Among the many disasters that are apparently set to befall this country when we leave the European Union, the one that touches our moral and political sensitivities the most is probably that Brexit will undermine our National Health Service, the jewel in the crown of our communal care for each other.
I want to suggest the opposite: that under the rules that operate within the EU, the very formation of the NHS would not have been possible. For written deep within the DNA of the European Union is a commitment to precisely the sort of neoliberal economics that would have completely undermined the very possibility of a National Health Service.
The story begins 75 years ago this month, with the gathering of economic experts at the Mount Washington Hotel at Bretton Woods in New Hampshire. Seeking to construct a new economic order amid the ashes of the Second World War, the economists at Bretton Woods, including John Maynard Keynes as a representative of the British government, set up a global financial architecture that laid the groundwork for an unparalleled period of peace and financial stability.
Lasting from 1944 until the early 1970’s, the financial system designed protected the great projects of national reconstruction from international financial speculation. Exchange rates were to be pegged to the value of gold, capital flows in and out of a country were to be limited and managed. During this period, there were no significant financial crashes. And Western governments, responding to their democratic mandates, were able to fulfil the wishes of their electorates unperturbed by the sort of financial speculation that might have undermined them.
In the UK, Clement Attlee came to power a year after Bretton Woods. He was the most successful Labour Prime Minister there has ever been, establishing the welfare state, the NHS and full employment. No Prime Minister did more for the poor and the vulnerable than Clement Attlee. He was dead against joining the EU. Total hero.
Compare and contrast what was possible for Attlee and what proved to be impossible for another socialist leader who came to power in the post-Bretton Woods era. François Mitterrand was elected President of France in 1981. French voters had rejected the austerity policies of the Seventies and Mitterrand set about preparing for a programme of government – increase in public spending, nationalisation of the banks, greater taxation of the wealthy and an increase in social security. The global financial markets reacted with horror and invested capital began rapidly to flee from France. This is precisely what Bretton Woods, with its strict capital controls, had protected the Attlee government against.
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