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The fundamental idea of Social Security is that we care about whether the disabled widow across town has food to eat. And that kind of idea has to be driven out of people’s heads. If people have a commitment to solidarity, mutual aid, support, and so on, that’s dangerous because that could lead to concern for other things. Like, it’s well known, for example, that markets just don’t provide lots of options, which today are crucial options. So for example, markets today permit you to buy one brand of car or another. But a market doesn’t permit you to decide “I don’t want a car, I want a public transportation system”. That’s just not a choice nike air force lv8
made available on the market. And the same is true on a wide nike air force white women
range of other issues of social significance, like whether to help the disabled widow across town. Okay, that’s what communities decide, that’s what democracy is about, that’s what social solidarity is about and mutual aid, and building institutions by people for the benefit of people. And that threatens the system of domination and control right at the heart, so there’s a constant attack on Social Security even though the pretexts aren’t worth paying attention to.

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The coalition government’s Health and Social Care Bill is unlikely to deliver the improvements in children’s health services that are urgently needed. Useful lessons can be learnt from how other European countries deliver healthcare for children, say Ingrid Wolfe and colleaguesThe care provided by UK children’s health services is inferior in many regards to that in comparable European countries. Although there are many examples of good practice, health services too often provide poor outcomes and are seemingly planned around the needs of organisations rather than those of children, young people, and families. Service models are often inefficient and wasteful. Budget constraints and dramatic changes in the NHS make it more important than ever that children’s healthcare is planned carefully and appropriately for their needs (box 1). However, current plans insufficiently recognise children and young people’s special requirements and fail adequately to acknowledge important recommendations made in Ian Kennedy’s review of children’s healthcare.1The Marmot review emphasises the importance of investment in children to reduce health inequalities at all ages.2 Health services in the UK need to adapt both to the changing nature of the challenges of disease in children and to the opportunities to intervene. Other European countries offer helpful insights into ways of improving children’s healthcare.Box 1: How children’s health needs differ from those of adultsw1Diseases Some diseases are specific to childhood, but children can also manifest illnesses differently: in signs and symptoms, in the rapidity air force jordans 4
of decline and recovery, and in behavioural responses. The burden of disease in childhood is shifting away from mostly infectious illnesses to more long term conditionsDemography A large proportion of children in the UK live in poverty. Extensive evidence links poverty to poor health outcomes, and since childhood is one of the most vulnerable periods in the life course, health of children suffers disproportionately