Wednesday, 13 August 2014

Mens sana

Jessica Valenti, a feminist blogger, argues in the Guardian that "feminine hygiene products should be free for all, all the time".  I respectfully disagree that the best way to help poor people get what they need is to subsidize supply of some goods to everyone, but that's not what I want to write about.

This is the bit that struck me:
Women in the UK are fighting to axe the 5% tax on tampons (it used to be taxed at 17.5%!), which are considered “luxuries” while men’s razors, for some baffling reason, are not.
It seems to imply that men's razors are VAT-free, which is simply not the case - they carry VAT at 20%.  There are three VAT rates in the UK, the standard rate of 20%, the reduced rate of 5%, and the 0% rate. And some items are VAT-exempt, which is not quite the same thing as being zero-rated.  HMRC has a list of goods and services in the non-standard categories: the list mentions sanitary protection but not razors, which therefore are taxed at the standard rate.

EU VAT policy is discussed quite readably in this UK parliamentary document.  In summary, the reduced rate of VAT applies only to items selected by the UK from an EU-specified menu, and the zero rate applies only to items which the UK zero-rated before the 1991 VAT harmonization - including food, books and newspapers, children's clothes and shoes, public transport, and drugs and medicines on prescription.  The European Commission would like to abolish zero rating, and likes to see its continuation, principally in the UK and Ireland, as a temporary measure.

The much less readable EU documentation is mainly in the 2006 VAT directive : Annex III has the list of items eligible for reduced-rate VAT, and includes "protects used for sanitary protection", but has nothing about shaving.  Title IX of the same document specifies what goods and services should be exempt from VAT.  Chapter 4 of the document, containing "Special provisions applying until the adoption of definitive arrangements", contains Article 110 "Member States which, at 1 January 1991, were granting exemptions with deductibility of the VAT paid at the preceding stage ... may continue to grant those exemptions" ("exemption with deductibility" means a 0% rate).

So where has Valenti, who, to be fair, is not European, got the idea that men's razors are zero rated?  Searching the internet suggests that it's something that UK feminists just know, perhaps because they've read it on the internet, mostly in comments on online forums. This website thunders "We’ve discovered that men’s razors do not carry any VAT at all.  Lowered to 0% in 2001, they became exempt from any VAT."  How can one discover something which is not just untrue, but legally impossible?  This ePetition simply notes that "men's razors are tax free".  This article ("men’s razors are not subject to tax") announces another online petition, these two articles link to the petition ("the list includes men's razors"), but the petition itself, while having fun with the zero-rated status of crocodile meat (which is zero-rated because it's a food), doesn't mention razors at all.  It seems that the authors of the petition discovered their mistake, and quietly deleted it.

Nowadays it's quick and easy to check facts online - anyone who, like me, has in the distant past spent hours in libraries searching for some minor piece of information marvels at what one can discover.  And yet the internet seems to be used much more to spread misinformation than to get things right.

Meanwhile, shouting at George Osborne about this is pointless: he doesn't have the power to change EU VAT law - that would require the agreement of all the EU governments.  And most of the EU governments would like to abolish zero-rating altogether.

Sunday, 10 August 2014

Minimum Unit Price

A study by researchers at the University of Southampton has come up with the dramatic result that the median heavy drinker is paying 33p a unit for alcoholic drinks, whereas the median low-risk drinker is paying £1.10, so that almost all the effect of a Minimum Unit Price of say 50p would fall on the heavy drinkers.  That's encouraging for proponents of minimum pricing, but it doesn't address the question of whether heavy drinkers would respond to a price increase by cutting down how much they drink or by saving money on less important things such as food, clothes and lodging.

I ask myself what they're actually drinking for 33p a unit or less.  Since I last wrote about this, the government has abandoned its plans for a minimum alcohol price (in England and Wales), but banned via the licensing laws the sale of alcoholic drinks below the level of duty+VAT.

Duty on alcoholic drinks is not simple.  EU rules insist that whereas duty on beer and spirits should be proportional to alcohol content (or degrees plato), duty on wine and cider should be proportional to the volume of drink (with provision for different levels of duty for various bands of alcohol levels, and for sparkling drinks).  I don't know why this inconsistency has arisen, but I guess it's because they did what the Germans wanted for beer and what the French wanted for wine.

Following these rules, the UK's current levels of duty per unit of alcohol are:
- beer up to 7.5% ABV:    18.74 p
- spirits:                             28.22 p
- cider 7.5% ABV:              5.288 p
- cider 8.5% ABV:              7 p      
- wine 15% ABV:              18.22 p
- fortified wine 22% ABV:  16.56 p

For cider and wine, the duty per unit is higher if the strength is lower than what I've specified, because the duty is charged per volume of drink not per volume of alcohol.

Adding in VAT at 20% gives the minimum permitted price per unit.  I've compared these prices with the cheapest I could find in a few minutes' searching the internet:

Lager   7.5 cider  13% wine  Whisky  Vodka 
Duty+VAT per unit£0.225  £0.064 £0.252 £0.339 £0.339
Cheapest price per unit£0.325  £0.20 £0.307 £0.375 £0.381
Margin£0.10  £0.136 £0.054 £0.036 £0.042

It's remarkable how cheaply it's possibly to make alcoholic drinks and bring them to market, so long as you spend no money on advertizing (the cheap drinks are all brands I'd never heard of), take the cheapest legal options in making them, and use the lowest cost retailers (Aldi, Iceland...).  Cider seems to be the most expensive of these cheap drinks to make - the regulations (since 2010) require at least 35% apple juice, and apple juice - even if it's imported pomace from eastern europe - is not very cheap.  However the duty on cider is so low that it's still easily the cheapest way to buy alcohol to drink.

If the government wants to make very cheap drink more expensive, I have a simple suggestion for it: increase the minimum apple juice content of cider.  Comparing the margins, I guess that at about 80% apple juice content cheap cider would cost as much as cheap lager (the experts can work out the exact level to achieve this).  Manufacturers would then have a choice of making cider in the way television adverts imply it's made - out of apples - and getting the low rate of duty which, I suppose, was intended to support that traditional process, or making it, as they mostly do now, with less apple and plenty of added sugar, and have it taxed as "made wine" - at wine rates.

Incidentally, the Scottish parliament passed a law imposing a minimum price of 50p a unit in May 2012.  Following legal challenges by the Scotch Whisky Association the law has been referred to the EU Court of Justice, so it's still not been implemented, and isn't likely to be in the next year or so.

Friday, 6 December 2013

Nelson Mandela

Nelson Mandela was the greatest statesman of my lifetime.  I'm glad that he enjoyed such a long life.

Meanwhile, I learned in a bar tonight that the International Rugby Board retains the rights to BBC radio's commentary on Nelson Mandela awarding the 1995 rugby union world cup to Francois Pienaar, but will graciously allow the BBC to use it for the next 24 hours, or perhaps longer.  Which is good, but why have we allowed such ludicrous extensions of intellectual property rights?

Thursday, 5 December 2013

Do markets improve healthcare?

Tim Worstall's UKIP-supporting blog is where I go to get a different angle on the news.  He didn't disappoint me with his spin on a Guardian story from which he quotes "More than 2,000 people have died of dehydration or malnutrition while in a care home or hospital in the last decade".  "Just shitty care" he concludes, "Wonder of the world."  Which is his stock sarcasm about the NHS.

My immediate reaction was that it's foolish to blame the NHS for this.  It's not the hospital's fault if a usually elderly patient is too weak to be saved when admitted with dehydration or malnutrition.  Nor is it the hospital's fault if a patient refuses to eat or drink.  And, while there have reports of patients becoming dehydrated or malnourished while in hospital, I doubt that accounts for more than a few of these two thousand cases, if only because the doctor completing the death certificate will usually rely on the medical problems detailed in the patient's hospital notes.  Hence this statistic tells one little or nothing about the quality of NHS care.

So what did the original story have to say?  The headline in the Guardian story is "Dehydration and malnutrition led to 2,162 deaths in care since 2003", wrongly suggesting that the deaths occurred in care homes, as most of them did not.  Worstall must have read past this, since he's blaming the NHS.  The body of the story is more careful about the statistic, but concerns itself entirely with care homes not hospitals.  And it links prominently to a story in the Telegraph.

Now, Worstall's usual choice of newspaper to link to is the Telegraph, so why has he chosen to use the Guardian for a story it's lifted from his favourite paper (and not even had a go at its misleading headline)?  Because, I suppose, the latter's story doesn't mention hospitals at all.  And Worstall wants to bash hospitals, which are mostly in the NHS, not care homes, which are mostly privately run.

The source of the numbers in both newspapers' stories is this spreadsheet published by the Office for National Statistics, "following an ad hoc request by the Sunday Telegraph".  (The spreadsheet notes that it does not distinguish between state and private provision of either care homes or hospitals.)  Only 14% of deaths in the last year "where either malnutrition or dehydration were mentioned on the death certificate" took place in care homes, but the newspapers are quite right to concentrate on the role of care homes because they are unambiguously responsible in a way that hospitals are not.

We should be cautious in assuming that poor care is likely to be involved in all these deaths.  There may be cases in which dehydration or malnutrition are unavoidable.  And it may something be better to keep a dying patient in familiar surroundings rather than dispatch them to hospital.  But assuming, to oblige Worstall, that the statistic is telling us that some care homes are providing "shitty care", then what?

Care homes in the UK are a mixture of private for-profit (72%), not-for-profit (14%), and local council or NHS provision (14%, numbers from here).  A meta-analysis in the BMJ has reported that "the evidence suggests that, on average, not-for-profit nursing homes deliver higher quality care than do for-profit nursing homes".  And an unscientific online survey suggests that most (but not all) cases of alleged neglect which reach the press occur in the private sector.  So we can't just blame poor care on state provision.

Advocates of private provision of health care have achieved a massive shift from state to private provision of care homes in the last 30 years (page 13).  Even those sceptical, like me, about how well markets can work in healthcare provision can see potential for their application to care homes.  Relatives of a potential resident can visit several care homes, talk to the staff, see the residents, and smell the air - I've done it.  They can ask themselves whether they'd be content to live in the home if need be.  They can choose to pay more for better care too - while local authorities cover the basic cost for many residents, that's at a standard rate which one can choose to top up.  And if a care home proves unsatisfactory, you can move to a different one.  All this should allow market mechanisms to work better than they can in the choice of doctors or treatments, where the patient has no good way to compare competing providers.  So if in fact the care home market is not working - if care homes are killing their residents through neglect - then that calls into question the whole notion of markets in healthcare.

Let's find out whether care homes are doing an adequate job, and if not why markets are failing to work their magic, before we spend any more money and goodwill on introducing competition to the NHS.

Tuesday, 19 November 2013

National Service

The actor Hugh Grant wants Britain to reintroduce National Service, which was phased out at about the time he was born: he says that his "father and grandfather both served and it shaped them".  Grant comes from a military family of some distinction: his father was a Sandhurst-trained officer and his grandfather was awarded the DSO following the Second World War.  So neither of them was subject to National Service.  Whereas I come from an unmilitary family, my father spent two years on National Service, and he describes it as an utter waste of time.

Grant's proposal puts him in the unlikely company of Philip Hollobone, a Tory MP who has presented a Bill to implement the idea.  But it's not going to happen - what would a modern army do with large numbers of unwilling, short-term recruits?

All the same, mightn't it be a good thing if politicians at least had some experience of soldiering and its dangers before they became empowered to send soldiers off to war?  Or would politicians-to-be find a way to avoid it?  The thought has led me to look up the Vietnam War records of all the main-party US presidential and vice-presidential candidates who were of an age to be drafted.  I present them in order of date of birth:

John McCain, 29th August 1936: son and grandson of US Navy Admirals, naval aviator, shot down, badly wounded, tortured and held for over five years as a prisoner.  Unaffected by the draft.

Dick Cheney, 30th Jan 1941: awarded deferments while taking six years to complete four years' worth of study, and then because his wife was pregnant.

Joe Lieberman, 24th February 1942: awarded deferments to attend college and law school and then because he had a child.

Joe Biden, 20th November 1942: awarded deferments while studying at college and law school, and then reclassified as unfit due to asthma.

John Kerry, 11th December 1943: pre-empted the draft by enlisting in the US Navy Reserve when his college deferments ended.  Commanded a "swift boat" in Vietnam and was decorated for gallantry

George W Bush, 6th July 1946: avoided the draft by joining the Texas Air National Guard

Bill Clinton, 19th August 1946: avoided the draft by joining the ROTC

Dan Quayle, 4th February 1947: avoided the draft by joining the Indiana National Guard

Al Gore, 31st March 1948: pre-empted the draft by enlisting when his college deferment ended.  Spend only five months in Vietnam, where, as the son of a Congressman, he was kept well out of harm's way.

John Edwards: 10th June 1953: only just old enough to have been drafted, awarded deferment to attend college.

Of eight prominent politicians who might have been drafted (I'm leaving out McCain as too old and Edwards as too young), three avoided the draft by spending enough years in college, three avoided service in Vietnam by finding safer military options, one went to Vietnam but was kept out of danger, and one - John Kerry - actually fought.  Following his experiences in Vietnam, Kerry became a strong opponent of the war.  This made him enemies within the US Navy, who participated in a smear campaign against him when supporters of GW Bush wanted to muddy the comparison between Kerry and their man.

So the conclusion, albeit from an inadequate sample, is that most politicians will avoid meaningful service, and the few who don't will be the relatively honourable ones.  And those are the ones who lose elections.


Tuesday, 23 July 2013

The pendulum swings

On a long drive home last night, I was annoyed to find the airwaves filled with the not very interesting news that a baby had been born in London - three or four hundred are born there every day, but this one gets particular hereditary privileges which I suppose make it worth a few seconds of one's attention.

So I turned the radio off, and wondered - I like to exercise my critical faculties - what the news was lying about.  The suspicious part was the claim that the sex of the baby had been a surprise to its parents.  That could be true, but it doesn't follow that no one knew.  Ultrasound scans will certainly have been performed as part of the mother's care, and the ultrasonographer will certainly have observed the fetus's genitals.

The sex was of unusual importance (that is, fractionally more than none) in that the Succession to the Crown Act 2013 makes "succession to the Crown not depend on gender".  So, had the baby been a girl, it would have been likely eventually to become queen, and, contrary to long-standing practice, that would remain the case if brothers were later to be born.  Which would make the ratification of the Perth Agreement a matter of some urgency, at least in the minds of courtiers who care about such things.  It follows that they would have strained to discover from the ultrasonographer the sex of the fetus, and, had it been female, to publicize the fact so as to concentrate the minds of the other Commonwealth Realms.  Whereas had it been male, as it was, there would have been no hurry.

It could therefore be deduced from the secrecy about the child's sex that it was male.  I recognize that this analysis would be more impressive if I'd written it without knowing the result.




Saturday, 6 July 2013

Foxy Lady

The women's final of a relatively important tennis tournament is being contested this afternoon in Wimbledon by Sabine Lisicki and Marion Bartoli.  The English broadcast media have settled on pronouncing the former player's name as "Sabeena Lizikee".  That sounds horribly wrong to me: Lisicki is a Polish name (meaning something like "foxy"), and 'c' in Polish is pronounced 'ts'.

However, Sabine is a German name: she's a German with Polish parents, so perhaps the name is pronounced differently in Germany.  I checked on Forvo, which helpfully offers both German and Polish pronunciations: "Luzitskee" and "Leeshitska" respectively (I'm not sure about the first vowel in the German version).  (The Poles are in fact pronouncing "Lisicka" which would be a feminine form of the surname: I suppose the family has chosen not to use this variant.)

Would the player herself prefer us to use a German or a Polish rendering?  Here she is pronouncing her own name: she calls herself "Sabeen Lizikee".  Evidently she is content to follow the local (US) pronunciation - this seems to be common practice among Eastern-European tennis players, cf. Navratilova and Sharapova.

So what should the BBC do? If it wanted to please me, it would adopt the German pronunciation.  I can understand its not caring about that, but I can't see why it should have chosen to pronounce her forename in German and her surname in American.
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I suppose the name Sabine comes from the Italian tribe, remembered for the abduction of its womenfolk, known to me and other admirers of Saki as the "shabby women".
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Update: here's a German chat-show host using the BBC pronunciation.