Nick Clegg with Ed Miliband at a ceremony at Buckingham Palace to mark the Duke of Edinburgh's 90th birthday on June 30, 2011. Photograph: Getty Images.
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Would Clegg force Labour to back tougher cuts?

The Deputy PM's warning that he would "absolutely insist" that a new coalition would not "break the bank" suggests that he may push Labour to back an Osborne-style deficit plan.

Given how much Nick Clegg has staked on the Lib Dems remaining in government after the next election, and Labour's stubborn poll lead, it is unsurprising to find him warming to the prospect of a coalition with Ed Miliband's party. He tells a Radio 4 documentary to be broadcast tonight: "I think they've [Labour] changed. I think there's nothing like the prospect of reality in an election to get politicians to think again and the Labour Party, which is a party unused to sharing power with others is realising that it might have to."

By contrast, he says of the Tories: "I think the Conservative Party has changed quite dramatically since we entered into coalition with them. They've become much more ideological, they've returned much more to a lot of their familiar theme tunes. I think it would be best for everybody if the Conservative Party were to rediscover a talent for actually talking to mainstream voters about mainstream concerns."

It seems Ed Balls's recent overtures in the New Statesman have not gone to waste. 

Clegg does, however, qualify his remarks by warning that "if there were a Labour-Liberal Democrat coalition, we the Liberal Democrats would absolutely insist that government would not break the bank."

The Deputy PM's choice of words ("break the bank") will likely perpetuate the false belief that the last government "bankrupted" Britain, but more significant is what they imply about the future. In his recent speech to the Fabian Society, Balls committed a Labour government to balancing the current budget and to reducing the national debt as a share of GDP by the end of the next parliament. While he left open the option of borrowing to invest, his chosen fiscal rules make large public spending cuts unavoidable. 

For Clegg, however, this may not be enough. In his speech on the economy at Mansion House last week, he backed George Osborne's more aggressive post-2015 deficit reduction plan and vowed to pursue it if the Lib Dems were in government after the next election. "In the autumn statement we set out a plan to get debt falling as a proportion of GDP by 2016-17 and to get the current structural deficit in balance a year later. That is the right timescale and the one to which the Liberal Democrats remain absolutely committed. If I am in government again, this is the plan I want us to stick to."

Osborne's plan differs from Balls's in three important respects: it is based on a commitment to reduce the national debt by 2016-17 (rather than by the end of the parliament), and to achieve an absolute budget surplus by 2020 (rather than merely a current surplus), and, therefore, would not allow the government to borrow to invest in infrastructure. 

But while Clegg has made it clear that he favours Osborne's timetable, others in his party, most notably Vince Cable, are fighting for an alternative approach. In his own recent address on the economy, the Business Secretary said: "There are different ways of finishing the job … not all require the pace and scale of cuts set out by the chancellor. And they could allow public spending to stabilise or grow in the next parliament, whilst still getting the debt burden down." Based on that, it seems that Cable would prefer to adopt the approach taken by Balls, leaving room to borrow to invest depending on the state of the economy, rather than Osborne's ideological fixation with a budget surplus. 

The key question, in the event of another hung parliament, will be how far Clegg is prepared to go to bind Labour to a plan that he deems fiscally responsible. Given the emphasis he has put on the issue ("we the Liberal Democrats would absolutely insist that government would not break the bank"), it's possible that he would veto any agreeement that did not include Osborne-style cuts.

Alternatively, given Labour's superior bargaining power, it's possible, or even likely, that Miliband and Balls would get their way. In a reverse of 2010, when he signed up to early spending cuts, despite having consistently opposed them throughout the election campaign ("merrily slashing now is an act of economic masochism," he warned, adding that "If anyone had to rely on our support, and we were involved in government, of course we would say no."), he could move from backing Conservative cuts to backing a more balanced plan. 

Whatever happens, now Clegg has named his terms, the debate over post-2015 cuts will move up a gear. 

George Eaton is political editor of the New Statesman.

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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