Why we have Labour to thank for gay marriage

It was the dramatic advances in gay rights delivered by the Blair government that made the introduction of equal marriage possible.

As a Conservative backbencher in 2003, David Cameron voted in favour of the retention of Section 28, the law that banned schools from "promoting" homosexuality as a "pretended family relationship". It is a mark of how much has changed since then that he now leads a government that has brought forward a bill for the introduction of equal marriage. 

Much of this change is due to a dramatic shift in social attitudes, particularly among the young, one seen across the western world. But while governments reflect the culture of a country, they also help to shape it and on the day that MPs vote for the first time on the Marriage (Same Sex Couples) Bill, the role of the last Labour government in advancing gay equality deserves to be recalled. 

It was the Blair administration that equalised the age of consent, abolished Section 28 (a measure that Cameron has rightly apologised for supporting), repealed the ban on gays and lesbians serving in the military, gave same-sex couples the right to adopt, outlawed discrimination in the workplace and in the provision of goods and services, and established civil partnerships. It is a record that Ed Miliband has rightly described as "proud". Change may have come under a Conservative government but it would not have been as swift or as deep. 

It is because gays and lesbians have already achieved equality in so many other spheres of life, that the extension of marriage to them now seems entirely natural. Cameron's bill is but the cherry on the wedding cake. 

Had the last Labour government not devoted so much time and effort to promoting gay rights, it is doubtful whether the Conservatives would now be introducing equal marriage. So, while Cameron deserves praise for defying the opposition of so many of his MPs, all who support gay equality owe a debt of thanks to Tony Blair today. 

Tony Blair's government introduced civil partnerships in 2004. Photograph: Getty Images.

George Eaton is political editor of the New Statesman.

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Is anyone prepared to solve the NHS funding crisis?

As long as the political taboo on raising taxes endures, the service will be in financial peril. 

It has long been clear that the NHS is in financial ill-health. But today's figures, conveniently delayed until after the Conservative conference, are still stunningly bad. The service ran a deficit of £930m between April and June (greater than the £820m recorded for the whole of the 2014/15 financial year) and is on course for a shortfall of at least £2bn this year - its worst position for a generation. 

Though often described as having been shielded from austerity, owing to its ring-fenced budget, the NHS is enduring the toughest spending settlement in its history. Since 1950, health spending has grown at an average annual rate of 4 per cent, but over the last parliament it rose by just 0.5 per cent. An ageing population, rising treatment costs and the social care crisis all mean that the NHS has to run merely to stand still. The Tories have pledged to provide £10bn more for the service but this still leaves £20bn of efficiency savings required. 

Speculation is now turning to whether George Osborne will provide an emergency injection of funds in the Autumn Statement on 25 November. But the long-term question is whether anyone is prepared to offer a sustainable solution to the crisis. Health experts argue that only a rise in general taxation (income tax, VAT, national insurance), patient charges or a hypothecated "health tax" will secure the future of a universal, high-quality service. But the political taboo against increasing taxes on all but the richest means no politician has ventured into this territory. Shadow health secretary Heidi Alexander has today called for the government to "find money urgently to get through the coming winter months". But the bigger question is whether, under Jeremy Corbyn, Labour is prepared to go beyond sticking-plaster solutions. 

George Eaton is political editor of the New Statesman.