Tuesday 16 June 2020

Levelling The Gradient


by Les May

A COUPLE of weeks ago Kirsty Wark, the presenter of the BBC Two news and current affairs programme Newsnight, introduced an item which was supposed to deal with the question of discrimination in Britain using as an example the fact that there ‘weren’t many black CEOs’ (Chief Executive Officers). This intro told us little about whether there really is discrimination, and a lot about Wark’s priorities.

The assumption that you can lump all black, brown, Asian people together and label them BAME is a favourite modus operandi of armchair sociologists and media pundits.  This lazy approach to avoid thinking more deeply is akin to what has been called the ‘ecological fallacy’.  One example of this is the assumption that if one group is found to have, say a higher average income than another, then all members of the first group will have higher incomes than anyone in the second group. This is clearly nonsense.  Some individuals in the second group will be doing very nicely thank you and have incomes which are much higher than many of the people in either of the groups.   I have little doubt that Wark is significantly more wealthy than a very large number of white and non-white people alike.  She certainly has more power and influence.

By concentrating on single issues the questions raised by the huge inequalities in income, wealth, power and status we experience in the UK get ignored.  People like Wark give no sign of wanting to disturb the status quo and the hierarchies it fosters.  Without exploring the variation in income etc within BAME and white population we can never be sure that we are not mistaking differences caused by inequality as being caused by discrimination.

Is the observation, and at the moment it is just an observation, that people in the BAME population seem to be disproportionately affected by Covid 19 disease due to the factors which also disadvantage many of the white population, such as huge differences in income, wealth etc?  Asking this does not exclude the possibility that it results from discrimination, cultural norms or the prevalence of morbidities caused by so called ‘lifestyle’ factors such as diet and exercise, which in turn may themselves be a reflection of differences in wealth.

There is little appetite in the UK for recognising the effects of our very unequal society on the lives of our citizens, irrespective of their skin colour.  Even when studies to examine the impact of inequality are done, their findings are ignored. And it’s not just the Tories who are wilfully blind.  In February two of the candidates for the Labour leadership felt that a Jewish pressure group and a ‘trans’ pressure group needed their public support, but when the Marmot review which looked at differences in health outcomes appeared later in the month it had zero impact on the campaign.

The media gave prominence to only one finding; that ‘Female life expectancy declined in the most deprived 10 percent of neighbourhoods’ and ignored both the large disparity in life expectancy (LE) between people of higher and people of lower economic and social status, and that, irrespective of economic status women tend to live longer than men. (see page 18, Figure 2.4) reported in the review. (my emphasis).


These disparities also exist with regard to the disability free life expectancy (DFLE), i.e. the number of years of life someone will have free from disability.  The review referred to these differences as forming a ‘social gradient’.

What the review showed was that in England, the difference in life expectancy at birth between the least deprived 10% of the population and the most deprived 10% was more than 9 years for men and more than 7 years for women.  Life expectancy at birth for men living in the most deprived areas in England was 74 years, compared with 83 years in the least deprived areas; the corresponding figures for women were 79 and 86 years in 2016-18. (see pages 15-17, figures 2.1, 2.2 and 2.3) in the review.

With regard to disabilities in later life the review said, ‘The social gradient in disability-free life expectancy is steeper than the gradient in life expectancy.  As a result, people living in areas with more disadvantage not only expect to live a shorter life, but also to spend more of that shorter life with a limiting long-term illness. (my emphasis)

The effect of ongoing and future rises in the age at which people become eligible to receive a state pension (SPA) will be felt most strongly by those of lower economic status (aka ‘the least well off’).  Only people in the least deprived 20—30% of areas will reach SPA before they can expect to develop a disability. Those in the more deprived areas will spend years with a disability before they reach SPA.

The Marmot review simply referred to ‘people’; not ‘black’ people, not ‘brown’ people, not ‘minority ethnic’ people, just people.  There seems to be no data on differences in life expectancy between these groups and ‘white’ people which are free of the influence of the socio-economic characteristics of the areas in which they live, i.e. the ‘social gradient’.

It is not unreasonable to assume that the differences in life expectancy (LE) and disability free life expectancy (DFLE), which show a clear gradient with socio-economic status, will be equally applicable to these groups also.   Getting a few more ‘black’, ‘brown’, ‘ethnic’ faces around boardroom tables will have no positive impact on the life chances of the people who happen to have the same skin colour.

We have heard a lot in recent weeks about ‘flattening the curve’.  When we know that there is a socio-economic gradient which means that women and men in affluent areas have a life expectancy at birth which is 7-9 years longer than those in poor areas, then I would suggest we direct our collective effort to ‘levelling the gradient’.

Obsessing over ‘race’, to the exclusion of all other considerations is a form of identity politics which allows people, who by any reasonable measure are privileged, to pose and be seen as, victims.   This comment is equally applicable to other forms of identity politics.   I would suggest that it is the inequalities in the UK of income, wealth and power which should be the main focus of attention for those of us who see ourselves as being ‘of the Left’ and not the politics of identity.  This would benefit far more people than a narrow focus on skin colour, sex, gender or preferred sexual partner.

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