Features

This is an emergency

The NHS as we know it is dying. It’s no longer a matter of if it will collapse, but when. Those of us who work on the front line have known this for some time, and it’s heartbreaking. Last week’s ransomware cyber-attack served to highlight how frail and vulnerable the health service is. While many tried to blame Health Secretary Jeremy Hunt for failing to prevent such a disaster, the archaic IT system is actually emblematic of how the NHS as a whole has struggled to keep up to date and adapt to the modern world with the necessary speed. I trained as a doctor specifically because I was so proud of the NHS and the ideologies underpinning it. It is one of this country’s greatest achievements: a fair, equitable and cheap way of delivering healthcare.

Throw in the towel

Spas are supposed to be relaxing. You pad around in a regulation robe and too-big slippers. Everything is beautifully soft, crisply white, low lit. There are loungers for flopping and glasses of tea —pale yellow and herbal, not builder’s. Towels are everywhere. It’s rehydrating, restful, rejuvenating. Music tinkles in the background; occasionally a cymbal resounds. The treatment list has huge promise. You will emerge looking glorious or at least a shinier — hopefully slimmer — version of yourself. Medical spas go further still. Your liver will be grateful, your skin more youthful, your lumps and bumps smoothed, your outlook revolutionised. Ten years ago, spas were thought to be a bit peculiar.

Life in a gulag

I was invited to Moscow earlier this year to give a talk about my latest book. But while I was there, I wanted to see if I could track down a few survivors of the gulags — the prison work camps where millions died during the communist years. I wanted to film interviews with them to be used as exhibits in a museum of communist terror which I hope to help create. I asked Anne Applebaum, who wrote Gulag: A History of the Soviet Camps, if she could offer any advice on finding survivors. She gave me tips but added: ‘You’re a bit late.’ The people who were incarcerated in Stalin’s work camps are mostly dead. It was going to be difficult — perhaps impossible.

Made in Windsor

It’s a summer of change for the House of Windsor — out with the old, in with the young. The Duke of Edinburgh has just announced that he is standing down. The Queen carries on, but she’s 91, and now the younger members of the royal family are expected to step up. For an institution that supposedly represents stability, a period of transition inevitably brings dangers. How will Princes William and Harry and the photogenic Catherine, Duchess of Cambridge cope? The early signs are not altogether promising. Nobody these days expects the royal family to heed Walter Bagehot’s famous warning that they should not ‘let in daylight upon magic’; that is, preserve the dignity of the monarchy by shrouding themselves in mystery.

Stand up for Arsène

I had 20 good years supporting Manchester United but now I follow Arsenal, and I find the treatment of the magnificent Arsène Wenger by large sections of my fellow fans mystifying and depressing. I supported Manchester United because when Rupert Murdoch bought top-tier English football in the early 1990s and started marketing it aggressively at the middle classes — who, like me, had previously had no interest in the sport — United were the only logical choice. They played pulsating, swaggering football and often scored thrilling wins from seemingly impossible situations.

Mother Theresa

Tory activists last week were heard to refer to Mrs May as ‘Mummy’. No Corbynista calls their hero ‘Dad’. The human race is guided by myth as much as by logic, and mythology explains people to themselves more vividly than economics. The agony expressed in the liberal intelligent press is understandable. The sensible people who all voted Remain direct much of their fury against the Corbynistas who have taken over the Labour party. Fair enough. Interestingly, however, they attend so closely to what Tony Benn liked to call ‘the ish-oos’ that they ignore the bigger mythological picture. Last summer the country voted — very unwisely according to the sensible 48 per cent — in favour of Brexit.

More gas, less wind

The Global Wind Energy Council recently released its latest report, excitedly boasting that ‘the proliferation of wind energy into the global power market continues at a furious pace, after it was revealed that more than 54 gigawatts of clean renewable wind power was installed across the global market last year’. You may have got the impression from announcements like that, and from the obligatory pictures of wind turbines in any BBC story or airport advert about energy, that wind power is making a big contribution to world energy today. You would be wrong. Its contribution is still, after decades — nay centuries — of development, trivial to the point of irrelevance. Here’s a quiz; no conferring.

Libya’s best hope

We were in a detention centre for migrants in Tripoli and we came to a big locked door. It was impressively bolted and padlocked. Someone murmured that we didn’t have time to look inside. But I felt somehow obliged to do so. Outside in the sun I had already said hello to about 100 migrants — almost all of them from West Africa: Guinea-Conakry and Nigeria. They were sitting on the concrete in rows, their heads in their hands; the men in one group, and about half a dozen women a little way off. They had been here for months, in some cases, and they wanted to go home. Kwasi Kwarteng and Kim Sengupta consider the future of Libya: ‘J’ai faim,’ said one of the men. ‘C’est pas bon ici,’ said another.

At the cutting edge

There’s a graveyard inside Henry Marsh’s head, though you’d never guess it to look at him. There he sits in his elegant flat in a small castle on a small island in the Oxford Thames: 67, attractive, restless. There he sits with the world all around him: Persian rugs, French tapestries, Japanese prints and his beautiful blonde wife (the anthropologist Kate Fox) in a separate flat below. But the ghosts of past patients are never far away. Henry Marsh is a brain surgeon, celebrated for his skill in operating on patients under just local anaesthetic. He’s famous also for his astonishing memoir Do No Harm, to which he’s now written an equally remarkable sequel, Admissions.

Divided they stand

 New York As the malevolence and incoherence of the Trump administration continue to amaze, Democrats are taking heart from the popular revulsion against the Mad Hatter of Mar-a-Lago. The media class is chattering excitedly about anti-Trump momentum after special Congress elections in conservative Kansas and Georgia resulted in a narrow Republican victory in the former and a run-off in the latter. Last week, Paul Kane of the Washington Post cited this as proof ‘that Democrats have galvanised the anti-Trump activism of the past three months into votes at the ballot box’.

Liberté, egalité, supériorité

The French election, of unprecedented interest, hazard and potential for violence, has been largely about who is to blame. Blame for what, exactly? For the country’s chronic malaise. But is it the fault of the bankers, the bosses, the bureaucracy, or the immigrants? Quite often the British press gives the impression that France is in some kind of deplorable condition that we must at all costs avoid, a hybrid, perhaps, of economic Guinea-Bissau and ideological North Korea. In part, this is because the French themselves so strongly lament the state of their country; I have a whole shelf of books (by no means exhaustive) in which French authors predict its imminent collapse. Like any nation at any time in history, France has its problems.

Is Le Pen really ‘far-right’?

What is ‘far-right’? With the progress of Marine Le Pen to France’s presidential run-off, the term has been liberally used — as it has been over recent years across the West. Golden Dawn in Greece, Jobbik in Hungary, and the Sweden Democrats are all said to be far-right, to name but three. The fact that the first two of those groups engage in intimidation, racism and overt displays of political violence would ordinarily distinguish them from a peaceful democratic party opposed to mass immigration like the Sweden Democrats. Yet everywhere there is the same name creep. The website Breitbart is frequently called far-right, as is the administration of Donald Trump.

Moths vs the middle classes

It’s not the free movement of people I spend my nights fretting about; it’s the free movement of pests. It’s the thuggy Spanish bluebells invading our woodland and killing our own delicate flowers; it’s the Asian caterpillars devastating our box hedges; it’s the black-winged killer ladybirds from North America wiping out our spotted red ones with a nasty fungal disease. And — particularly worrying for anyone trying to run a household — it’s the tiny webbing clothes moths, thought to have originated from South Africa, their larvae feasting on our favourite cardigans and carpets — probably feasting right now, under the very bed in which we are failing to sleep.

Why Theresa May’s 1970s-style energy price caps won’t work

Better access to education. Tax cuts for anyone in the struggling middle. More affordable homes, and more money for the National Heath Service. There is nothing wrong with Theresa May seeking to stake out the centre ground of British politics and stop Brexit turning into a right-wing campaign to turn back the clock. But one might have imagined she’d use conservative means to achieve this, rather than raiding Ed Miliband’s last manifesto for ideas. The proposed price cap on energy companies is an alarming example of Mrs May’s left turn. There are so many ways in which the price cap is a genuinely terrible idea that it is hard to find space to list them all. But here are four big flaws to be getting on with.

A little too perfect

Emmanuel Macron is going to be the next president of France. I know people are saying Marine Le Pen isn't out of the race and it's important to keep the suspense going as long as possible. But I see no scenario in which the French will vote her into the Elsyée.  Le Pen's attempt to distance herself from the toxic National Front founded by her father, declaring herself an independent, just like Macron, is entertaining. But it will change nothing. The French may claim to be revolutionaries but they are terrified of change and Marine scares them. Avec raison.  So the serious questions are, who is Emmanuel Macron, the future president of the republic, and what should we expect from his forthcoming quinquennat?

What’s the matter with Macron?

Coming out of a celebratory dinner at a Montparnasse brasserie after topping the poll in the first round of the French presidential election on Sunday, Emmanuel Macron had a brief brush with the press. A reporter asked: ‘Is this your Fouquet moment? This referred to a notoriously showy celebration by Nicolas Sarkozy at Fouquet’s restaurant after his own victory in 2007. The 39-year-old centrist was visibly cross. He simply wanted to thank his secretaries, security officers, politicians and writers, he said. Then came the dig. ‘If you don’t understand that,’ he said, ‘you understand nothing about life. I have no lessons to learn from the petit milieu Parisien.

Do do God

This election was won two days before it was announced, on Easter Sunday. Theresa May put out an Easter message in which she suggested that British values had a Christian basis. It was her version of David Cameron’s message two years before, in which he said that Britain is a Christian country. She was rather more convincing. I don’t know whether Cameron is sincerely religious, but he didn’t seem it. He didn’t even seem to try very hard to seem it, as if fearing that his metropolitan support might weaken, and perhaps that George Osborne would make a snarky jibe about it at cabinet. But it still did him good to make those pro-religious noises. St Theresa should keep her piety out of politics, said a few pundits.