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289 pages, Kindle Edition
First published September 19, 2023
A different world is not just possible, it already exists in Europe. Much of what appears impossible to us is already happening elsewhere. We simply have not looked. What is missing is the political will to change, and the understanding that change has happened elsewhere successfully.
There is a tendency for people to think that students are better educated in the UK, when they are unaware of actual international comparisons. If those comparisons were known, it would not be so easy to be lulled into believing that the status quo is the best that can be achieved. People would not fall for the story that the UK is a remarkable country stocked full of world-leading universities and schools. In recent decades these claims have been repeated so often that most folk have come to believe them.
The alternative interpretation is that the most exclusive private schools and some courses at UK universities are extremely expensive, rather than extremely good at helping people to think more openly or skillfully. England has the highest university fees in the world. Average UK undergraduate feeds are 33.8% higher than the next most expensive country, the US, and those are just fees for tuition, not accommodation. England's tuition fees are also 138% higher than Japan's, 144% higher than Canada's, and 157% higher than those of the very unequal South Korea.
From being above all other large European countries for life expectancy in the 1950s, the UK has dropped below all of the rest of Western Europe by 2021. From being nearly first worldwide for child health in the 1960s, when measured by neonatal mortality rate, the UK had dropped to seventh place among 28 European countries by 1990, and nineteenth by 2015. According to the latest data, by 2020 the UK had fallen further, to twenty-third out of the same 28 countries. Only Slovakia, Bulgaria, Croatia, Romania, and Malta had worse neonatal mortality. [...]
Our relative fall down the health league tables has been speeding up in recent years. It affects people of all ages, from shortly after birth to old age - from the cradle to the grave. In a 2022 article published in the British Medical Journal, a colleague and I charted the remarkable fall since 2012 in the UK's projected life expectancy. The effect of the pandemic was large, but not as large as that of austerity. [...] The UK is now in a continual health crisis, just as it is suffering continual crises in housing, education, poverty, and, since 2016, politics.