This morning, as I was waiting for my turn in the Purohits’ house in Singapore to perform the rituals for one’s departed elders on the New Moon day, I caught up with Sarah O’ Connor’s piece in FT on the coastal town of Blackpool in UK Northwest.
It is a great article in many respects. Some commentators in FT have identified the reasons. It is honest journalistic work; told with sensitivity and with no ideological baggage – one way or the other. There is no air of superiority; there are no lazy ‘I know it all’ prescriptions. The journalist lets the protagonists speak. It is their voices that come through. Ms. Sarah O’ Connor – take a bow!
Further, as several have written, these are the kinds of stories that keep the faith in FT hanging by a thread. They are the antidotes to having ‘free lunches’ and reading other worthies who forget what they themselves wrote earlier or have become so blatantly one-sided that they should add disclaimers about their ideological leanings and personal prejudices.
At least, the FT Editor cannot claim now not to know what clicks with its readers and what they expect of it.
There are many statements made in the article – either by the journalist or by the people of Blackpool – that are worthy of reflection. They make for ideal seminar topics as some of them are rich and are eternal public policy questions. I capture them below with some comments/thoughts preceding them, with the full realisation that opinions an interpretations of the quotes can and will be different.
This is a wonderful doctoral dissertation topic
Well there’s 5,000 new jobs in London every week, and people seem to find it perfectly easy to move 600 miles from rural Romania to take one of these jobs, so why can’t you move 200 miles from Blackpool?’ — it’s true but it sort of ignores the social context.
This lays out how difficult it is to address root causes and why GPs cannot be held responsible for addressing root causes. But, symptomatic treatment is supposed to help buy time for addressing the root causes. An analogy is QE and zero or negative interest rates. But, they have become the only treatment and for ever!
Well, yeah, that’s what medicine does, it treats symptoms. Setting a bone doesn’t get to the root cause of a broken leg — if you wanted to get to the root cause, your job would be to remove the slightly wonky paving stones that drunk people fall over on the way out of pubs on Friday night.” Rajpura argues that the ultimate answer is to tackle the mental health equivalent of the wonky paving stones. He believes that, in places such as Blackpool, we sometimes end up medicating economic and social problems.
This is the holistic understanding that policymakers should have. Indeed, even ordinary citizens should remember. The answer to health issues may lie in non-health aspects and medication may only be a part answer:
[That’s because] 80 per cent of health is determined outside the health service; it’s things like whether you’ve got a job, whether you’ve got a decent home, whether you’ve got social connections and friends.
This is about synergy, information sharing, shedding egos and breaking down silos and it is about walking around and seeing what is there in one’s environment. Sometimes, answers are right under our noses but we become so engrossed in our own little world that we fail to notice the answers around us. Holistic thinking, approach – all those lessons are implicit in the statement below.
Last but not the least, it is about how various government welfare (or even private) initiatives must work together, learn to appreciate the inter-linkages and co-dependencies between each other.
Rajpura wants to make all these social groups, charities, health services and council services aware of each other, so that GPs have more options when a patient such as Phillips sits down in their examination room.
WoW! Ronald Reagan and Margaret Thatcher (and even Ayn Rynd?) would feel vindicated. This is one of the many evidence of a non-doctrinaire and non-ideological reporting that Ms. Sarah O’ Connor has done in this piece. There is something to be said for taking charge and not depending on the welfare state to do its work for you. The question is about lending a helping hand without making the beneficiaries getting addicted to it. Addiction to welfare and doles is as harmful (to oneself and to the society and to the nation’s coffers) as addiction to drugs are. At least with the latter, the damage is somewhat confined to fewer set of people. The statement below goes to the heart of the challenge: how to help in need; for how long; how much; when to withdraw and how not to stifle humans’ innate survival and fighting instincts.
In any case, Dean Baker, Larry Summers and Paul Krugman should read this article.
“Places like Blackpool have suffered deep budget cuts since 2010, putting public services under pressure. But, says Tracy Hopkins, chief executive of Blackpool Citizens Advice, “It’s led us to be more creative about the solutions. There’s really positive things that have come out of — dare I say it — austerity.
What a brilliant articulation of a public policy goal?! Perhaps, it should be the only goal? Get out of the way; provide or enable the infrastructure to be provided and provide an insurance role – whether it is health or harvest or price realisation or access to credit – step in and provide insurance, when the so-called market mechanism is indifferent or insensitive or simply cannot provide it.
The state’s “fundamental purpose” is to provide people with insurance against macroeconomic risks they can’t avoid, she says. “And it hasn’t been working since the early 1980s.
As is evident from this long post, it is clear that Sarah O’ Connor has achieved the purpose of writing – making readers think or rise to the challenge of thinking! Congratulations and may we read more such stuff from her.
Finally, if we are ready to criticise the newspaper (FT) for all the other stuff it has been peddling for the last several years (including its continued backing for ultra-loose monetary policies that is part of the problems faced by places like Blackpool), we should not hesitate to praise it for publishing pieces like this too.
FT too can and should take a bow! Congratulations.