The Lib Dems must not accept more welfare cuts in return for new taxes

Higher taxes on the rich will not protect the poorest if spending is slashed.

We may no longer be in recession, but the nation still faces a critical year ahead. Choices that the government makes over wealth taxes and welfare spending in particular will shape the political economy, not just for the year ahead but for decades to follow, and recent signs are not encouraging. Beginning with George Osborne’s Autumn Statement on 5 December and culminating with a short and probably bitter Spending Review, the next year or so is the political equivalent of Alex Ferguson's "squeaky bum time" – only with livelihoods, not football, at stake.

The Tory party’s re-toxification under Cameron has continued apace since their party conference, whether through atavistic evidence-free posturing on crime and punishment, employment law or on welfare cuts – the latter, in particular, would ruin any chance the government has of keeping its promise of not balancing the books on the backs of poor.

Osborne doggedly adheres to a macro-economic platform being shown day by day to be more broken and discredited than previously thought. His insistence that reducing the deficit takes precedence over balancing the economy distorts spending decisions, and leaves today’s government and those that follow with their hands seemingly tied to a dangerous spiral of ever-harsher spending cuts. An alarming report from the Social Market Foundation and the RSA shows that closing the deficit on a rigid timetable, primarily through cuts, with neither tax rises nor growth playing a larger role, leaves us facing an additional £48bn of austerity. The knock-on effects on both demand and the quality of public services, and hence prosperity, are unthinkable – there comes a point, when you’re in a hole, to stop digging, and that time is now.

The determination to bring the deficit down by cutting welfare spending stems from the fallacy that feckless workshy scroungers are raiding the Exchequer, when the evidence shows that 93 per cent of new housing benefit claims are from in-work households and that the main driver of higher welfare spending is that we live longer. It’s the failure of wages to keep pace with spiralling cost of living – housing and fuel in particular – that means so many require in-work support. The Tories should be arguing for a living wage and investment in green growth if they want to shrink state spending in the long run, not cutting support to those who lose out in a dysfunctional economy. Senior Liberal Democrats are realising that further welfare cuts are unjustified – the party must not just reject £10bn in welfare cuts but anything in that region should universal benefits for better-off pensioners remain untouched.

Coalition is of course about trade-offs and compromise, but only up to a point. If the government decides to cut yet more from the welfare budget – without fixing the dysfunctional markets in pay and housing that leave millions needing in-work benefits – then is some form of higher tax on property an adequate trade-off? Most Lib Dems would say not, and those who will suffer the most from such a deal would no doubt agree. Alternatives to slashing welfare spending for the poorest do exist, including some from CentreForum, which advocates reforms to tax breaks for the wealthy. Using a mix of such reforms targeted to those who can afford to pay, and further flexibility in the speed of deficit reduction, the poorest could be protected from bearing the brunt of austerity; if only we had a more politically aware Chancellor.

The country faces a crucial twelve months, and of course we need a government that shows coalition can work, a united government. The question is, for whom should government be made to work, the parties who constitute it or the people they serve? Behind which policies should we unite? The Tories clearly refuse to make it work for millions whose living standards have fallen and whose lives have become more insecure, as their refusal to tax wealth and insistence on further welfare cuts shows.

Now more than ever, Liberal Democrats need to do more than just show that coalition works, but that it works for people in real world who are bearing the brunt of our economic malaise. Acquiescing to Tory demands in the vain hope of benefiting from government unity is not enough. The party’s leadership needs to show that the value of having Liberal Democrats in government is more than diluting Tory regressive tendencies, by clearly setting out how they’ll navigate next 12 months, and what they will not countenance.

Prateek Buch is director of the Social Liberal Forum and serves on the Liberal Democrat Federal Policy Committee. He writes in a personal capacity.

Nick Clegg speaks at the Liberal Democrat conference in Brighton earlier this year. Photograph: Getty Images.

Prateek Buch is director of the Social Liberal Forum and serves on the Liberal Democrat Federal Policy Committee.

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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