent white.

While rich Parisians may not miss the presence of the middle class, they do need people to serve tables, trim shrubbery, watch babies and change bedpans. Immi­grants – not native French workers – do most of these jobs. Why this should be so is an economic controversy. Perhaps migrants will do certain tasks that French people will not – at least not on the prevailing wage. Perhaps employers don’t relish paying €10 an hour to a native Frenchman who, ten years earlier, was making €20 in his old position and has resentments to match. Perhaps the current situation is an example of the economic law named after the 18th-/19th-century French economist Jean-Baptiste Say: a huge supply of menial labour from the developing world has created its own demand.

This is not Guilluy’s subject, though. He aims only to show that, even if French people were willing to do the work that gets offered in these prosperous urban centres, there would be no way for them to do it, ­because there is no longer any place for them to live. As a new bourgeoisie has taken over the private housing stock, poor foreigners have taken over the public – which thus serves the metropolitan rich as a kind of taxpayer-subsidised servants’ quarters. Public-housing inhabitants are almost never ethnically French; the prevailing culture there nowadays is often heavily, intimidatingly Muslim.

***

At the opening of his new book, Guilluy describes 21st-century France as “an ‘American’ society like any other, unequal and multicultural”. It’s a controversial premise – that inequality and racial diversity are linked as part of the same (American-type) system and that they progress or decline together. Though this premise has been confirmed in much of the West for half a century, the assertion will shock many Americans, conditioned to place “inequality” (bad) and “diversity” (good) at opposite poles of a Manichaean moral order. This disconnect is a key reason American political discussions have turned so illogical and rancorous. Certain arguments – for instance, that raising the incomes of American workers requires limiting immigration – can be cast as either sensible or superstitious, legitimate or illegitimate, good or evil, depending on whether the person making them is deemed to be doing so on the grounds of economics or identity.

At a practical level, considerations of economics and ethnicity are getting harder to disentangle. Guilluy has spent years in and out of buildings in northern Paris (his sisters live in public housing), and he is sensitive to the way this works in France. A public-housing development is a community, yes, and one can wish that it be more diverse. But it is also an economic resource that, more and more, is getting fought over tribally. An ethnic Frenchman moving into a heavily North African housing project finds himself threatening a piece of property that members of “the community” think of as theirs. Guilluy speaks of a “battle of the eyes” fought in the lobbies of apartment buildings across France every day, in which one person or the other – the ethnic Frenchman or the immigrant’s son – will drop his gaze to the floor first.

Most places where migrant and native French cultures mix, Guilluy expects, will evolve as did the northern Paris suburbs where he works. Twenty years ago, these neighbourhoods remained a hub of Parisian Jewish life; nowadays, they’re heavily Arab. The young men living in them feel a burning solidarity with their Muslim brethren in the Middle East and often a loathing for Israel. Jews have faced steady intimidation in northern Paris since at least 2002, when the aftermath of the 9/11 attacks overlapped with the Palestinian “second intifada”.

Violence is rising. July 2014 saw a wave of attacks on Jewish businesses and synagogues in the suburb of Sarcelles. Jews have evacuated some municipalities north of Paris where, until recently, they were an integral part: Saint-Denis, La Courneuve, Aubervilliers, Stains, Pierrefitte-sur-Seine, Trappes, Aulnay-sous-Bois and Le Blanc-Mesnil. Many Jews still live safely and well in France, of course, but they cluster together in a smaller number of secure neighbourhoods, several of them on Paris’s western edge. Departures of French Jews to Israel run to about 7,000 a year, according to the Jewish Agency of France. The leavers are disproportionately young.

Guilluy has written much about how little contact the abstract doctrines of “diversity” and “multiculturalism” make with this morally complex world. In the neighbourhoods, well-meaning people of all backgrounds “need to manage, day in, day out, a thousand and one ethnocultural questions while trying not to get caught up in hatred and violence”. Last winter, he told the magazine Causeur:

“Unlike our parents in the 1960s, we live in a multicultural society, a society in which ‘the other’ doesn’t become ‘somebody like yourself’. And when ‘the other’ doesn’t become ‘somebody like yourself’, you constantly need to ask yourself how many of the other there are – whether in your neighbourhood or your apartment building. Because nobody wants to be a minority.”

Thus, when 70 per cent of Frenchmen tell pollsters, as they have for years now, that “too many foreigners” live in France, they are not necessarily being racist; but they are not necessarily not being racist, either. It’s a complicated sentiment, and identifying “good” and “bad” strands of it – the better to draw them apart – is getting harder to do.

France’s most dangerous political battles play out against this backdrop. The central fact is the 70 per cent that we just spoke of: they oppose immigration and are worried, we can safely assume, about the prospects for a multi-ethnic society. Their wishes are consistent, their passions high; and a demo­cracy is supposed to translate the wishes and passions of the people into government action. Yet that hasn’t happened in France.

Guilluy breaks down public opinion on immigration by class. Top executives (at 54 per cent) are content with the current number of migrants in France. But only 38 per cent of mid-level professionals, 27 per cent of labourers and 23 per cent of clerical workers feel similarly. As for the ­migrants themselves (whose views are seldom taken into account in French immi­gration discussions), living in Paris instead of Bamako is a windfall even under the worst of circumstances.

In certain respects, migrants actually have it better than natives, Guilluy stresses. He is not referring to affirmative action. Inhabitants of government-designated “sensitive urban zones” (ZUSs) do receive special benefits these days. But because the French cherish equality of citizenship as a political ideal, racial preferences in hiring and education took much longer to be imposed than in other countries. They’ve been operational for little more than a decade. A more important advantage, as the geographer Guilluy sees it, is that immigrants living in the urban slums, despite appearances, remain “in the arena”. They are near public transportation, schools, and a real job market that might have hundreds of thousands of vacancies. At a time when rural France is  getting more sedentary, the ZUSs are the places in France that enjoy the most residential mobility: it’s better in the banlieue.

In France, the Parti Socialiste (PS), like the Democratic Party in the US or Labour in Britain, has remade itself based on a recognition of this new demographic and political reality. François Hollande built his 2012 presidential victory on a strategy outlined in October 2011 by Bruno Jeanbart and the late Olivier Ferrand of the socialist think tank Terra Nova. Largely because of cultural questions, the authors warned, the working class no longer voted for the left. The consultants suggested a replacement coalition of ethnic minorities, people with advanced degrees (usually prospering in new-economy
jobs), women, youths and non-Catholics – a French version of the Obama bloc. It did not make up, in itself, an electoral majority, but it possessed sufficient cultural power to attract one.

***

Guilluy came to the attention of many French readers at the turn of the millennium, through the pages of the leftist Paris daily Libération, where he promoted the American journalist David Brooks’s book Bobos in Paradise. Guilluy was fascinated by the figure of the “bobo”, an acronym combining “bourgeois” and “bohemian”, which described the new sort of upper-middle-class person who had emerged in the late-1990s tech-bubble economy. The word may have faded from the memory of English-language readers, but it stuck in France. You can find bobo in any good French dictionary, alongside bébédada and tutu.

For Brooks, “Bobo” was a term of endearment. Our nouveaux riches differed from those of yesteryear in being more sensitive and cultured, the kind of folk who shopped at Restoration Hardware for the vintage 1950s Christmas lights that reminded them of their childhoods. For Guilluy, as for most French intellectuals, “bobo” is a slur. These nouveaux riches differed from their predecessors in being more predatory and less troubled by conscience. They chased the working-class population
from neighbourhoods it had spent years building up – and then expected the country to thank them.

In France, as in America, the bobos were both cause and effect of a huge cultural shift. The nation’s cultural institutions – from its universities to its television studios to its comedy clubs to (this being France) its government – remain where they were. But the sociology of the community that surrounds them has been transformed. The culture industry now sits in territory that is 100 per cent occupied by the beneficiaries of globalisation. No equivalent exists any more of Madame Vauquer’s boarding house in Balzac’s Père Goriot, where the upwardly mobile Rastignac had to rub shoulders with those who had few prospects of advancement. In most parts of Paris, working-class Frenchmen are just gone, priced out of even the football stadiums that were a bastion of French proledom until the country’s World Cup victory in 1998. The national culture has changed.

So has French politics. Since the age of ­social democracy, we have assumed that contentious political issues inevitably pit “the rich” against “the poor” and that the fortunes of one group must be wrested from the other. But the metropolitan bourgeoisie no longer live cheek-by-jowl with native French people of lesser means and different values. In Paris and other cities of Guilluy’s fortunate France, one often encounters an appearance of civility, even consensus, where once there was class conflict. But this is an illusion: one side has been driven from the field.

The old bourgeoisie hasn’t been supplanted; it has been supplemented by a second bourgeoisie that occupies the previously non-bourgeois housing stock. For every old-economy banker in an inherited high-ceilinged Second Empire apartment off the Champs-Élysées, there is a new-economy television anchor or hi-tech patent attorney living in some exorbitantly remodelled mews house in the Marais. A New Yorker might see these two bourgeoisies as analogous to residents of the Upper East and Upper West sides. They have arrived through different routes, and they might once have held different political opinions, but they don’t now. Guilluy notes that the conservative former French prime minister Alain Juppé, now the mayor of Bordeaux, and Gérard Collomb, the Socialist running Lyons, pursue identical policies. As Paris has become not just the richest city in France but the richest city in the history of France, its residents have come to describe their politics as “on the left” – a judgement that tomorrow’s historians might dispute. Most often, Parisians mean what Guilluy calls la gauche hashtag, or what we might call the “glass-ceiling left”, preoccupied with redistribution among, not from, elites: “We may have done nothing for the poor, but we did appoint the first disabled lesbian parking commissioner.”

Upwardly mobile urbanites, observes Guilluy, call Paris “the land of possibilities”, the “ideapolis”. One is reminded of Richard Florida and other extollers of the “Creative Class”. The good fortune of Creative Class members appears (to them) to have nothing to do with any kind of capitalist struggle. Never have conditions been more favourable for deluding a class of fortunate people into thinking that they owe their privilege to being nicer, or smarter, or more honest, than everyone else. Why would they think otherwise? They never meet anyone who disagrees with them. The immigrants with whom the creatives share the city are dazzlingly different, exotic, even frightening, but on the central question of our time – whether the global economic system is working or failing – they see eye to eye. “Our immigrants, our strength”, was the ­title of a New York Times op-ed signed by the Mayor of London, Sadiq Khan, the mayor of New York, Bill de Blasio, and the mayor of Paris, Anne Hidalgo, after September’s terrorist bomb blasts in New York. This estrangement is why electoral results around the world last year – from Brexit to the election of Donald Trump – proved so difficult to anticipate. Those outside the city gates in la France périphérique are invisible, their wishes incomprehensible. It’s as if they didn’t exist. But they do.

***

People used to think of the economy as congruent with society – it was the earning-and-spending ­aspect of the nation just living its life. All citizens inhabited the same economic system (which isn’t to say that all took an equal share from it). As Guilluy describes it, the new economy is more like a private utility: it provides money and goods the way, say, a power company provides electricity. If you’ve always had electricity in your house, what’s the worry? But it’s quite possible to get cut off.

For those cut off from France’s new-economy citadels, the misfortunes are serious. They’re stuck economically. Three years after finishing their studies, three-quarters of French university graduates are living on their own; by contrast, three-quarters of their contemporaries without university degrees still live with their parents. And they’re dying early. In January 2016, the national statistical institute Insee announced that life expectancy had fallen for both sexes in France for the first time since the Second World War, and it’s the native French working class that is likely driving the decline. The French outsiders are failing not just in income and longevity but also in family formation, mental health and education. Their political alienation is striking. Less than 2 per cent of legislators in France’s National Assembly today come from the working class, as opposed to 20 per cent just after the Second World War.

Unlike their parents in Cold War France, the excluded have lost faith in efforts to distribute society’s goods more equitably. Political plans still abound to fight the “system”, ranging from the 2017 Socialist presidential candidate Benoît Hamon’s proposals for a guaranteed minimum income to those of his rival Emmanuel Macron, the former economics minister, to make labour markets more flexible. But these programmes are seen by their intended beneficiaries as further proof of a rigged system. The welfare state is now distrusted by those whom it is meant to help. France’s expenditure on the heavily immigrant banlieue is already vast, in this view; to provide yet more public housing would be to widen the invitation to unwanted immigrants. To build any large public-works project is to do the same. To invest in education, in turn, is to offer more advantages to the rich, who are best positioned to benefit from it. In a society as divided as Guilluy describes, traditional politics can find no purchase.

With its opposition to free trade, open immigration and the European Union, the Front National has established itself as the main voice of the anti-globalisers. At regional elections in 2015, it took 55 per cent of workers’ votes. The Socialists, Républicains, Greens and the hard left took 18 per cent among them. In an effort to ward off the Front National, the traditional parties now collude as often as they compete. In the second round of those regional elections, the Socialists withdrew in favour of their Républicains rivals, seeking to create a barrage républicain against the FN. The banding together of establishment parties to defend the system against anti-system parties is happening all over the world. Germany has a “grand coalition” of its two largest parties, and Spain may have one soon. In the US, the Trump and the Sanders candidacies both gained much of their support from voters worried that the two main parties were offering essentially the same package.

Guilluy has tried to clarify French politics with an original theory of political correctness. The dominance of metropolitan elites has made it hard even to describe the most important conflicts in France, except in terms that conform to their way of viewing the world. In the last decade of the 20th century, Western statesmen sang the praises of the free market. In our own time, they defend the “open society” – a wider concept that embraces not just the free market but also the welcoming and promotion of people of different races, religions and sexualities. The result, in terms of policy, is a number of what Guilluy calls “top-down social movements”. He doesn’t specify them, but they would surely include the Hollande government’s legalisation of gay marriage, which in 2013 and 2014 brought millions of protesters opposing the measure on to the streets of Paris – one of the largest demonstrations in the country since the Second World War.

French elites have convinced themselves that their social supremacy rests not on their economic might but on their common decency. Doing so allows them to “present the losers of globalisation as embittered people who have problems with diversity”, says Guilluy. It’s not our privilege that the French “deplorables” resent, the elites claim; it’s the colour of some of our employees’ skin. French elites have a thesaurus full of colourful vocabulary for those who resist the open society: repli (“reaction”), crispation identitaire (“ethnic tension”) and populisme (an accusation equivalent to fascism which somehow does not require an equivalent level of proof). One need not say anything racist or hateful to be denounced as a member of “white, xenophobic France” or even as a “fascist”. To express mere discontent with the political system is dangerous enough. It is to faire le jeu de (“to play the game of”) the Front National.

***

In France, political correctness is more than a ridiculous set of opinions; it’s also – and primarily – a tool of government coercion. Not only does it tilt any political discussion in favour of one set of arguments; it also gives the ruling class a doubt-expelling myth that provides a constant boost to morale and esprit de corps, much as class systems did in the days before democracy. People tend to snicker when the question of political correctness is raised: its practitioners because no one wants to be thought politically correct; and its targets because no one wants to admit to being coerced. But it determines the current polarity in French politics. Where you stand depends largely on whether you believe that anti-racism is a sincere response to a genuine upsurge of public hatred or an ­opportunistic posture for elites seeking to justify their rule.

Guilluy is ambivalent on the question. He sees deep historical and economic processes at work behind the evolution of France’s residential spaces. “There has been no plan to ‘expel the poor’, no conspiracy,” he writes. “Just a strict application of market principles.” But he is moving towards a more politically engaged view: that the rhetoric of an “open society” is “a smokescreen meant to hide the emergence of a closed society, walled off for the benefit of the upper classes”.

It would be wrong, though, to see Guilluy as the partisan of any political project, let alone “playing the game” of one. Ideologically and intellectually, he is difficult to place. Sometimes he sounds like Paul Mason, author of the 2015 book PostCapitalism. That is, he looks at the destruction of working-class sources of power (from trade unions to industrial jobs) not as unfortunate collateral damage of the past thirty years of economic policy but as the overarching goal of it. He is more interested in how people act (where they move, the jobs they take, the way they form families) than in the opinions they spout. In a French context, he would be seen as among those in left-wing circles on whom certain civilisational truths once considered “conservative” have dawned. These include the novelist Michel Houellebecq, the philosopher Michel Onfray and the political philosopher Jean-Claude Michéa, who has been heavily influenced by the American historian Christopher Lasch. Guilluy, too, acknow­ledges Lasch’s influence, and one hears it when he writes, in La France périphérique, of family and community as constituting “the capital of the poor”.

Guilluy’s work is the most successful attempt to tow French political sociology out of the rut that it has been mired in since the Cold War and to direct it towards the pressing matters of our day. The “American” society that Guilluy describes – unequal and multicultural – can appear quite stable, but signs abound that it is in crisis. For one thing, it requires for its own replication a growing economy.

Since Tocqueville, we have understood that our democratic societies are emulative. Nobody wants to be thought a bigot if the membership board of the country club takes pride in its multiculturalism. But as the prospect of rising in the world is hampered or extinguished, the inducements to ideological conformism weaken. Dissent appears. Political correctness grows more draconian. Finally the ruling class reaches a dangerous stage, in which it begins to lose not only its
legitimacy, but also a sense of what its legitimacy rested on in the first place. l

Christopher Caldwell is a senior editor at the Weekly Standard. This article was first published in the quarterly magazine City Journal

This article first appeared in the 11 May 2017 issue of the New Statesman, Why the Tories keep winning

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