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1. Go the Swedish, etc route and increase taxes on everyone (especially the so called squeezed middle) to fund good state care. 2. People have to pay themselves - which will inevitably be paid for by employers - who will then prefer the State to take the burden (as is starting to happen in the USA).
A couple of points...
The bit that I have highlighted is by no means inevitable and is almost certainly not likely to happen at all in the majority of SME's and quite a lot of large coporations too.
Its slightly related but I took up the cudgel on behalf of the NHS during a discussion on Obama's healthcare bill with some American people I know on Facebook who were all dead against the concept of the state "interfering" (as they see it) in their health and well being, they were adamant that if they needed care then they would pay for it although they weren't quite sure how, but even more adamant that they were not going to pay for healthcare for those less well off then themselves, the over-riding principal being one of small government, so little would be a national governments interference in a citizens life that they would be happy to see another citizen die of a cureable disease if that other citizen could not afford to pay for the cure. - to me that is bizarre and not the sign of a civilised society.
The opinion among them was that the NHS was stood only slightly to the right hand side of communism, one even suggested that the NHS was a breeding ground for terrorists (but I think he was a nutter), and so I asked them a very simple question - I informed them what your average UK citizen on an average working wage would pay in terms of percentage income tax and in terms of national insurance, and pointed out that although not completely true anymore the NIS contribution was "supposed" to be your pension and healthcare provision with the healthcare being of an unlimited, open-ended nature and including everyone in your family if you were the only wage earner - then I asked them what they paid every month for their own private family healthcare plans.
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3. Encourage married women not to work. We have a ridiculous situation whereby women pay people (usually less able than themselves) to look after their own children and are also no longer avaiable to look after ageing parents. This to me is the most sensible approach to take in any civilised society.
The bit that I have highlighted is by no means inevitable and is almost certainly not likely to happen at all in the majority of SME's and quite a lot of large coporations too.
Its slightly related but I took up the cudgel on behalf of the NHS during a discussion on Obama's healthcare bill with some American people I know on Facebook who were all dead against the concept of the state "interfering" (as they see it) in their health and well being, they were adamant that if they needed care then they would pay for it although they weren't quite sure how, but even more adamant that they were not going to pay for healthcare for those less well off then themselves, the over-riding principal being one of small government, so little would be a national governments interference in a citizens life that they would be happy to see another citizen die of a cureable disease if that other citizen could not afford to pay for the cure. - to me that is bizarre and not the sign of a civilised society.
The opinion among them was that the NHS was stood only slightly to the right hand side of communism, one even suggested that the NHS was a breeding ground for terrorists (but I think he was a nutter), and so I asked them a very simple question - I informed them what your average UK citizen on an average working wage would pay in terms of percentage income tax and in terms of national insurance, and pointed out that although not completely true anymore the NIS contribution was "supposed" to be your pension and healthcare provision with the healthcare being of an unlimited, open-ended nature and including everyone in your family if you were the only wage earner - then I asked them what they paid every month for their own private family healthcare plans.
Strange enough, no one commented after that.
The problem in the USA is the system doesn't work. It costs twice as much in GDP terms as here for far from universal coverage. Despite the image of glitzy hospitals for those who can afford it, outcome rates are lower than in many European countries. The US government needs to get to grip with costs as the industry is ripping off the country to such an extent that it is becoming unsustainable. Companies do often provide healthcare insurane for employees, which will start to make them uncompetitive in world markets (as, like us, they want to rebalance back to exporting more). So, the call for more state aid will most likely come from the business lobby there - just at a time when our government will be taking the opposite course!
So, as you say, tax has not gone down but the tax take is insufficient to pay for all these things. Indeed, with the ageing demographic profile in 20 - 30 years time the tax take will be nowhere near enough to remotely provide care. Are you advocating increasing taxes across the board? Personally, I favour basic rate income tax of c. 30% plus NI at, say, 10%. We need a grown up debate. Seems to me three main options (perhaps in combination):
I can't say I buy into the theory that in 20 or 30 years time we won't be able to afford care. With having to work longer before retiring and with obesity on the rise this combination will do a fine job of culling the elderly! I read somewhere for every year beyond 55 you work it takes time off longevity (can't remember how long).
However lets say you are right and we and younger generations all survive well into old age then yes I'd go for increasing income tax by quite a bit. It would have to be with a big crack down on avoidance. Even "accepted" scams of things like the self employed paying themselves a small wage to avoid tax (and to claim benefits such as support for their children at Uni) would have to be dealt with.
1. Go the Swedish, etc route and increase taxes on everyone (especially the so called squeezed middle) to fund good state care.
I am not familiar with the way the Swedes get taxed these days but income tax is progressive so theoretically no one is squeezed as it is a progressive tax. There is no need to squeeze anyone if income tax is the major source of tax revenue. The middle is currently feeling squeezed precisely because the government tries to save money by a scatter gun approach to raising money that is giving us all sorts of anomalies.
2. People have to pay themselves - which will inevitably be paid for by employers - who will then prefer the State to take the burden (as is starting to happen in the USA).
The way health care is funded in the USA is bonkers but once over 65 they have medicare which is state funded. It's under age 65 where you have to have private health care which is normally paid for by your employer.
3. Encourage married women not to work. We have a ridiculous situation whereby women pay people (usually less able than themselves) to look after their own children and are also no longer avaiable to look after ageing parents. This to me is the most sensible approach to take in any civilised society.
You really do need to catch up with the times. The man works, woman is the housewife thing has long gone. In any case in most cases children are grown up by the time the grand parents need care so child care isn't normally a factor in care for the elderly.
What is more why do you think the women are actually qualified to care for the elderly? My parents were 89 and 85 when they died and my mother was 89 and bright as button so needed little actual care. The problem was my Dad who had dementia and he required constant care but by specialists. Had he been in the care of my wife she would be in the funny farm by now herself. It is a terrible affliction and the idea you can just have a family member, man or woman, give up work to care for the elderly who actually need care is simplistic.
What is more why do you think the women are actually qualified to care for the elderly? My parents were 89 and 85 when they died and my mother was 89 and bright as button so needed little actual care. The problem was my Dad who had dementia and he required constant care but by specialists. Had he been in the care of my wife she would be in the funny farm by now herself. It is a terrible affliction and the idea you can just have a family member, man or woman, give up work to care for the elderly who actually need care is simplistic.
Yep. I saw the effect trying to care for/look after my 90 odd year old gran had on my mum for the last few years. Fortunately my gran didn't have dementia or mental issues but had quite severe physical problems. Partly from a car accident in the 70's in which she got a broken leg that wasn't treated properly and meant she couldn't bend her left leg, and partly from severe arthritis in her hands (she used to be a seamstress) which meant she could hardly pick things up. This made simple things like getting out of a chair, reading a newspaper or changing the tv channel very difficult, and getting upstairs (even on a stairlift) almost impossible. My mum is in her early 60's and was obviously still working (a TA at a local secondary school). So, at a time in her life when she should have been enjoying herself, going on holidays etc she was spending most of her free time driving over to Leeds from York to care for my gran. This took a big toll on her, I don't think it's any co-incidence my mum got ill more often than is normal during this time. The stress of not only having to care for an elderly relative, but sort out every little problem (pay bills, deal with letters, deal with carers etc) is far bigger than most people realise. Also it didn't help that my gran wasn't a particularly nice person, I know it's not popular to say it but not all little old women are lovely, kind people. Sadly, she was a bitter, twisted old bag who had a go at everyone and anyone who didn't please her 100%. My gran qualified for some council funded carers to come in twice a day and help her with things like getting up and making meals, but the council had contracted it out to private care companies. These poor sods were paid minimum wage, not paid for the time travelling between houses, and most certainly did NOT have expense accounts. So despite being entitled to 2 sets of 30mins per day, she only received about 10mins of those sets, because as soon as they had done the vital stuff as quickly as possible they were off to their next house. I don't blame them, I'd do the same. It's the frankly, sh|t system that's the problem. This all added to the stress on my mum. To the point where my mum was nervous to go on holiday because of how my gran would cope while she was away. It might sound horrible, but the best thing to happen to my mum is when my gran finally died last year. The difference in my mum's health and just general happiness is huge.
For those of you with access to The Times or The Times Online, good article (except for the final bit) by William Waldegrave today talking about the need for the State to maintain certain responsibilities, including keeping the excesses of the private sector in check. Seems to be trying to remind Conservatives of what they were / should be about. Pity the Labour Party can't say the same.
That's what Ed Miliband was criticised for doing at the weekend.
I missed that, although I did see umpteen years of a Labour government handing out cash and contracts willy-nilly without protecting the public's interests. Just like I am witnessing again with the incompetent Home Secretary and all those ministers who hand out infra-structure contracts to overseas businesses. Where's the sense in handing the profit element of public money to foreign owned businesses? Surely, it's better to pay a little more to UK contractors who retain the profits here? Our politicians are mad. NHS contracts to US healthcare providers next, I'll bet. Our politicians should take a leaf out of the US's book and extract cash from overseas companies not give it to them!
The government wheeled out Baroness Warsi to claim it was a return to communism.
Dally wrote:
... although I did see umpteen years of a Labour government handing out cash and contracts willy-nilly without protecting the public's interests...
As I have repeatedly said, there were very many ways in which the government under Tony Blair continued the same basic economic philosophy begun by Margaret Thatcher. It may not suit you to see the continuation of a philosophy, but it was there.
We are now seeing very general complaints about rail contracts, infrastructure spending and the subsidy of rail companies' profits by the taxpayer, let us not forget precisely when this situation was put in place to start with.
The same can be applied to the utility companies that are now ripping off ordinary people.
Dally wrote:
... Just like I am witnessing again with the incompetent Home Secretary and all those ministers who hand out infra-structure contracts to overseas businesses. Where's the sense in handing the profit element of public money to foreign owned businesses? ...
Haven't you heard about the market and globalisation and competition etc?
It's the natural order of things and the only proper way for us to be free.
And you mention the US, but as just one example, the behaviour of Wal-Mart over the years has been eroding US jobs with it's price cutting, year on year.
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