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This is no time for civility towards Republicans – even John McCain

Appeals for compassion towards the cancer-stricken senator downplay the damage he and his party are doing on healthcare.

If it passes, the Republican health care bill currently being debated in the Senate will kill people. Over the past few months, the party has made several attempts to repeal and replace the Affordable Care Act passed under Obama, all of which share one key feature: they leave millions more people without healthcare.

Data indicates that every year, one in every 830 Americans who lack healthcare insurance will die unnecessarily. A report by the Congressional Budget Office suggests that the newest “skinny repeal” plan will leave an extra 16 million individuals uninsured. That’s an estimated annual body count of 19,277. Many more will be forced to live with treatable painful, chronic and debilitating conditions. Some will develop preventable but permanent disabilities and disfigurements - losing their sight, hearing or use of limbs.

This is upsetting to think about as an observer - thousands of miles across the Atlantic, in a country that has had universal, free at the point of delivery healthcare for almost seven decades. It is monstrously, unfathomably traumatic if you’re one of the millions of Americans who stand to be affected. If you’ve got loved ones who stand to be affected. If you’ve got an ongoing health condition and have no idea how you’ll afford treatment if this bill passes.

I’ve got friends who’re in this situation. They’re petrified, furious and increasingly exhausted. This process has been going on for months. Repeatedly, people have been forced to phone their elected representatives and beg for their lives. There is absolutely no ambiguity about consequences of the legislation. Every senator who supports the health care bill does so in the knowledge it will cost tens of thousands of lives - and having taken calls from its terrified potential victims.

They consider this justifiable because it will enable them to cut taxes for the rich. This might sound like an over simplistic or hyperbolic assertion, but it’s factually true. Past versions of the bill have included tax cuts for healthcare corporations and for individuals with incomes over $200,000 per year, or married couples making over $250,000. The current “skinny repeal” plan has dropped some of these changes, but does remove the employer mandate - which requires medium and large businesses to provide affordable health insurance for 95 per cent full-time employees.

On Tuesday, Senator John McCain took time out from state-funded brain cancer treatment to vote to aid a bill that will deny that same medical care to millions of poorer citizens. In response, ordinary US citizens cursed and insulted him and in some cases wished him dead. This backlash provoked a backlash of its own, with commentators in both the UK and US bemoaning the lack of civility in contemporary discourse. The conflict revealed a fundamental divide in the way we understand politics, cause and effect, and moral culpability.

Over 170 years ago, Engels coined the term “social murder” to describe the process by which societies place poor people in conditions which ensure “they inevitably meet a too early… death”. Morally, it’s hard to see what distinguishes voting to pass a healthcare bill you know will kill tens of thousands from shooting someone and stealing their wallet. The only difference seems to be scale and the number of steps involved. It’s not necessary to wield the weapon yourself to have blood on your hands.

In normal murder cases, few people would even begin to argue that killers deserve to be treated with respect. Most us would avoid lecturing victims’ on politeness and calm, rational debate, and would recognise any anger and hate they feel towards the perpetrator as legitimate emotion. We’d accept the existence of moral rights and wrongs. Even if we feel that two wrongs don’t make a right, we’d understand that when one wrong is vastly more abhorrent and consequential than the other, it should be the focus of our condemnation. Certainly, we wouldn’t pompously insist that a person who willingly took another’s life is “wrong, not evil”.

Knowing the sheer, frantic terror many of my friends in the US are currently experiencing, I’ve found it sickening to watch them be scolded about politeness by individuals with no skin in the game. If it’s not you our your family at risk, it’s far easier to remain cool and detached. Approaching policy debates as an intellectual exercise isn’t evidence of moral superiority - it’s a function of privilege.

Increasingly, I’m coming round to the idea that incivility isn’t merely justifiable, but actively necessary. Senators voted 51-50 in favour of debating a bill that will strip healthcare from millions of people. It’s unpleasant to wish that John McCain was dead—but is it illegitimate to note that, had he been unable to vote, legislation that will kill tens of thousands of others might have been blocked? Crude, visceral language can be a way to force people to acknowledge that this isn’t simply an abstract debate—it’s a matter of life and death.

As Democratic congressman Keith Ellison has argued, merely resisting efforts to cut healthcare isn’t enough. Millions of Americans already lack health insurance and tens of thousands die every year as a result. The Affordable Care Act was a step in the right direction, but the coalition of resistance that has been built to defend it must also push further, for universal coverage. Righteous anger is necessary fuel for that fight.

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Universal Credit takes £3,700 from single working parents - it's time to call a halt

The shadow work and pensions secretary on the latest analysis of a controversial benefit. 

Labour is calling for the roll out of Universal Credit (UC) to be halted as new data shows that while wages are failing to keep up with inflation, cuts to in-work social security support have meant most net incomes have flat-lined in real terms and in some cases worsened, with women and people from ethnic minority communities most likely to be worst affected.

Analysis I commissioned from the House of Commons Library shows that real wages are stagnating and in-work support is contracting for both private and public sector workers. 

Private sector workers like Kellie, a cleaner at Manchester airport, who is married and has a four year old daughter. She told me how by going back to work after the birth of her daughter resulted in her losing in-work tax credits, which made her day-to-day living costs even more difficult to handle. 

Her child tax credits fail to even cover food or pack lunches for her daughter and as a result she has to survive on a very tight weekly budget just to ensure her daughter can eat properly. 

This is the everyday reality for too many people in communities across the UK. People like Kellie who have to make difficult and stressful choices that are having lasting implications on the whole family. 

Eventually Kellie will be transferred onto UC. She told me how she is dreading the transition onto UC, as she is barely managing to get by on tax credits. The stories she hears about having to wait up to 10 weeks before you receive payment and the failure of payments to match tax credits are causing her real concern.

UC is meant to streamline social security support,  and bring together payments for several benefits including tax credits and housing benefit. But it has been plagued by problems in the areas it has been trialled, not least because of the fact claimants must wait six weeks before the first payment. An increased use of food banks has been observed, along with debt, rent arrears, and even homelessness.

The latest evidence came from Citizens Advice in July. The charity surveyed 800 people who sought help with universal credit in pilot areas, and found that 39 per cent were waiting more than six weeks to receive their first payment and 57 per cent were having to borrow money to get by during that time.

Our analysis confirms Universal Credit is just not fit for purpose. It looks at different types of households and income groups, all working full time. It shows single parents with dependent children are hit particularly hard, receiving up to £3,100 a year less than they received with tax credits - a massive hit on any family budget.

A single teacher with two children working full time, for example, who is a new claimant to UC will, in real terms, be around £3,700 a year worse off in 2018-19 compared to 2011-12.

Or take a single parent of two who is working in the NHS on full-time average earnings for the public sector, and is a new tax credit claimant. They will be more than £2,000 a year worse off in real-terms in 2018-19 compared to 2011-12. 

Equality analysis published in response to a Freedom of Information request also revealed that predicted cuts to Universal Credit work allowances introduced in 2016 would fall most heavily on women and ethnic minorities. And yet the government still went ahead with them.

It is shocking that most people on low and middle incomes are no better off than they were five years ago, and in some cases they are worse off. The government’s cuts to in-work support of both tax credits and Universal Credit are having a dramatic, long lasting effect on people’s lives, on top of stagnating wages and rising prices. 

It’s no wonder we are seeing record levels of in-work poverty. This now stands at a shocking 7.4 million people.

Our analyses make clear that the government’s abject failure on living standards will get dramatically worse if UC is rolled out in its current form.

This exactly why I am calling for the roll out to be stopped while urgent reform and redesign of UC is undertaken. In its current form UC is not fit for purpose. We need to ensure that work always pays and that hardworking families are properly supported. 

Labour will transform and redesign UC, ending six-week delays in payment, and creating a fair society for the many, not the few. 

Debbie Abrahams is shadow work and pensions secretary.