Dr Christian Jessen: "The word 'exploitative' drives me mad"

Helen Lewis talks to Dr Christian Jessen about Twitter diagnoses, self-promotion and the best of the NHS.

Dr Christian Jessen lives an odd life. Quite regularly, people send him photos of their diseased body parts; others seek medical advice from him on Twitter, which he retweets with his response in capital letters before the question. So: “IT’LL KILL YOU IN AN HOUR OR TWO. @DoctorChristian how poisonous exactly?”
 
Dr Christian, as he prefers to be known, is the presenter of Channel 4’s prime-time hits Embarrassing Bodies and Supersize vs Superskinny. In the former, members of the public air their piles, warts and assorted deformities for the benefit of a grateful nation; in the latter, an overeater and an under-eater swap diets for a week in the “feeding clinic”.
 
Both shows have millions of viewers. As a result, Jessen is now our best-known telly doctor (and he is a real one, unlike Gillian McKeith and her internet PhD). But where a previous generation had Robert Winston talking through his trustworthy moustache about the miracle of life, Dr Christian is more likely to go to Magaluf, strip down to his pants and give everyone a pep talk about genital warts.
 
The big question is –why? Why would anyone submit to showing off their bunions, never mind their STI, on national TV? “Sometimes, they’ve been trying for ages to get help and they haven’t been able to get it,” he tells me over juice and pastries at a hotel in London. “Some of them are very political. Some of them are [saying]: ‘I want to promote my condition because I’ve had it long enough and my GP doesn’t seem to understand what it is.’”
 
Isn’t there an element of the freak show? “The word ‘exploitative’ drives me mad. These people have watched the show – it’s been going on for, what, seven series now?”
 
No one can accuse him of not practising what he preaches. He’s spoken about having a hair transplant and his struggle with body dysmorphia, which makes him see a puny weakling in the mirror, when he actually looks more like He-Man. Once, asked on Twitter if he’d ever had an STI, he simply replied: “YES”.
 
Hearing from so many people about their problems, he has a clear perspective on the health service. “The NHS is really, really good at dealing with acute problems, emergencies, major illnesses like cancers. Where it’s not so good is [treating] your ingrowing toenail, your small hernia, your haemorrhoids . . . But what other way is there of doing it, really?”
 
He certainly doesn’t think that the NHS should refuse treatment to immigrants, as some right-wing papers have suggested. “What I like about the NHS – and this is a contentious issue – is that if you’re a poor, African woman with HIV and you know you’re going to die in your country and your children are going to die, if you scrape the money together to get [here], they’ll look after you.” He pauses and flashes a wry, if expensively maintained, smile. “I don’t think we can afford to, but that’s a different issue.”
 
Unlike most doctors I have met, Dr Christian is unafraid of the internet and how it has changed patients’ expectations. He loves to tweet, despite the British Medical Association’s worries about the medium, and in one series of Embarrassing Bodies, people used Skype to consult him. He thinks that video calls could be a scalable solution for those who find it hard to visit their doctor in person (“Most GP questions are: ‘Should I worry? Shouldn’t I?’”).
 
He also doesn’t mind when patients turn up having researched their condition on the web. “I don’t sigh. Well, sometimes I do. Patients come in and they go, ‘Doctor, you gave me these tablets and I’ve just seen that according to the latest trial data they’re not necessarily the right ones.’ That can only be good for us.”
 
Medicine Man: unlike many other doctors, Jessen has embraced the internet. Photograph: Phil Fisk/Camera Press.

Helen Lewis is deputy editor of the New Statesman. She has presented BBC Radio 4’s Week in Westminster and is a regular panellist on BBC1’s Sunday Politics.

This article first appeared in the 19 August 2013 issue of the New Statesman, Why aren’t young people working

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I was wrong about Help to Buy - but I'm still glad it's gone

As a mortgage journalist in 2013, I was deeply sceptical of the guarantee scheme. 

If you just read the headlines about Help to Buy, you could be under the impression that Theresa May has just axed an important scheme for first-time buyers. If you're on the left, you might conclude that she is on a mission to make life worse for ordinary working people. If you just enjoy blue-on-blue action, it's a swipe at the Chancellor she sacked, George Osborne.

Except it's none of those things. Help to Buy mortgage guarantee scheme is a policy that actually worked pretty well - despite the concerns of financial journalists including me - and has served its purpose.

When Osborne first announced Help to Buy in 2013, it was controversial. Mortgage journalists, such as I was at the time, were still mopping up news from the financial crisis. We were still writing up reports about the toxic loan books that had brought the banks crashing down. The idea of the Government promising to bail out mortgage borrowers seemed the height of recklessness.

But the Government always intended Help to Buy mortgage guarantee to act as a stimulus, not a long-term solution. From the beginning, it had an end date - 31 December 2016. The idea was to encourage big banks to start lending again.

So far, the record of Help to Buy has been pretty good. A first-time buyer in 2013 with a 5 per cent deposit had 56 mortgage products to choose from - not much when you consider some of those products would have been ridiculously expensive or would come with many strings attached. By 2016, according to Moneyfacts, first-time buyers had 271 products to choose from, nearly a five-fold increase

Over the same period, financial regulators have introduced much tougher mortgage affordability rules. First-time buyers can be expected to be interrogated about their income, their little luxuries and how they would cope if interest rates rose (contrary to our expectations in 2013, the Bank of England base rate has actually fallen). 

A criticism that still rings true, however, is that the mortgage guarantee scheme only helps boost demand for properties, while doing nothing about the lack of housing supply. Unlike its sister scheme, the Help to Buy equity loan scheme, there is no incentive for property companies to build more homes. According to FullFact, there were just 112,000 homes being built in England and Wales in 2010. By 2015, that had increased, but only to a mere 149,000.

This lack of supply helps to prop up house prices - one of the factors making it so difficult to get on the housing ladder in the first place. In July, the average house price in England was £233,000. This means a first-time buyer with a 5 per cent deposit of £11,650 would still need to be earning nearly £50,000 to meet most mortgage affordability criteria. In other words, the Help to Buy mortgage guarantee is targeted squarely at the middle class.

The Government plans to maintain the Help to Buy equity loan scheme, which is restricted to new builds, and the Help to Buy ISA, which rewards savers at a time of low interest rates. As for Help to Buy mortgage guarantee, the scheme may be dead, but so long as high street banks are offering 95 per cent mortgages, its effects are still with us.