A poster encouraging a Yes vote in the coming referendum. Photo:Getty Images
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It's apathy, not shy No voters, that may sink the Republic of Ireland's equal marriage referendum

The Republic of Ireland is on the brink of making history this week. But a low turnout could still sink the Yes side.

On Friday, Ireland will become the first country to hold a referendum on whether to legalise same sex marriage. Polling shows the Yes campaign to be garnering massive support. Not only is Ireland likely to introduce same sex marriage but it will do so with the mass backing of its people. All the major political parties are backing same sex marriage. Now they just need to get over the last hurdles to make it a reality and insert same sex marriage into the Irish constitution.

Numerous commentators have raised the possibility of inaccurate polling, comparing the polling on the referendum to the polling on the recent UK general election. While it is doubtless that there are shy no voters, just as there were shy Tories, it is likely that there is not enough of them to sway the vote significantly. The polls surrounding the UK election where somewhat different. Rather than showing a significant lead for one side, as the Irish marriage referendum polls do, they showed both sides at around the same levels of support. Support for same sex marriage in Ireland on the other hand is polling at 70 per cent compared to 30 per cent against, once the undecided have been removed. Only 13 per cent are claiming to be undecided, an insignificant number that is not going to cause a massive upset although may cause the gap between yes and no to narrow. Another major poll shows support at 69 per cent when the undecided are included and 73 per cent when they’re excluded.  

The so called ‘shy no voter’ is inevitable in a referendum on something like this. It’s a topic that is highly charged and passionately argued about, it’s inevitable that some no voters would rather keep their vote to themselves. Some of the major parties have been lobbying their members who may be against or undecided on Friday. Those affiliated to Fianna Fáil are most likely to vote no, polling figures range from 42 per cent to 47 per cent voting against. However Fianna Fáil has attempted to garner support among its members. Yesterday evening they sent out an email to members explaining clearly and simply what the referendum was about, why it was important and addressing common concerns about the same sex marriage such as the issue of surrogacy and adoption. Fianna Fáil’s leader Micheál Martin has also advocated the Yes vote relentlessly during the campaign. During a recent interview with Vincent Browne he dismissed the issues surrounding the referendum, arguing that ‘The question is simple: who may marry and who may not marry – nothing more’. The shy no voter is not likely to be the Yes campaigns biggest challenge, the undecided aren’t a significant number and parties are attempting to address fears as well as they can. 

The biggest challenges for the Yes campaign will be getting out the Yes vote on the day. If they are to realise anywhere near their polling figures, it is vital that people are not apathetic about the referendum and don’t assume that polling figures means that the referendum will pass with ease and they don’t need to vote. This has previously been a problem in Irish referendums. The initial Nice Treaty referendum suffered from an extremely low turnout, only 34 per cent, and the no vote triumphed. However a referendum on the same Treaty, with some further assurances from Europe on issues such as military neutrality, saw turnout at almost 50 per cent and passed, the no vote stagnating but the yes vote grew substantially with almost twice the number of people voting for the Nice Treaty. This suggests that turnout was a major factor in the Nice Treaty referendum rather than a serious objection to the content.  Polling data suggests that getting out the vote will be particularly important as voter turnout is usually higher among older age groups and those in the 65 and older category are most likely to vote against same sex marriage. 18 to 24 year olds are the most likely to vote Yes however they are also less likely to vote. In the last push before voting opens, these are the voters that must be inspired and convinced that their vote matters.

The possibility of Ireland being the first country to legalise same sex marriage by popular vote is something for Ireland to be very proud of. Once same sex marriage is a part of the constitution it is protected from easy changes and can only be altered by another referendum. The biggest hurdle now will be to get out the vote, particularly those who may not normally vote but feel strongly about same sex marriage. This is far more important than worrying about shy no voters or the possible inaccuracies of opinion polls. History has shown that low turnout can sway referendums in ways that the majority of the population didn’t necessarily want such as with the Nice Treaty. If people vote and don’t take the Yes vote support for granted, then Friday will be a historic moment for Irish politics. 

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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