Boris Johnson is on the brink of raising taxes to fund a health and care spending package two decades after Tony Blair embarked on his own NHS tax rises. There are striking differences in their approaches though, when it comes to preparing the ground for this rare event in British politics.
Blair’s 2002 tax rise came at the end of a long, high-profile process that sought to put the long-term future of the health service at the centre of a national discussion. By contrast there has been little to no debate ahead of Boris Johnson’s health and care announcement, that is expected within weeks. Although it is too late to prepare the public, a genuine debate over the needs and resources of both the NHS and the care system is vital if the full benefits of reform are to be realised.
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