Labour thinks it and its managers are better than the rest of us, and know better than the rest of us. Local authority bureaucrats will decide where your children go to school, NHS managers who aren't even public figures, let alone elected, will decide the health priorities for your amorphous catchment area.
And when something goes wrong? Tereza Tosbell's ward was so filthy that she got out of bed and
cleaned it herself. And what do the hospital say?
A Colchester Hospital University NHS spokesman said: 'In the annual health check ratings for 2007-2008 we scored maximum marks for safety and cleanliness and we have also been praised for our very low levels of infections such as C. difficile and MRSA.'
This isn't even a non-denial denial. They're more interested in the marks they got from their fellow bureaucrats than they are in the state of their wards. They won't soil their lips with comments about Ms Tosbell's ward. They don't need to. She pays taxes which pay their salaries, but they're not accountable to her.
For the record, the Patients' Association said what Miss Tosbell had experienced was 'nothing unusual'.
Are Ms Tosbell and other patients to have an 'entitlement' for their ward to be clean? In the unlikely event that they do, how will it be enforced? Gordon Brown had to admit that the government has announced the headline without knowing how the policy will work.
It's not as if we know the bureaucrats are doing an outstanding job. As the Burning Our Money blog
points out,
We are spending many tens - possibly hundreds - of millions on patient safety programmes and monitoring systems: the National Patient Safety Agency (NPSA) alone costs us £30m pa. Yet the reams of figures they produce are virtually useless.
The bureaucrats also have far too much power over the elderly.
They can refuse to let a patient go home to his wife.
Serfs, rise up. They don't know best. Even if they did, you are supposedly free people. We don't need a monolithic health provider - we just need a powerful purchaser working on our behalf to procure a range of facilities we can choose from. We shouldn't be instructed by an official where our children are required to go to school - as Tory MP
Douglas Carswell writes:
It's disgraceful that we have this system of rationing in the first place. We wouldn't put up with the state rationing jobs or houses, so why do we tolerate them telling us where and how to educate our kids?
Rather than use the law against mums and dads, parents need a legal right to control their child's share of local authority funding if they're not happy with what's on offer from the council.
Margaret Thatcher enabled many people to opt out from local authorities controlling their accommodation. They wanted to take responsibility for it themselves. The next step is to extend freedom of choice to education and health - not by people losing free provision at the point of use, but by having a real and effective choice of where they go to get the free healthcare for their family, and the free education for their children.
The present state apparatus is oppressive and unaccountable. And that's not an accident. It's an inevitable result of how the system has been designed.