Ideology, NHS funding and money from nothing: Beware politicians bearing gifts

Under Theresa May and Philip Hammond, the Conservative government has continued on from where it left off under David Cameron and George Osborne. Austerity at the top of the agenda, with all else battered before it's ideological wake.

Which makes it all the more remarkable that the Prime Minister at the head of the party of austerity, this weekend, made a pledge to increase NHS funding by £20 billion a year.

How does this happen?

The Conservatives, for sure, in the majority these days ascribe to a "pro-business" ideology. A belief in private sector growth that boosts tax returns, that in turn cuts taxes, that in turn boosts private sector growth.

That is the ideological belief, at least. One that requires the market to play along with the ideal - particularly when the private sector is required to pick up the slack as the public sector is cut back by the government.

However, these ideological ideas must interact with the real world - and with one of the prime movers of compromise in the political sphere: the point at which politics as ideology meets politics as a competition with a lot riding on it.

The Conservatives in government and Labour on the opposition benches have differing ideologies - though the gaps between the two are at times and in places very narrow, and produce primary outcomes that are very similar.

That similarity comes from politics as a high stakes competition. Each party vying to shape public opinion, or to win over the electorate as public opinion stands - shaping what is called the 'centre ground'.

So even as the Tory government cuts with one hand, it looks to deliver a windfall with the other, to shore up electoral support. And, in this case, that means doing precisely that which the party accuses Labour - making large spending commitments, reckless in the absence of a clearly defined statement as to where the money will come from.

But ideology is never far away. Theresa May followed up her offer of new funding with a cautionary word that the health service much watch and account for every penny carefully. And others have pointed out that this injection of cash only brings the NHS back up to level of funding it had between 1948 and 2010 - when the Tories began imposing austerity.

So long as we treat politics like a game of win or lose in the pursuit of power, we can expect belief to be mingled with ambitious pragmatism. And we must remain wary that what we're being sold comes through layers of motivations - especially when it's a windfall of cash with no obvious source.

References

Nick Triggle's 'NHS funding: Theresa May unveils £20bn boost'; on the BBC; 17 June 2018.

Nick Triggle's 'NHS funding: Brexit 'won't save enough' to fund £20bn boost'; on the BBC; 18 June 2018.