Balls's job guarantee is a left-wing idea wrapped in right-wing rhetoric

Labour's 'tough' message risks encouraging the belief that benefit claimants seek to avoid work.

Shadow chancellor Ed Balls announced plans today for a compulsory jobs guarantee for the long-term unemployed to be funded by reducing tax relief on pension contributions for those earning over £150,000.

Balls details the policy in an article written for PoliticsHome. In the piece he blasts the coalition for labelling "people who want to work" as 'scroungers'; he describes their rhetoric as "divisive, nasty and misleading". But the subtext of much of his own article is also that benefit claimants are a drain on public money, and that their claims are often fraudulent, as shown by the headings of his "three tests" for welfare reform: firstly, "it must pay more to be in work than live on benefits", secondly "we must get tough on the scourge of long-term unemployment by matching rights with responsibilities", and thirdly any welfare reform "must be fair to those who genuinely want to work." Does this language not sound familiar?

Between the headings, Balls makes the nuanced - though rather obvious - point that "the vast majority" of Job Seeker's Allowance claimants "desperately want to find a job". But elsewhere in the piece, the shadow chancellor says that Labour are proposing welfare reform on the grounds that "we won't get the costs of welfare down if adults who can work are languishing on the dole for year".

So is Labour's proposal doing the long-term workless a favour, or is it threatening them? And is Labour a group of reformers masquerading as moderates, or a populist centre party that wants to appear to sympathise with the poor? The policy would suggest the former, the rhetoric the latter.

The latest YouGov poll puts Labour on 43 per cent, compared to 32 per cent for the Conservatives. With the collapse in support for the Lib Dems from left-leaning voters and widespread public anger about cuts and inequality, Labour has the chance to present a real alternative to the coalition's austerity agenda. But in order to win votes it must be seen to be consistent and strong in its message, or it risks appearing ridiculous, as we saw when Ed Milliband refused to get off the fence on union walk-outs in 2011.

In order to harness dissatisfaction, Labour needs to walk the walk, but it also needs to talk the talk. Go on, say it Eds – 'I am left-wing'.

Shadow chancellor Ed Balls said that Labour would match "rights with responsibilities". Photograph: Getty Images.
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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