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James's avatar

Great post. I don't know whether you had John Rawls' difference principle in mind when writing this piece, but there's a clear link to his idea that inequalities should be arranged "to be to the greatest benefit to the least well off". He's the philosophical loadstar for many on the left, but as you rightly point out, in practice this comes at the expense of the median person's welfare.

Thomas Reilly's avatar

Isn't the problem that we expanded the definition of SEND far beyond the 1% who are severely impaired? Currently, 1 in 5 children in England are classed as disabled, in the past it might have been closer to 1%.

Likewise, should we spend less healthcare on the '1% with severe chronic illnesses and more on the 98% with milder conditions? Should we spend less on the 1% with severe mental illnesses like schizophrenia and more on those with mild anxiety and depression?

In many ways the direction of travel is spending much more but on those with less need. Be careful what you wish for!

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