In pictures: Hicksville, Ohio on the eve of the election

The sleepy town at the heart of the battleground state goes to the polls today.

The sleepy town of Hicksville, Ohio, where I have been stationed, goes to the polls today with the rest of the United States.

Hicksville is a patriotic town - many houses proudly fly the stars and stripes.

Many of the houses boast the ubiquitous lawn signs outside. Josh Mandel is running for Senate for the Republicans - against the hugely popular incumbent democrat Sherrod Brown.

...but not all the yard-signs are political. This one offers "free kittens".

Hicksville is a largely affluent town - many of the houses here are large and distinguished.

This junk shop was damaged just a week ago - a truck from the grain-silo opposite rolled into the front of it, its brakes having failed.

Autumn here is beautiful - the area is known as the "rust belt" for more than just its steel industry at this time of year.

Hicksville is a largely conservative town - most of the signs are for Romney.

The town is dominated by this gigantic silo - and the railway which runs right through the town centre.

All photographs by Nicky Woolf.

Nicky Woolf is a writer for the Guardian based in the US. He tweets @NickyWoolf.

Photo: Getty
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The big problem for the NHS? Local government cuts

Even a U-Turn on planned cuts to the service itself will still leave the NHS under heavy pressure. 

38Degrees has uncovered a series of grisly plans for the NHS over the coming years. Among the highlights: severe cuts to frontline services at the Midland Metropolitan Hospital, including but limited to the closure of its Accident and Emergency department. Elsewhere, one of three hospitals in Leicester, Leicestershire and Rutland are to be shuttered, while there will be cuts to acute services in Suffolk and North East Essex.

These cuts come despite an additional £8bn annual cash injection into the NHS, characterised as the bare minimum needed by Simon Stevens, the head of NHS England.

The cuts are outlined in draft sustainability and transformation plans (STP) that will be approved in October before kicking off a period of wider consultation.

The problem for the NHS is twofold: although its funding remains ringfenced, healthcare inflation means that in reality, the health service requires above-inflation increases to stand still. But the second, bigger problem aren’t cuts to the NHS but to the rest of government spending, particularly local government cuts.

That has seen more pressure on hospital beds as outpatients who require further non-emergency care have nowhere to go, increasing lifestyle problems as cash-strapped councils either close or increase prices at subsidised local authority gyms, build on green space to make the best out of Britain’s booming property market, and cut other corners to manage the growing backlog of devolved cuts.

All of which means even a bigger supply of cash for the NHS than the £8bn promised at the last election – even the bonanza pledged by Vote Leave in the referendum, in fact – will still find itself disappearing down the cracks left by cuts elsewhere. 

Stephen Bush is special correspondent at the New Statesman. He usually writes about politics.