Dr Max Pemberton
writes in The Telegraph that some NHS officials are prohibiting flowers by the hospital bed in the interests of infection control. What has a greater influence on control of infection in hospitals is the level of bed occupancy. And the government knows this:
A leaked government internal review dating back to 2004 and supported by subsequent research shows that when bed occupancy is higher than 90 per cent, infection rates are more than 40 per cent higher that when just 85 per cent of beds are occupied. Many hospitals are already running at or near 100 per cent. Yet this has been ignored by the Department of Health and NHS officials because it is in conflict with current policies for reducing bed numbers.
And so we are forbidden flowers instead - a policy forced on us by unaccountable and invisible NHS officials. Not only are we denied a voice in these autocratic decisions, but inconvenient truths established in reports which we as taxpayers paid for are suppressed.
Labour sees people as clients of the state.
Big brother wants to watch you. Gordon Brown wants everyone to have their own webpage under state control which will itemise all the state's dealings with them. Never mind that it will probably cost a bomb, never mind that it is bound to be insecure. Would I be able to opt out of it? More easily than I can opt out of the expensively misguided centralised NHS records? There, if you recall, we were sent a form allowing us to request a copy of the explanatory leaflet in Urdu (using a reply paid envelope), but no form enabling us to opt out.
No, to do that, we had to get a form from our GP, or download it from the internet and deposit it at our GP's practice. Inertia selling is illegal for the private sector, but apparently not for the big state.
Objectionable as it is on security and civil liberties grounds, Brown's proposal for a personal webpage becomes positively risible in the light of his government's failure to stitch together even the various state benefits databases. The state still relies on welfare recipients to go from one paying agency to another to bring them the news that - to take a few examples - they are now employed, or are receiving working tax credits, or a student grant, or have lost entitlement to income support.
Every day this exposes welfare recipients to the temptation of not promptly passing on news which would make them poorer. So they delay, maybe initially for a week or two. Then a few weeks becomes a few months and they can't afford to return the overpayments. And thus the state makes criminals of people at the bottom of the ladder who might have remained law abiding had not the state thrust temptation in their way.
Yet the pompous and ridiculous Brown proposes a personal webpage for everyone to which doubtless thousands of officials would have access.
Big government tends to hoard information and power to itself and become increasingly undemocratic. Well worth viewing is
Michael Portillo's recent programme on Power to the People. Resolutely non party political, it features two controversial directly elected mayors from outside the main political parties. After the obligatory trip to see the sheriff at Phoenix, Arizona, Portillo asks if police chiefs should be directly elected here. There's a quietly hilarious interview with ir Hugh Orde, where he tells Portillo that police chiefs know better than the electorate what is good for them, and it is for police chiefs to set policing priorities. Even if that goes against the democratic will, asks Portillo in a quiet but deadly voice. Orde seems not to notice the elephant trap he's dug and flings himself into it.
As Portillo points out, the sort of people who fancy themselves as ministers do usually think they know better than the rest of us, and want to leave their mark. Thus there us a bias towards centralisation - Mrs Thatcher does not escape criticism here.
The visibility of the two local mayors increases accountability in itself, just because they have high local exposure. No hiding place for them. Both the Hartlepool and Doncaster mayors owed their election to flukes, but Stuart Drummond at Hartlepool has been re-elected more than once - which can be no fluke.
The invisible NHS bureaucrats - paid, incidentally, a lot more than the mayors - are accountable only to their secretive, unaccountable centre. The mayors, by contrast, are accountable to their electorates, which is as it should be. Fewer chances to hide, or to impose policies people don't want.
Brown's model is that the state is above the citizens, that the people are clients of the state, which provides them with services such as health or education on a take it or leave it basis. The NUT seems to agree with this, as it proposes to strike against schools being removed from local authority control.
In France and elsewhere, governmnt recognises the need to slim the state sector with a '2 out 1 in' policy for state employees. Would the newly frisky unions tolerate any such policy here? The union demonstration at Whitehall today suggests not.
Big government is inherently oppressive and poor value for taxpayers' money, and tends to grow as ministers seek to boost their own popularity.
Power to the people.