From hiding
away cigarettes to hiking up the price of booze – Scotland is a world-beater in
state nannying
The Scottish government has enforced yet another measure designed to help
us help ourselves: it has passed a law requiring that all supermarkets hide
cigarettes from public view.
This follows
the enforcement of the public smoking ban in 2006; the raising of the legal age
for buying cigarettes to 18 years; and a levy on cigarettes sold in
supermarkets, which led some shops to stop selling them altogether. The aim is
to create a smoke-free Scotland by 2035. One wonders if Scottish politicians
also plan to make Scotland a heroin-, cocaine- and dope-free society, too. Good
luck with that. Strangely enough, some Scots keep taking drugs despite their
not coming in shiny packets or being sold at supermarkets.
With the
proposed change to the voting age in Scotland, it’s possible that by 2035
16-year-olds will have the chance to elect their own government yet will be
barred from buying cigarettes or even being allowed to see them.
It is not just
cigarettes that Scottish officials are targeting. Alcohol prices are set to
rise, again with the aim of creating a ‘healthier Scotland’. And Scotland’s
public-health minister, Michael Matheson, wants to ban TV advertising of fatty
foods before 9pm.
I took part
in a debate about these measures on BBC TV’s Newsnight
Scotland, alongside Dr Andrew Fraser of NHS Health Scotland and Dr Laura
Williamson, a health researcher. Dr Fraser said we can’t have a ‘free choice
and damn the consequences’ society. But at the same time, he said, it would be
wrong to refer to the Scottish parliament’s behaviour-modifying measures as the
actions of a ‘nanny state’. Rather, he said, this is an ‘informed state’. The
government is simply providing people with information to try to help them make
the ‘right decision’.
He said this
is an important function of the state, because smoking and drinking have a
negative impact on society. For example, smokers may die young, potentially
leaving behind small children. And drinking, he says, impacts on the criminal
justice system, causing crime and also creating broken families, leading to the
further corrosion of society itself.
But these
arguments are deeply disingenuous. Most people who smoke don’t die young; many,
believe it or not, manage to give up smoking (despite those shiny packets).
Most people don’t commit crimes when drunk, or beat their wives. And when Dr
Fraser talks about the ‘dire state’ of Scotland’s health, what does he mean?
The life expectancy for Scots born today is around 78.4 years – only a few
years shy of Japan, which tops the international table at 82.7 years. By way of
contrast, in 1900 life expectancy in Scotland was 45 years. Health is improving
in Scotland, not becoming more ‘dire’. Dr Fraser’s non-nannying ‘informed
state’ seems to be as much in the business of using dubious claims to try to
change people’s personal behaviour as the old-style nanny state was.
In the Newsnight discussion, Dr Laura Williamson took,
on the face of things at least, a more forthright approach to liberty and
freedom. She described herself as an advocate of classical notions of liberty,
and said she did not think poor people were stupid. However, she then argued
that liberals like her are keen to protect the vulnerable from certain
problematic and dangerous things, and thus there is a case for doing something
about Scotland’s ‘health inequalities’.
There we
have it, those weasel words, ‘health inequalities’. What is wrong with talking
about simple, old-fashioned inequality? Why is that category being replaced by
‘health inequalities’? Could it be because where the idea of inequality
referred to major problems like poverty and unemployment, which are hard to
solve, ‘health inequalities’ allows such social issues to be redefined as
simply matters of physical ill-health brought about by the fact that people who
live on council estates apparently make the ‘wrong’ choices?
Dr Williamson,
like many other liberals today, even classical ones, effectively argues that
poor people’s socioeconomic situation means they don’t have the same capacity
to make choices as middle-class people do. Poor people have a kind of choice
inequality, apparently. ‘How free are these choices?’, she asked: ‘We are
talking about multimillion-pound advertising industries. This is why cigarettes
have been locked away and why we’ve gone for plain packaging.’
In other
words, poor people are choice-poor, unlike the choice-rich middle classes –
which means the poor need to be protected against the temptations of that big
sweetie jar of cigarettes and alcohol, which must either be hidden away or made
too expensive to buy. Through turning inequality into ‘health inequality’, and
turning economic poverty into choice poverty, Dr Williamson and others are
really pushing a radical form of paternalism. Sometimes, experts like Fraser
and Williamson hide their illiberalism behind the idea that these behavioural
policy changes are ‘good for the children’. The reality, though, is that too
many of today’s politicians and experts think that we adults, especially the
poor ones, are overgrown children who need constant help and guidance.
When I
challenged Fraser and Williamson’s patronising approach to the public,
Williamson shouted: ‘Haven’t you heard of addiction?’ Here, again, we have the
representation of the hopeless vulnerable adult – the ‘addict’ – who can’t make
real, rational, meaningful choices, and thus needs experts to make them for
him.
Sadly,
liberty is collapsing in Scotland, under the weight of political and
professional elites who have become obsessive micro-managers and nudgers of
people who were once thought of as moral, political, responsible agents.
Williamson has a point: poverty, especially serious poverty, does make it
harder for people to plan ahead and even to ‘plan’ their health. But so too
does a culture that treats adults like infants, which calls into question our
capacity to make free and responsible choices, and which invades poor estates
in order to convince the people who live in them that they are vulnerable,
pathetic and addicted, and in need of help.
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