i Whitehall Editor's Letter: What's good for our health will be bad for our wallet

 

Share

Conventional wisdom has it that political parties win power by promising to cut and not raise our taxes.

But, as we report today, Labour is now gambling that there is one exception to this: the NHS.

It is examining how it can go into the next election promising to increase funding to the health service at a time when public finances will be no less tight than they have been for the past five years.

To do so the party realises it will almost certainly have to ask us to pay more and hope that we care more about our future health than our current tax bill.

Rationally, we should accept this. New technology and a growing elderly population mean that, unfortunately, the proportion of our national income we spend on health must rise and the money has to come from somewhere.

So far, most of the savings that have allowed the NHS to get through the past four years (of broadly flat spending) have been one-offs and are nearly exhausted.

Most health experts agree that we are now at a tipping point where "doing more for less" in the NHS is no longer sustainable.

No extra money will mean longer waiting times for cancer treatments (a form of rationing), not spending money on the latest drugs and the closure of smaller hospitals.

But we are not always rational. People convince themselves that fabled "efficiency savings" can be found and that if we could eliminate "waste" then the NHS would be fine and we can keep our money.

The truth is that the NHS needs more money and efficiency savings if it is to keep up with our understandably high expectations of it.

Labour, to its credit, has recognised that and so, privately, do many Conservatives. But it is a hard message to sell to voters. What's good for our health will be bad for our wallet.

i@independent.co.uk

React Now

Latest stories from i100
Have you tried new the Independent Digital Edition apps?
iJobs Job Widget
iJobs General

Ashdown Group: Senior Marketing Executive- City of London, Old Street

£40000 - £43000 per annum + benefits: Ashdown Group: Senior Marketing Executiv...

Ashdown Group: Marketing Manager

£40000 - £43000 per annum + benefits: Ashdown Group: An international organisa...

Ashdown Group: Internal Recruiter -Rugby, Warwickshire

£25000 - £30000 per annum: Ashdown Group: Internal Recruiter -Rugby, Warwicksh...

Ashdown Group: Marketing Manager/Marketing Controller (Financial Services)

£70000 - £75000 per annum + benefits: Ashdown Group: Marketing Manager/Marketi...

Day In a Page

Read Next
The traditional Boxing Day hunt in Lacock  

For foxes' sake: Don't let the bloody tradition of the Boxing Day hunt return

Mimi Bekhechi
 

Letter from the Deputy Editor: i’s Review of the Year

Andrew Webster
A Christmas without hope: Fears grow in Gaza that the conflict with Israel will soon reignite

Christmas without hope

Gaza fears grow that conflict with Israel will soon reignite
After 150 years, you can finally visit the grisliest museum in the country

The 'Black Museum'

After 150 years, you can finally visit Britain's grisliest museum
No ho-ho-hos with Nick Frost's badass Santa

No ho-ho-hos with Nick Frost's badass Santa

Doctor Who Christmas Special TV review
Chilly Christmas: Swimmers take festive dip for charity

Chilly Christmas

Swimmers dive into freezing British waters for charity
Veterans' hostel 'overwhelmed by kindness' for festive dinner

Homeless Veterans appeal

In 2010, Sgt Gary Jamieson stepped on an IED in Afghanistan and lost his legs and an arm. He reveals what, and who, helped him to make a remarkable recovery
Isis in Iraq: Yazidi girls killing themselves to escape rape and imprisonment by militants

'Jilan killed herself in the bathroom. She cut her wrists and hanged herself'

Yazidi girls killing themselves to escape rape and imprisonment
Ed Balls interview: 'If I think about the deficit when I'm playing the piano, it all goes wrong'

Ed Balls interview

'If I think about the deficit when I'm playing the piano, it all goes wrong'
He's behind you, dude!

US stars in UK panto

From David Hasselhoff to Jerry Hall
Grace Dent's Christmas Quiz: What are you – a festive curmudgeon or top of the tree?

Grace Dent's Christmas Quiz

What are you – a festive curmudgeon or top of the tree?
Nasa planning to build cloud cities in airships above Venus

Nasa planning to build cloud cities in airships above Venus

Planet’s surface is inhospitable to humans but 30 miles above it is almost perfect
Surrounded by high-rise flats is a little house filled with Lebanon’s history - clocks, rifles, frogmen’s uniforms and colonial helmets

Clocks, rifles, swords, frogmen’s uniforms

Surrounded by high-rise flats is a little house filled with Lebanon’s history
Return to Gaza: Four months on, the wounds left by Israel's bombardment have not yet healed

Four months after the bombardment, Gaza’s wounds are yet to heal

Kim Sengupta is reunited with a man whose plight mirrors the suffering of the Palestinian people
Gastric surgery: Is it really the answer to the UK's obesity epidemic?

Is gastric surgery really the answer to the UK's obesity epidemic?

Critics argue that it’s crazy to operate on healthy people just to stop them eating
Homeless Veterans appeal: Christmas charity auction Part 2 - now LIVE

Homeless Veterans appeal: Christmas charity auction

Bid on original art, or trips of a lifetime to Africa or the 'Corrie' set, and help Homeless Veterans
Pantomime rings the changes to welcome autistic theatre-goers

Autism-friendly theatre

Pantomime leads the pack in quest to welcome all