Ignore the Tory spin – pension liabilities and the NHS are affordable
Today there has been a blizzard of reports on the future of public finances, from the Office for Budget Responsibility (OBR), the Treasury (the Whole of Government Accounts, pdf), and the Institute of Economic Affairs (Sharper Axes, Lower Taxes, pdf). In the firing line are public pensions and the NHS.
The OBR’s July 2011 Fiscal Sustainability report (pdf) looks long into the future (2060) and guesses at the likely proportions of GDP that might arise as the population becomes more elderly. The assumptions are based on current policies, not government proposals. Confirming earlier findings in the Hutton Report (pdf), they clearly predict the cost of public pensions will fall from 2% of GDP to 1.8% in 2030 and 1.4% in 2060 – without any of the current Hutton proposals.
In contrast the state pension paid to public and private sector employees is set to rise from 5.7% to 6.1% in 2030 and 7.9% in 2060. Public pensions really are sustainable.

The other major factors increasing are health and long-term care, which taken together increase from about 9.5% to 10% in 2030 and 11.8% in 2060. The British Medical Journal puts this into context today in an article from John Appleby, chief economist of the King’s Fund.
Perhaps unwisely given the far more modest predictions from the OBR shown above, Appleby accepts at face value the verdict of health secretary Andrew Lansley that:
“If things carry on unchanged, this would mean real terms health spending more than doubling to £230 billion… This is something we simply cannot afford.”
And yet even in this worst case scenario this would bring us to only just exceed the OECD average and fall far shy of health and long term care spending in the US.

Or rather it would if the OECD and US didn’t have an aging population that is likely to push up their health costs too. So apparently we simply can afford to carry on with the current NHS arrangements… if we choose to.
Elsewhere, the BBC headlines the OBR report with ‘Public sector pension liabilities top £1 trillion’, noting this is £332 billion higher than the year before. A bit further down they notice that the OBR states this “has nothing to do with changes in the size of prospective pension payments” – remember they will fall from 2% to 1.8% in 2030 – but is because the government has just changed the assumptions.
And in perfectly circular reasoning the right is now trumpeting the OBR report as supporting their changes.
Hopefully Evan Davis or some other even moderately numerate journalists will notice this perfidy and hold the government to account.
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http://twitter.com/mardyoldgit/status/91167848851968000 Christine Pampling
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http://twitter.com/ahmad_noor/status/91174708577443840 Ahmad Noor
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http://twitter.com/therightarticle/status/91176776901996544 Michael
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http://twitter.com/caer23/status/91177535332827136 Caer
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http://twitter.com/davidmheathcote/status/91182656565428225 David Heathcote
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http://twitter.com/wkrussell/status/91194049725333506 Wendy Russell
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http://twitter.com/jimhenderson/status/91195044828151810 Jim Henderson
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http://twitter.com/malarky67/status/91204782827642880 StephenH
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Alan W
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StephenHenderson
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http://twitter.com/chaostocosmos/status/91218979519082496 Pamela Heywood
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Mr. Sensible
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http://twitter.com/interuncut/status/91611489227649024 InternationalUNCUT
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http://twitter.com/falseecon/status/92154208102514688 False Economy
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http://twitter.com/staffsunison/status/92155437805346816 Staffordshire UNISON
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http://twitter.com/pcs_euston/status/92159011574661120 pcs_euston
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http://twitter.com/camdenunited/status/92159015617970176 Camden United
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http://twitter.com/martinstride/status/92159381965242368 Martin Stride
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http://twitter.com/gorton19/status/92164401825722368 B.T
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http://twitter.com/sandwellleader/status/92165447914487808 Cllr Darren Cooper
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http://twitter.com/bob_lloyd/status/92170377962336256 Bob Lloyd
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http://twitter.com/sheffuncut/status/92171834350505984 Bruno Bear
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http://twitter.com/nhsspy/status/92178013571125248 Watching You
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http://twitter.com/livingafloat/status/92198358004928512 Peter Underwood
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http://twitter.com/hlcheathrow/status/92200989662257153 Jon Purdom/Paco Saez
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http://twitter.com/staffsunison/status/92264058832695296 Staffordshire UNISON
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http://twitter.com/spsot/status/92509047923802112 Spir.Sotiropoulou
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http://twitter.com/shezzle0/status/92871855102373888 Shez
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http://alexmasterley.blogspot.com Alex
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http://liberalconspiracy.org/2011/07/27/how-we-could-pay-for-the-uks-demographic-time-bomb/ How the UK could pay for its demographic “time-bomb” | Liberal Conspiracy
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http://www.leftfootforward.org/2011/09/dont-buy-the-right-wing-spin-public-sector-pension-costs-set-to-fall/ Don’t buy the right-wing spin: Public sector pension costs set to fall | Left Foot Forward
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http://www.leftfootforward.org/2011/11/john-hutton-public-sector-pensions-lie/ Hutton repeats his big fat lie on public sector pensions | Left Foot Forward
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