A couple of weeks ago a Tory MEP by the name of Daniel Hannan got his five minutes of internet fame with a diatribe against Gordon Brown in the European Parliament. Although dubiously fast and loose with the facts and full of the kind of yah booism that the Tories are famous for it seemed to resonate with a viewing population fed up with the political state of the nation and quite in favour of watching someone have a proper go at Mr Brown.
At least, that was at first. Where it really seemed to catch on, and where the majority of its two-million-plus hits came from, was the good old US of A. No less a dignitary than Matt Drudge himself helped to spray links to Hannan’s videos all over the right wing of the American blogosphere, prompting many people to say things like “where’s the American version of Daniel Hannan who’s willing to stand up to the Obama administration?!?” Now, again, the crazy facts of the matter aside (Brown was chancellor from 1997, making him the political contemporary of George Bush Jr, and is a pretty committed centrist capitalist despite the Labour label), it seems that the thing that caught people’s attention wasn’t what he said but that he used big words and flowery rhetoric. After all, the USA is hardly starved for people slagging off Barack Obama for ruining the country already. It seems that what they want is someone who can do it without sounding like a complete half wit. Queue a bunch of right wingers in the US media jumping on this latest phenomenon and bringing Hannan over to dance for them
Good news for Mr Hannan, certainly, and theoretically good news for the Conservative Party, which has always been strongly Atlanticist. There are always questions about whether this particular incarnation of the Republican Circular Firing Squad is the one they want to hitch their wagon to given how popular the image of Obama is around the world, but they could play the long game on this and wait for the inevitable backlash.
The problem is, though, there’s a reason Hannan was able to make that speech at all. Hannan only got the opportunity to address the PM at all because he’s left the federalist EPP grouping of centre-right parties ahead of the planned departure by the UK Conservative Party, placing him quite firmly on the more radical and obstructionist wing of Cameron’s new Cuddly Conservatives. And with his new found fame and a receptive audience in the States, Mr Hannan didn’t take long to remind his bosses why, no matter his new international YouTube credibility, he would be a bad choice to become the fact of the Tories as they’re expecting a win: he’s started slagging off the NHS.
Now, to explain, slagging off the NHS is a national pastime over here. The newspapers are full of reasons why it’s failing and why people don’t get the right treatment. The Labour government has poured money into it since their first election in 1997 but it’s widely considered to have been mis-spent on “bureaucracy” and an obsession with targets and league tables, or to have merely kept the service afloat rather than improving it. But there’s a big difference between saying “the government has ruined the NHS!” and claiming, as Hannan did on Sean Hannity’s show, that the NHS is “a 60 year mistake”. Most people in England want the NHS made better, not eradicated. They have a good idea that while it is certainly not without its problems that private-sector replacements are rarely if ever a viable alternative. Not only do we have decades of experience of our government making a pigs ear out of strategies to privatise other sections of our infrastructure to inform our own collective Theory of Second Best Solutions in this matter, we also have a pretty good idea about the problems faced in the US health care system. More people in the UK are inclined to sympathise with the millions of uninsured or the middle classes who find their health insurance eating up larger proportions of their paychecks every year than with the wealthier sections of society who can get access to the top-drawer cancer treatment and not have to worry about bankruptcy while they are doing so.
The European Parliament is elected on a list based system, and Hannan represents the South East – where the rich people live – so he can be a self regarding objectivist and still keep his seat quite handily. But this is not true of the Tories in general. The Labour government in the UK is well on the way to self-immolation and Cameron’s ideas about rejuvenating the Tories with a kinder and more compassionate worldview stand a very good chance of securing them a majority at the next election. But they are in no way on course for a landslide, and people like Hannan poking these third rails of British politics is just the kind of thing that would remind people that behind David Cameron there remains a party full of Thatcherites and old-school Tories who hate the government provision of services they rely on, simply because the government’s providing them and government is de facto bad.
Hannan defends his critique as being something “everybody knows”, and that may well be true of his colleagues writing for The Telegraph and his fellow Tories. But the reality is that while the NHS is hardly breaking any records, it hardly follows that socialised medicine as a concept is a failure or even that the general structure of the NHS in general is flawed. For a start, the NHS is dirt cheap. Per-capita healthcare spending in the UK is amongst the lowest of any developed nation, spending around 20% less than the European average and a staggering 60% less than the USA. Hannan and Hannity might well be aware of the phrase “you get what you pay for” but, obviously, such figures would probably throw a spanner into the works of a simplistic analysis that said private markets were always better and providing services. Further, while it’s true that heart disease and cancer survival rates are amongst the lowest in Europe, this has as much to do with treatment priorities as it does with structural problems. For example, our childhood cancer survival rates are pretty similar, and our Infant, Under-5, Neo-Natal and Maternal Mortality rates (PDF) are all comparable or lower to that of the USA. Like it or not, heart disease and cancer are diseases of the old. Because of the way funding is structured, the USA tends to put more of its resources into keeping old people alive. It’s arguable that the UK should put more money into doing the same thing, but the statistics Hannan quotes aren’t indicative of a general broad failure of the NHS. Rather, they’re more or less what you’d expect from an ageing population with limited resources to spend on health care that prioritised in favour of preventative care and treatment of the young.
So the question is, given these figures, how would Hannan make sure the resources went to the “right” people? If the problem is that we’re not spending enough, surely government can be relied upon to increase spending just as much as private enterprise. If it’s that the resources are being misapplied, that would seem to indicate that Hannan is in favour of taking money out of preventative and early-life care and putting it into treatments for the elder and, generally, wealthier in society – again, good news for Telegraph readers but not really a vote winner. Theoretically, of course, Randians and other Free Marketeers hold that private business can more efficiently allocate resources than government, but the numbers don’t seem to bear that out. We spend less than half the USA’s money but we don’t get half the healthcare. Other countries in Europe (not to mention Canada) spend less than the USA on their various incarnations of socialised medicine and achieve broadly similar results for cancers and heart disease and better results on the broad-population and early-life indicators.
It’s hard to work out where the facts and figures support Hannan’s belief, expressed on Hannity’s show, that the NHS has been our undoing and that the USA should resist the siren call of socialised medicine because their way is so much better. It seems remniscent of those women who are wheeled out on similar shows to defend wife beaters because the bitch was asking for it – it must be true, look, even a European says so! I’m not sure it’s either a noble calling for him personally or for the Tories in general to be Sean Hannity’s go-to European, on call to jump through hoops in exchange for biscuits. I guess we’ll see when the election comes around whether or not he’s faded into the background or whether the Cameron wing will have an Objectivist live wire on their own side to muck everything up for them.
(Updated because of HTML craziness)