Under the title No wonder Britain’s alcohol guidelines are so extreme — just look at who drafted them Christopher Snowdon at Spectator Health lifts the lid on the way in which the new alcohol guidelines were arrived at.
If true, and I have no reason to suspect Snowdon isn’t being truthful, this is a disgraceful abuse of power by the Chief Medical Officer, and others, to arrive at conclusions which suit their personal predilections in the face of major conflicting evidence.
Given the academic stature of many of those involved, they really should know better. The fact that they appear not to, should be sufficient to disqualify them from their roles and they deserve to be summarily sacked.
Category Archives: current affairs
Alcohol: Hidden Truths
Christopher Snowdon, Head of Lifestyle Economics at the Institute of Economic Affairs, talked recently at the Spectator annual health debate 2016. He talked about the new government guidelines on alcohol consumption — and he still found them deceitful, but nonetheless could see why they may have been cast the way they are. [Spoiler: because the medical profession don’t trust us to be truthful, they’re not truthful to us.]
Read the summary of Snowdon’s talk here; it is actually interesting.
NHS. Unaffordable? I don't think so.
There was an interesting article in yesterday’s Guardian from Neena Modi in which she attacks the myth that the NHS is unaffordable.
The NHS is not unaffordable, as anyone with half an ounce of common sense can see.
The NHS has shed-loads of money to do everything you and I would want it to. It just uses that money inappropriately and wastefully — often as a result of political intervention.
Neena Modi gives some good examples (I am assuming the figures in her article are accurate):
PFI repayments (that’s money the politicians made the NHS “borrow” from the private sector) cost around £10bn a year.
Virgin Care, who have some large NHS clinical contracts, admit to an 8% profit target. That’s another £1.6bn a year — and that’s just on the estimated £20bn of contracts awarded to the private sector in 2013-14.
The NHS is complex. We understand that; in many ways it has to be. But that doesn’t excuse another £640m being spent on management consultants.
Then the politicians introduced this thing called the “internal market” (everyone bidding against each other for a set amount of work). That is reckoned to cost somewhere between £4.5bn and £10bn a year to administer.
And how much is the NHS being told it has to save over the next few years? Did I hear £30bn? Well OK, let’s call it £22bn after the government has pledged (not yet paid!) an additional £8bn.
BINGO! Add up the savings above (let’s take the minimum figures from above) and we get … Yes, a whopping £16.7bn the NHS is spending *each year* that it should not be.
And that’s without allowing for all the wastage of medicines, dressings, supplies etc. Without any account for the multi-layers of unnecessary management. Without thousands of administrators who, whenever I visit a hospital or clinic appear to be ambling around carrying a single piece of paper. Without the countless project managers and IT specialists who can’t; so major improvement programmes fail. Without continual reorganisation and re-branding creating unnecessary jobs and work.
If we could get rid of all that — and we could, if the will was there — we could not only save the required £30bn but also pay the junior doctors a decent salary to work responsible hours.
Or even better … plough back those savings to improve the quality of the care delivered from fit for purpose buildings.
It needs a really tough businessman at the top. One who will tell the politicians to “f*** off” and let him run the show. And then restructure and rebalance the whole organisation to run on the people who genuinely have the right vision. It wouldn’t be pretty, or comfortable and it couldn’t be done overnight; but it would work. If Mussolini could get the trains to run on time…
Why is this so hard? Oh sorry, it doesn’t line anyone’s pockets with gold. That’s why!
We’re doomed. FFS!
Get a Life
We all know the Chief Medical Officer, Sally Davies, is on the warpath against alcohol. And she is on record as saying to Parliamentary Committee this week:
I would like people to make their choice knowing the issues and do as I do when I reach for my glass of wine and think, “Do I want my glass of wine or do I want to raise my risk of breast cancer?” And I take a decision each time I have a glass.
Christopher Snowdon calls it well in the Spectator on Wednesday:
She insists that she weighs up this trade-off every time she takes a drink. Just think about that. This is how she lives her life …
There is a distinction between understanding risk and being so preoccupied with death that you can’t pour a glass of wine without thinking about tumours. Cross that line and you enter a dark realm inhabited by neuroticism, unhappiness and the Chief Medical Officer …
… whatever she throws at us in the years ahead, always remember that if you are able to crack open a bottle of booze without dwelling on thoughts of cancer, you have already beaten her at the game of life.
If she was as intellectually acute as she would like to have us believe she would know that the change in risk of breast cancer before age 75 is around 9.5%, rising to perhaps 10.6% with the consumption of alcohol. It doesn’t take a genius to realise that this is about a 10% risk regardless. And while technically it may be statistically significant (though it doesn’t look it from here) it’s unlikely to be emotionally significant to the vast majority. After all there is something called “quality of life” — something the CMO seems not to have.
Former Tory minister Lord Tebbit has also waded in (Daily Mail; 21 January):
[He] ridiculed her latest ‘drink tea instead of wine’ edict, saying: ‘The Chief Medical Officer regards a quiet glass of sherry as too risky to contemplate. Poor creature. She must shudder in her shoes at the risks taken every Sunday morning by celebrants at Holy Communion sipping at the Communion wine. As I look forward to my 85th birthday in the spring, and my brother’s 89th in the autumn, she is unlikely to persuade me to desist from my nightly half-bottle, or he from his.’
Quite so. This very well connected and wealthy female appears to think we’re as stupid as she is a miserable control freak.
Besides, remember: Research causes cancer in rats.
More Alcohol, Less Puritan
As a follow-up to my post of a couple of days ago on the new government guidelines on consumption of alcohol, the report is taken limb from limb by Christopher Snowdon over at Velvet Glove, Iron Fist in three posts: The Chief Medical Officer is misleading the public, Twists of the Ratchet (where he picks up the comparison with tobacco, which I made earlier) and today in More on those alcohol guidelines. They’re worth a read.
Alcoholic Puritans
As Simon Barnes (former Chief Sports Writer of the Times) pointed out long ago, alcohol is the West’s drug of choice. But we live in a puritan country, and one where the government is getting ever more puritan and attempting to curtail anything of which it doesn’t approve.
Hence this week we have seen new government guidelines on the consumption of alcohol which are hyperbolic and puritan [Telegraph, 08/01/2016]. Or in the words of Simon Jenkins in the Guardian [08/01/2016]: These absurd new guidelines on how much alcohol we should drink are patronising and will have negligible effect on people’s health … These limits are about a vague national self-image of puritanism, not health.
At a swoop the alcohol limit for men has been halved to 14 units a week. Yes, halved. They say the previous limit was 21 units, but it wasn’t; the guidelines said 3-4 units a day; that’s up to 28 units a week. Similarly the limit for women has been reduced from 21 units (2-3 units a day) to 14. That, my friends, is the first piece of statistical obfuscation in the announcements — and it is one none of the media seem to have noticed.
As the Telegraph points out, one simple rule in life is that if A tries to tell B not to do something, B will probably want to do it all the more. Especially if A works for the government and is therefore ipso facto not trusted and seen as hectoring.
According to the Chief Medical Officer there is no safe level of alcohol consumption. While technically this may be true, it is disingenuous. The report’s figures show that there is a small but significant increased risk of breast cancer for women who drink; and similarly an increase in some of the rarer cancers (eg. oesophageal cancer) in men.
So what is the data behind this? Well the figures being quoted in the media are:
| Cancer | 0 Units | 1-14 Units | >14 units |
| Breast, female | 11% | 12.5% | 15.5% |
| Bowel, male | 6.5% | 6.5% | 8.5% |
| Bowel, female | 5% | 5% | 6.5% |
| Oesophagal, male | 0.5% | 1.5% | 2.5% |
[Note: these numbers have been rounded to the nearest 0.5%; allowing for error bars the statistics cannot possibly be any more accurate than this.]
So if I drink more than 14 units a week I am 2% more likely to get bowel cancer (for which I am already being regularly monitored) or oesophageal cancer (which is pretty rare). And note this is over my lifetime (three-quarters or more of which has already passed), not per year.
Let’s give this some perspective … For comparison, in the UK we have a less than 0.5% lifetime chance of dying in some form of transportation accident (the vast majority of which is down to road travel). [In the USA this risk is over 1%.] Moreover in the UK the risk of dying from coronary heart disease alone is around 14% for men and 10% for women.
To quote the Telegraph again, the hyperbolic claim that there is no safe limit at all — that someone is taking their life into their own hands when they enjoy a glass of sherry — defies common sense. The report even admits the health risks of drinking within its recommended limits are comparable to those from “regular or routine activities, such as driving”. And that is something we all accept for both convenience and enjoyment.
As Christopher Snowdon, Head of Lifestyle Economics at the Institute of Economic Affairs observed [Telegraph, again]: Alcohol consumption has been falling for a decade. The change to the guidelines will turn hundreds of thousands of people into ‘hazardous drinkers’ overnight thereby reviving the moral panic about drinking in Britain and opening the door to yet more nanny state interventions. People deserve to get honest and accurate health advice from the Chief Medical Officer, not scaremongering.
And this from Prof Sir David Spiegelhalter, Winton Professor of the Public Understanding of Risk, University of Cambridge: These guidelines define ‘low-risk’ drinking as giving you less than a 1 per cent chance of dying from an alcohol-related condition … An hour of TV watching a day, or a bacon sandwich a couple of times a week, is more dangerous to your long-term health.
Or Simon Jenkins again: Everything we do in life is risky … We would be furious if Whitehall laid down risk and safety limits for riding horses, climbing mountains, eating foreign food and playing rugby. All involve far greater danger than marginal changes in consuming alcohol.
No wonder the government and the Chief Medical Officer have been accused of nanny state scaremongering.
But let’s be clear what the government are doing here. This is puritanism and prohibition by the back-door. Tobacco has already been made socially unacceptable. This is the campaign to do the same for alcohol. And note that they have already started on sugar.
And we all know that prohibition doesn’t work; it drives the problem underground and deprives the government of tax revenue.
As citizens it is our right — indeed our duty — to stand out against such ill-conceived nanny-state control. It is high time that people were empowered to take responsibility for their own lives, the risks they take and their quality of life (something which is all too often overlooked) without hectoring “advice” from on high. Unless we do so we are rapidly sliding down the slippery slope to Orwell’s 1984 and Huxley’s Brave New World.
I, for one, will be treating this new guidance with the contempt it deserves.
2016 Predictions
I thought I’d get my crystal ball out again this year and see if I could come up with a few ideas as to what might happen over the course of this brand new 2016.
What follows is the best I can interpret the misty images in the aforesaid crystal ball. As last year they are just my ideas of what might happen based solely on hunches and gut feel; I have no inside knowledge and I haven’t been studying the form — so if you base any decision on any of this I will take no responsibility for your idiocy. However some of them do seem to be somewhat obvious.
Anyway, here we go …
UK
- David Cameron will not succeed in negotiating any meaningful changes to UK’s membership of the EU
- Nevertheless Cameron declares a triumph & campaigns for the UK to stay in the EU
- However the UK electorate will vote narrowly to leave the EU
- This could lead to the downfall of the current government and a General Election
- Labour’s Sadiq Khan wins the London mayoral election
- Boris Johnson is appointed to the cabinet in a summer reshuffle
- At least one very well-known UK company (or charity) goes into liquidation unexpectedly with 500+ job losses
- The government will go ahead with a third runway at Heathrow despite adverse environmental evaluations
- Consequently the value of property within 10 miles of the Heathrow flightpath falls by 20%
- Work starts on HS2 and Crossrail 2 despite the lack of available funding
- Construction work starts on London’s “garden bridge”, also despite a funding shortfall; the project will never be completed
- Inflation remains at about 1%
- Interest rates rise to 1% by YE
- The FTSE 100 closes 2016 down 10% on the 2015 close
- At least one major “accident” (transport? industrial? terrorist?) with 50+ fatalities — and there’s a good chance it will be in London
- Death of a senior member of the royal family
- Prince Harry comes out as gay (or at least bi)
- Artist Banksy is finally unmasked; he turns out to be someone already well known
- Bruce Forsythe and David Attenborough die
- Arsenal win Premier League
- Another warm, wet winter followed by a cold wet summer
World
- Donald Trump will not win the Republican nomination in the US Presidential election
- Hilary Clinton wins the US Presidential election by the tiniest of majorities
- Relations between Turkey and Russia deteriorate further
- Fighting in Ukraine flares up again
- North Korean leader Kim Jong-un dies unexpectedly, plunging the country into chaos and resulting in annexation by China
- Dalai Lama dies, precipitating a diplomatic crisis with China
- Major violence erupts in Egypt further damaging their tourist industry especially in the Nile Valley
- Assad remains in power in Syria, possibly in a strengthened position as the West comes to see him as the least worst option
- Greece will have further financial troubles and will again come close to leaving the EU — and they may even be forced to leave
- Cyprus reaches some form of vague reunification agreement
- The EU has to formally suspend Schengen Agreement
- A further downturn in Chinese economy causes worldwide downturn
- Oil prices remain low but fuel and domestic energy prices rise compared with the start of the year
- At least two major airline, train, cruise liner or ferry accidents with 200+ fatalities (in total)
- A naval vessel (Australian? Russian?) finds the wreckage of MH370, by luck as it is outside the search zone; it is too deep to be safely recovered
Personal
Six personal predictions have been documented but are redacted to protect both saints and sinners.
Let’s see if we can do any better this year than we did last. But do not put any money on this — I won’t be!
Do you have any good predictions for this year? If so please share them.
Pampered Students
While we’re on people who aren’t impressed, here’s a piece from Harry Mount in yesterday’s Telegraph. Mount is fulminating at the Oxford University students’ demand that a statue of Cecil Rhodes be taken down from the wall of Oriel College because of his imperialist and racist views.

The whole stupid suggestion is, for me, summed up in this one paragraph:
We shouldn’t be so surprised. If you’ve had a lifetime of people saying “yes” to you, of never being told off, you remain frozen in a permanent state of supersensitivity. I wasn’t offended by the Rhodes statue when I was at Oxford 20 years ago. But, even if I had been, I wouldn’t have thought my wounded feelings should be cured by tearing apart the delicate fabric of a beautiful university.
Quite so.
I wonder how many of these same students (or perhaps their academic role models) are (or were) on Rhodes Scholarships? I bet some are.
And moreover I would add that we have to tell history as it was, not how we would like it to have been. To do anything else is not only deceitful but puts you on a short and very slippery slope towards totalitarianism.
Time to grow up, boys and girls!
Publicly Subsidised Flooding?
Yet one more time George Monbiot, writing in yesterday’s Guardian, has his knife in the government’s environmental policy. He maintains that the massive farming subsidies the government have pumped into grouse moors (mostly owned by their chums) are responsible for the widespread flooding in northern England.
While I’m not qualified to make all the connections made by Monbiot, he does seem to have a good point.
Here’s the Guardian article, and here is the fully referenced version.
Safer Sex Work
Today I’m going to return to one of my perennial subjects: prostitution.
A couple of weeks ago New Scientist (12 December) carried an Opinion piece by Clare Wilson under the title Safer Sex Work. As I’m not sure if the linked article is generally accessible on the New Scientist website, I post here the core of the article.
Evidence suggests nations should legalise, not ban, prostitution
Do we help sex workers most by legalising or criminalising what they do? …
A proposed bill [in Scotland] that would decriminalise prostitution there has just finished its consultation stage. In the UK, selling sex isn’t illegal but related acts are, such as soliciting, kerb-crawling and working in a brothel. These would be allowed under the Scottish bill.
In 2012 [MSP] Jean Urquhart favoured a form of criminalisation. Then she went to a debate involving sex workers. What she heard … has led her to “come full circle”. [The] bill is modelled on a 2003 New Zealand law … backed by [WHO] …
… if what you do is illegal, it is harder to work with others or hire guards — that’s classed as working in a brothel. If you get attacked you dare not go to the police. And you are less likely to use services that provide free condoms and treat sexually transmitted infections …
Some opponents of legalisation want the “Swedish model”, where it is illegal to pay for sex but not to provide it, to avoid penalising sex workers. But a sex worker whose customers get arrested will quickly have no customers at all. So it still forces them to operate in secret, leading to the same problems.
As one sex worker says, the debate tends to revolve around feelings about men who pay for sex and what that says about society. She wants to scream: “What about our safety?”
Despite many opinions to the contrary (and despite being totally illogical), we know that the “Swedish model” doesn’t work: see for instance here and here. Unlike in New Zealand which has gone the opposite route to general acclaim.
I remember reading about this Scottish bill some while back and it did seem to me to be the most sensible and logical way forward. Prostitution isn’t going to go away. So legalising, or at least decriminalising, it seems the best approach: the sex workers can be protected, registered and have regular medical checks; that protects their clients as well; and once something is legal and regulated it can be taxed (and what government doesn’t want money for nothing?).
That looks like win-win-win to me.