Neither myself, revol68, nor afaict the chap at book fair has any problem with free health care. Why would you feel such provision can only be provided by the state?
If you were replying to caroline1973, then quoting her rather than revol68 would have been clearer.
To play devils advocate* because providing world class universal free at the point of use healthcare for a nation of 60 million people is a gargantuan undertaking, that requires masses of material resources to be utilised and directed. It requires a huge amount of money, that needs to be reliable for years upon years in advance, not to mention the massive costs involved in researching and producing the drugs and other medical technologies, years upon years of training for doctors and nurses, the infastructure and follow up care and all the rest of it. This requires a lot of planning, which of course could be done democratically, but not without some degree of centralisation. Perhaps nationalisation is more suited to that kind of undertaking than people realise, as the state is in a much better position to provide those necessities than voluntary organisations of working class people? And wouldn't any democratic planning organisation that took on this role in an anarchist society end up becoming a de facto state or authority of some kind?
And as much as I admire what took place in revolutionary Spain, can it be compared in both scale and sophistication to the modern NHS? Has any anarchist society been able to come close to this? Furthermore would an anarchist reject the NHS in favour of a non-state organised system, even if that system was unable to provide the same high level of care we so often take for granted?
There's also another point which is the NHS was seen by Bevan and much of the democratic socialists who helped create it as an extension of the principles of mutual aid and collective provision into the post-war era. For them it was the logical conclusion to a centuries worth of experimentation and DIY mutualism in providing welfare system that has its roots in funeral societies and co-ops and so on. Which is why the insurance principle was rejected outright, and why it is based on medical need and not ability to pay, and even to this day in an otherwise neo-liberal society healthcare is not seen by British people as a commodity as it is in other societies that had state-backed private insurance healthcare systems.
*so don't necessarily take all this as if it's what I feel is best or ideal, just want to see what people think of this.
As for the Anarchist bookfair rows, it seems like the stuff which was restricted to the internet making its presence felt. They're not going away infact the rhetoric is basically all out war against any anarchist who doesn't conform to their notions of fighting the Kyriarchy. It's quite explicit
you're either with us or against us stuff I don't think it's possible for these to co-exist without it becoming an utter and total farce.
I know people will say "it's just a small minority of idiots" and perhaps that's true but I don't share that optimism. I already think for a lot of young people with a vague interest in radical politics Anarchism means something very different to what it's historically meant.
Then you've got the anonymous/wikileaks people, who are fucking awful too infact given the choice i'd much rather have the worst intersectionalista brat than some of these Assange groupies. They really are stuck between the devil and the deep blue sea.
Would I be a pessimist or a realist if I said it looks more and more like this movement is a total dead end in terms of instigating substantive political change? And I really take no pleasure in it whatsoever before anyone suggests otherwise.