Showing posts with label Politics. Show all posts
Showing posts with label Politics. Show all posts

Tuesday, 1 December 2015

On not striking

Today I went to work. I do this most days, but my arrival today was unexpected because this day I had planned to participate in a strike that the vast majority of junior doctors in England had voted for.

It was made clear by the BMA that this industrial action was a last resort. Doctors have never wanted to strike but we have been backed into a corner by a destructive health secretary unilaterally imposing a cruel and damaging contract on the medical workforce. The BMA balloted its members for industrial action and obtained phenomenal support from doctors collectively appalled at the decisions of central government. 

98% of those who voted (76% of those eligible, so 74.5% overall) said they would support strike action, a massive mandate for change and a clear sign, from those who know, that the government should re-examine their actions. The accusation that the BMA is merely a small band of "militant doctors" has been soundly disproved - essentially all doctors are willing to strike to prevent further erosion to doctor's conditions, ultimately to defend the NHS as we know it.

Compare this mandate with that of our government who received 36.9% of the vote, of 66.1% of the electorate: only 24.4% of the electorate gave their consent for the conservatives to vandalise our health service.

At the last moment the day before the strike Jeremy Hunt agreed to the BMA's conditions; lifting (temporarily) the threat of imposing a new contract and returning to meaningful negotiations via Acas. This was needlessly late in the day as there have been many, many occasions for the government to listen to the legitimate concerns of nearly all doctors.

I disagree with some of my colleagues who feel let down by the BMA. Some are angrily cancelling their memberships and have accused the BMA of weakness. Striking after receiving a reasonable truce would have been counter-productive in the extreme, leaving doctors open to accusations of greed and callousness. Striking is not our goal, it is our last resort tool in the struggle for a fair contract - its misuse would be very damaging to the public's perception of the profession and to our cause overall.  Right now I think we retain both the upper hand and the moral high ground. We're winning, and Jeremy Hunt knows it - so he continues to cast doctors as villains, openly lies and attempts to divide us to weaken our resolve. Not going on strike is a good outcome at this point. Not least because we save our innocent colleagues and patients from some inevitable and regrettable hardship and inconvenience.

Of course I would have enjoyed the novelty of standing at a picket line rather than enduring the often tedious and menial tasks I perform on the ward. I wanted to express the righteous indignation and fully demonstrate my depth of feeling for the profession and for the NHS.
And of course I still think Jeremy Hunt is a dishonest, smug, odious tosser and I don't trust his treacherous grinning weasel face with any aspect of managing the nation's health. 

But there's a much bigger picture: Doctors (and the health service and public sector as a whole) must remain united, dedicated and utterly professional in the struggle for fair treatment and the continued existence of the NHS. We have been gracious enough to give Hunt's first offer of conciliation the benefit of the doubt but if his arrogance continues we have the legal and moral mandate to strike in January.

Doctors feel attacked and denigrated, they have united to express this view and the secretary of state has been made to listen. The threat of imposing the new contract has been lifted for now, yet we maintain our mandate for industrial action should talks break downs. The most effective strike is one we don't have to do (yet).



Saturday, 9 May 2015

I don't know what to think about Scotland

This time last year I had finished my exams and was quickly realising that I didn’t really know the first thing about Africa (or medicine), and I was feeling excited about starting my elective in Tanzania.

This time this year I have finished my exams and am quickly realising that I don’t really know the first thing about medicine (or Africa), and I am feeling intensely glum about the future.

My life of late has been dull in the extreme: I’ve done a bit of revision and sat a few exams and I have been slowly abusing my body with junk food and terrible sleep hygiene for a long time.  So I’ve looked forward to finishing the final set of my extended student career. I anticipated spending the time afterwards reading things for interest not exams, maybe bloviating some more on the internet, reacquainting myself with ignored friends and family, and re-engaging in general. I was looking forward to beginning life and work in Manchester as an FY1 doctor for the long suffering NHS.

Alas, any joy gained from finishing my medical finals on Thursday was violently annihilated by the election results a few hours later. The exit poll was worse than all the previous polls, and the result worse even than that. We have voted for another 5 years of conservative government, except now it will be unmitigated by Liberal Democrat presence.  I am concerned that this country is becoming unkind and insular and selfish and unpleasant, that the people in it are seemingly unconcerned about the healthcare system, about the poor, about immigrants, about welfare, about human rights, about food banks, inequality, about relations with Europe, about big corporations holding governments to ransom.

But smallest of victories: Nigel Farage, and Paul Nuttall and 619 other UKIP failed to win seats, despite some 3.88million UKIP votes. Nearly 4 million adult human beings decided voting UKIP was a good idea.

It’s cruel that the Tory’s unexpected success has benefited so much from the surge of their ideological opponents in the SNP. It seems that fear of an SNP-Lab coalition dissuaded enough labour voters, whereas hatred for the ruling Tories England caused an SNP whitewash in Scotland.
It’s tempting to blame our electoral system; under proportional representation the parliament would look significantly different:


Party Actual result P.R. Difference
Conservatives 331 242 -89
Labour 232 199 -33
Lib Dem 8 51 43
SNP 56 31 -25
Ukip 1 82 81
Green 1 24 23

In my simplification to consider coalition governments:

“LEFT” = LAB(232) + LD(8) + SNP(56) + GREEN(1) = 297 (vs 305 PR)
“RIGHT” = TORY (331) + UKIP(1) = 332 (vs 324 PR)

(Apologies for ignoring all of the smaller and welsh/NI parties)

But I suppose the reality is much more complicated than this – a lot people I know would have voted differently under proportional representation. Plus I see no chance of voting reform as it would never benefit the ruling parties, and of course 2011’s AV referendum was a shambles.

There’s lots and lots and lots to say about the state of British politics this week, and lots has been said and re-said and said again, and I’m aware that I’m neither qualified nor able to clearly articulate the issues.

So I’ll just quote a line from Richard Herring’s blog:

“This is democracy though. It’s all about what most people vote for. And people are fucking idiots, so you can’t be surprised when they do something stupid”

Or perhaps a better and more optimistic one from Aneurin Bevan 1948:

"The NHS will last as long as there are folk left with the faith to fight for it"