There’s a lot of talk about the increasing strain on health services, something I’ve addressed here.
One of things that bothers me about these discussions is the assumption that increasing funding and resources to the health care system will result in a healthier population, which will, in turn, reduce the demand on the health services. This has never happened. And it’s not likely to happen.
The health of a population mainly comes down to how we live, not to the medicines we swallow or how quickly we can get an operation. Let me just clarify that I’m not arguing against more resources and funds for the health service, we need that to improve them. It’s just that this isn’t a way to create a healthier population and so reduce demand.
To create a healthier population we need to invest in what creates better lives. Better lives for as many people as we can.
There are many ways to do this. But let’s start with housing. Because decent housing, warm, weather-proof, houses with enough living space, clean, running water, an efficient sanitation system, and affordable, reliable power, is a foundation for healthier lives.
Would anyone argue otherwise?
If people are homeless, or living in insanitary, unsafe, overcrowded conditions, then they are more likely to get sick – both in the short term, with infections, and in the longer terms, with chronic, inflammatory conditions. I’m not going to list references here. Google these issues for yourself. But I am going to claim that adequate shelter is a necessary first step to better health for a population.
There are many factors and problems to consider here, but I just want to focus on one – waste – the number of abandoned and/or unused dwellings in every town and city.
When I think about this I can’t help also becoming aware of “high streets” full of empty, abandoned shops and offices. So, let’s take that into consideration too. Because when the town centres empty of commerce they aren’t only dying, depressing and, possibly, dangerous, but they represent a huge waste of opportunity for people to work and live together. We need shops, offices, workshops, cafés, restaurants, exhibition and performance venues, to have a healthy community. It’s no good just building lots of apartments in streets which are devoid of the possibilities for people to meet, share, and work together.
Take a walk around the streets where you live, both the residential streets where you dwell, and the town streets you visit most often for shops, offices, cafés, restaurants, and so on.
How many properties are sitting closed up and seemingly abandoned?
At the same time, are there homeless people in your locality? The homeless might be obvious sitting or lying on the pavements, in the doorways of closed shops, or they might be invisible to you, struggling to get by in bedsits, guest houses or hostels. What about decent housing? Is there anyone living in sub-standard, even unsafe properties? Is there anyone housed in overcrowded conditions with landlords maximising their income by minimising the personal living space of their tenants? Are the streets of your town vibrant, filled with people socialising and satisfying their daily needs and desires, for material , social and cultural goods?
I’m asking because it seems to me that it’s very common to find so many shops, offices and houses that look abandoned that a whole area feels either unsafe or unhealthy. The French have a word for it – désertification…..where a once vibrant locality becomes a desert. What could we do to turn this around? Here’s one idea.
A policy of compulsory purchase and leasing.
What if the local authority, the Council, or the Commune, had the right to compulsorily purchase, in its area of jurisdiction, any property which was uninhabited or unused for at least five years? What if all such properties could be compulsorily purchased for the current independent valuation price, then leased out to new tenants?
Residential properties could be rented out to those on housing benefit, paid for directly from the tenants’ housing benefit, instead of the current situation where these benefits go straight into the pockets of private landlords. Some properties could also be rented at commercial rates to either individuals or groups of individuals, encouraging a healthy social mix in the community.
Additionally some could be offered for sale, either directly at market rates, or using co-ownership schemes, where part of each month’s rent is allocated towards the final purchase of the property by the tenants. In a co-ownership scheme, an additional idea could be to agree a contract of improvement and renovations of the properties which would be paid for by the initial rental payments. For example, a property requiring £50,000 of work, and valued at a monthly rental of £1000, could have the works paid for by the first 50 rental payments.
Commercial properties, shops, workshops and offices could be offered rent-free for new tenant businesses. Instead of paying rent, the Council or Commune could be empowered to collect the VAT generated by these businesses, keeping that element of taxation for local use, instead of it disappearing into national funds.
The income streams to the councils from the housing benefits, domestic rents, co-ownership contracts, sales and locally ring-fenced VAT could then be used to make more compulsory purchases.
I’m sure somebody else will be able to take this idea and refine it considerably, but the basic idea is to favour circulation of property and wealth in the local economy and environment, instead of the current picture of stasis and decline.
Community associations, and co-operatives could be included in such schemes. In other words, it’s not just something for independent businesses and entrepreneurs, but something which could also encourage community led activities. Workshops, recycling services, training and education courses, as well as libraries, galleries, theatres and music venues.
Bringing life back to our existing communities by prioritising decent housing for everyone and supporting the daily opportunities for people to live, work and play together, would be a good beginning, if we want healthier populations who have less need of health services.
I’ll explore some other factors in later articles, including food, education and inequality. But maybe you’d like to share your own ideas? If you do, on your blog, your youtube channel, your instagram feed, or wherever you express yourself, please let me know. I’ll include links to your ideas in my posts.