IDS and the skivers from Mars

Why cutting money from benefits might not save anything in the long run.

It might not be a bad idea to send Iain Duncan Smith to Mars. We’d soon see what turns a striver into a skiver. Last month, scientists released the results of a study into what happens when people are kept indolent for more than a year. They sleep more, play more video games and lose all normal motivation. Being stripped of normal routines makes it hard to revert to being a striver. The study wasn’t intended to be a critique of social policy; it was about space exploration.

The pioneering Dutch organisation Mars One has more than 1,000 volunteers lined up to take its one-way trips to the Red Planet starting in 2023. Be careful what you wish for, though: if you commit to any of the missions, you will be cooped up with your fellow astronauts in tightly fitting accommodation for nearly 18 months. The study makes it clear that, unless you’re careful, some of you may lose your mind.

The Mars500 project, which took place just outside Moscow, replicated the conditions of a trip to Mars. A multinational mix of engineers, astronaut trainers and doctors spent 520 days in a mock-up of a spaceship composed of narrow tunnels and rooms. Cut off from the rest of the world, crew members were monitored by video cameras and activity monitors worn like wristwatches, enabling scientists to record their behaviour. The mock astronauts were given various things to do but it was what they didn’t do that was most telling.

They didn’t bother with physical activity in the way they might have done when going about their normal existence. As their lethargy grew, they largely avoided the better-lit parts of their accommodation. By the time the mission drew to a close, half of them were sleeping an hour more per night than at the start. For some, playing video games became a coping strategy to deal with the endless tedium.

Nasa and the European Space Agency will be using the data to inform future astronaut training but there is a lesson for lesser mortals, too. If you strip people of normal human purpose, even those who have had the drive to become doctors and engineers struggle to get it back.

In more mundane contexts, long-term poverty leads to some very dark situations. A study published just after Christmas reported on interviews with low-income urban women. They described themselves as living with high stress, long-term exposure to violence, depression, posttraumatic stress disorder and intense isolation and loneliness. The researchers who carried out the study noted that no one knows how to get the women out of this place.

Such situations lead to increased health-care burdens, too. A study of 200 breast cancer survivors, also published in December, has shown that loneliness and social isolation lead to pain, depression, fatigue and illness. It’s not all in their heads: blood samples showed that the women’s ability to fight disease and deal with pain were altered. As the researchers put it, “Loneliness enhances [the] risk for immune dysregulation.”

The message is clear, whether the news comes from space agencies, social policy researchers or cancer survivors: if you cut people off from the norms of society, they will collapse in on themselves. Unless you’re superhuman, failing to find work for an extended period will end with you giving up on everything, including staying healthy. So, the money saved from benefit cuts may end up being spent on health-care interventions for the terminally disadvantaged – unless you send them with IDS on that one-way trip to Mars.

Michael Brooks’s “The Secret Anarchy of Science” is published by Profile Books (£8.99)

Mars: Iain Duncan Smith's new home? Photograph: NASA

Michael Brooks holds a PhD in quantum physics. He writes a weekly science column for the New Statesman, and his most recent book is At the Edge of Uncertainty: 11 Discoveries Taking Science by Surprise.

This article first appeared in the 04 February 2013 issue of the New Statesman, The Intervention Trap

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Brexit could destroy our NHS – and it would be the government's own fault

Without EU citizens, the health service will be short of 20,000 nurses in a decade.

Aneurin Bevan once said: "Illness is neither an indulgence for which people have to pay, nor an offence for which they should be penalised, but a misfortune, the cost of which should be shared by the community."

And so, in 1948, the National Health Service was established. But today, the service itself seems to be on life support and stumbling towards a final and fatal collapse.

It is no secret that for years the NHS has been neglected and underfunded by the government. But Brexit is doing the NHS no favours either.

In addition to the promise of £350m to our NHS every week, Brexit campaigners shamefully portrayed immigrants, in many ways, as as a burden. This is quite simply not the case, as statistics have shown how Britain has benefited quite significantly from mass EU migration. The NHS, again, profited from large swathes of European recruitment.

We are already suffering an overwhelming downturn in staffing applications from EU/EAA countries due to the uncertainty that Brexit is already causing. If the migration of nurses from EEA countries stopped completely, the Department of Health predicts the UK would have a shortage of 20,000 nurses by 2025/26. Some hospitals have significantly larger numbers of EU workers than others, such as Royal Brompton in London, where one in five workers is from the EU/EAA. How will this be accounted for? 

Britain’s solid pharmaceutical industry – which plays an integral part in the NHS and our everyday lives – is also at risk from Brexit.

London is the current home of the highly prized EU regulatory body, the European Medicine Agency, which was won by John Major in 1994 after the ratification of the Maastricht Treaty.

The EMA is tasked with ensuring that all medicines available on the EU market are safe, effective and of high quality. The UK’s relationship with the EMA is unquestionably vital to the functioning of the NHS.

As well as delivering 900 highly skilled jobs of its own, the EMA is associated with 1,299 QPPV’s (qualified person for pharmacovigilance). Various subcontractors, research organisations and drug companies have settled in London to be close to the regulatory process.

The government may not be able to prevent the removal of the EMA, but it is entirely in its power to retain EU medical staff. 

Yet Theresa May has failed to reassure EU citizens, with her offer to them falling short of continuation of rights. Is it any wonder that 47 per cent of highly skilled workers from the EU are considering leaving the UK in the next five years?

During the election, May failed to declare how she plans to increase the number of future homegrown nurses or how she will protect our current brilliant crop of European nurses – amounting to around 30,000 roles.

A compromise in the form of an EFTA arrangement would lessen the damage Brexit is going to cause to every single facet of our NHS. Yet the government's rhetoric going into the election was "no deal is better than a bad deal". 

Whatever is negotiated with the EU over the coming years, the NHS faces an uncertain and perilous future. The government needs to act now, before the larger inevitable disruptions of Brexit kick in, if it is to restore stability and efficiency to the health service.

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