Saturday mornings in Hackney, the SWP sell their papers outside Marks and Spencer and the SP sell theirs a bit further down outside Paddy Power. Can never work out if there's some symbolism there and if so, if it's un/intentional...
SWP are Social Darwinists, SP Provos?
Which is why the insurance principle was rejected outright
I don't think it was - in fact, I think it was expanded, which is how I can justify "supporting" the NHS from an anarchist perspective.
Kropotkin said:
Proudhon said:
It is a little odd to recognise how the state has shifted, quite often as a result of popular pressure (rather than merely resolutions of contradictions within capitalism). One may now answer yes to some of these questions:
Berkman said:
Of course, in an anarchist society, healthcare would end up being transformed - there would be no hierarchical organisation of function. Different aspects of what healthcare will look like must be acknowledged though. The first is that (accepting the labour theory of value) employer or union funded healthcare within a state capitalist system is more regressive than utilising a progressive income tax. The second, again accepting the labour theory of value, is that resources must be rationed according to how much socially useful labour can be reified*. How resources are voluntarily allocated will likely depend on such measures as "Quality Adjusted Life Years", which is the standard way of doing so, but involve participation from the mass of the community. To be fair, there has been some support for involving the community in decisions of the NHS, possibly fuelled by classical liberal attempts to generate choice from above, rather concordant with the internal market. Of course, barriers to entry for working class people prevent attendance at independent reviews and healthwatch panels. In an anarchist society, one can only hope that the level of socially useful labour necessary is low enough for people to be involved in administering healthcare voluntarily.
* Thus the following argument from the otherwise excellent "
The Floodgates of Anarchy" doesn't really hold:
Christie/Meltzer said:
But, the bewildered reformer cries, if the rich were not taxed they would be buying second yachts while there would be no funds available for artificial teeth under the National Health Service! It may be wondered if they suppose that a yacht builder can make false teeth, or a dental mechanic uses seasoned timber? Liberalism, like parliamentary socialism, ignores the con trick of the money system, sharing Tory thinking on the real value of money.
The other two points depend on nationalism and internationalism. Should anarchism reign in a single nation, with porous borders "in", one could expect capital flight. This would not necessarily lead to a collapse of healthcare under old liberal principles - one of the artificial barriers to practicing healthcare would be abolished, namely that of accreditation. Now, in most cases, I don't deny that gruelling training is wonderful. I rely heavily on
Quackwatch (sawbones
ain't sawbones!) and dump any books on "
homeopathy" or "natural healing" straight into the bin where I volunteer (I would recycle them, but there's no facility to, unfortunately). However, I hold that it's entirely possible for most individuals to learn the basic principles of triage and get acquainted with one type of surgical procedure. This would normally the province of a specialist that would have to learn the Latin names of every bone in the body before going near someone. The alternatives are to hold that every person with the knowledge and expertise to command a higher entitlement exchange would willingly give that privilege up because of a commitment to egalitarianism, or to accept permanent inequality. The former assumption is drastically at odds with the anarchist conception of human nature - in fact, as Gerald Cohen noted in "If You're an Egalitarian, How Come You're So Rich", if everyone were a perfectly informed angel, capitalism would proceed without contradictions - a single individual with a huge hoard of capital would invest it so as to maximise group utility. The latter is no less at odds with communist anarchism, though would be in accord with Rawlsian justice and the basis of a currency like "
Ithaca Hours" (which value the labour time of dentists and doctors above that of the proletaire). An internationalist health service following an anarchist revolution would probably mean lots of hard work just getting places like the Central African Republic, Sierra Leone and Lesotho up to par, without a lot of return for the nations funding them (other than the benefits of having more productive workforces globally). Which leads to the following:
Meltzer said:
One of the criticisms levelled at centralised planning in the USSR by Bookchin (IIRC, can't find the quote), was that steel produced at one factory was shipped halfway across the country while it was needed by a manufactory next door, which had to halt production. The same principle occurs in capitalist economies (countries with high rates of malnutrition may export food) and could even occur in countries where the needs of the population were considered (by taking into account opportunity costs of shifting steel and having an accurate scale to determine "need"). A similar problem would occur with voluntary systems of healthcare along local lines - a motive for rescission would remain, individuals would still underestimate the likelihood of their falling ill or having an accident and distinctions between regions would become entrenched (if I were living in South Kensington, would I want my healthcare insurance shared with individuals from Tower Hamlets, for instance?). This problem is known as the "
Inverse Care Law" in socialist literature (a pun on the "inverse square law" in physics).
Orwell said:
Of course, the opposition to monopolies from
Andrade could be invoked by right-libertarians claiming "Pareto-efficiency", just as Proudhon's opposition to communism due to their neglect of the "country" or "family" (v.s) is latched on to by crypto-fascists.
Delroy Booth said:
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.
But anarchists look equally bizarre to the parliamentary left.