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A social plimsoll line? : Comments
By Eva Cox, published 30/3/2005Eva Cox asks if there is a point where too much choice in the free market causes societies to 'sink'.
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For example, risk cannot be easily reconciled with healthcare. At my desk, safe from traffic, I would be willing to sacrifice between 5% and 10% of my income for healthcare. About to be run over a bus, I would be willing to part with my entire salary just to stay alive. To balance risk and desire in healthcare, we pool resources.
Imperfect information affects everyone, but exacerbating this, risk is not ‘democratic’, and poorer people are exposed to higher environmental, health and educational risk than more affluent.
This is manifest in Britain as many polls suggest UK voters are do not want tax cuts that lead to reduced services, which in turn has drawn the conservatives back towards the fiscal centre. Despite voters being perpetually dissatisfied with the quality and capacity provided by the National Health Service (a universal system, free at the point of delivery), they are unwilling to see it diminished. They even accepted a tax rise of 1% to pay for it.
This voter-citizen reluctance is also indirectly evident in the difficulty even conservative administrations have in trying to reduce the level of national income taken as tax, despite 20 years of neo-liberal ascendancy.
Politicians who equate dissatisfaction with the quality of public insurance and assurance schemes with a simple lack of choice are ignoring the very drawbacks of the characteristics of the market. Markets thrive on dissatisfaction (we are perpetually dissatisfied with what we have, therefore consume more), yet it is not pilloried as a flawed provider.
Of course people are dissatisfied with public services. They operate in the same scarce world as the private sector, but politicians are afraid to give citizens choice on how well these services are funded, in often a (rhetorical only) race to the ‘tax-bottom’. They assume we demand more choice in how these services are provided. Yet voters have continually supported tax and spend governments.