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The case for public consumption with Sir Andrew Dilnot

The case for public consumption with Sir Andrew Dilnot

Released Wednesday, 1st November 2023
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The case for public consumption with Sir Andrew Dilnot

The case for public consumption with Sir Andrew Dilnot

The case for public consumption with Sir Andrew Dilnot

The case for public consumption with Sir Andrew Dilnot

Wednesday, 1st November 2023
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Episode Transcript

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0:02

Sir

0:02

Andrew Dilnot, our guest today, in a way,

0:04

is Mr. Social Science, a

0:07

career of distinction built on the disciplines for

0:09

which he was rewarded with a knighthood. Today,

0:12

he is the warden of Nuffield College, Oxford,

0:14

the famous graduate college that specializes in the

0:16

social sciences with a clutch of former

0:19

fellows winning Nobel Prizes. Social

0:22

Science is in Andrew's blood. Before

0:25

Nuffield, he worked for the Institute for Fiscal

0:27

Studies for 21 years, and

0:29

the last 11 as director. A

0:31

fierce advocate for statistics, he believes

0:34

before you begin to analyze any issue, whether

0:36

social care or low productivity, you

0:38

have to marshal the data. Only

0:41

then can you get near a solution. And

0:44

the UK social care system, or

0:46

not so much a system but a lottery, is on

0:48

a precipice. Two-thirds of

0:50

people who've used or had contact with social

0:52

care said they were dissatisfied with the service

0:54

they'd received or witnessed, according to a recent British

0:57

social attitudes survey. And

0:59

beyond just dissatisfaction

1:02

lie damning figures. There

1:04

were over 165,000 adult

1:06

social care posts left vacant last

1:08

year. What can be done? And

1:11

what can the stats tell us? Andrew

1:13

published his report on social care 12 years

1:16

ago, and still nothing has

1:18

been done. So for his views

1:20

on that and the gamut of issues facing

1:22

social science, here is the man himself.

1:25

Thank you so much for joining us today, Sir Andrew Dilnot,

1:28

direct from Nuffield College, Oxford.

1:31

It's great to be with you.

1:34

First off, I mean, you began

1:36

your career at the Institute

1:38

for Fiscal Studies back in 81. And

1:41

here we are in 2023.

1:44

What big things, if you had to single out

1:46

three big things that

1:49

have changed or of remark

1:51

that either worry you or delight

1:53

you over that period, what

1:55

would they be? So one big thing that has changed

1:58

that we knew even back then, was going

2:00

to change, but still I think we're struggling

2:03

to adjust to it in this country and around the world is

2:06

how much longer we're all living. So the aging

2:08

of the population has been really

2:11

striking. If

2:13

we go a bit longer than the start of my

2:16

and your working lives, we go back

2:18

to 1901. In this country, there were 61,000 people, over 80. By 2011, there

2:24

were 1.447 million, an

2:26

increase of a month per 25 by 2030. We think there'll

2:29

be so many people

2:31

in that category. That's something fantastic.

2:34

It's great. They're all living longer. In many ways,

2:36

that's what we would all be

2:38

looking for. But I don't think we've yet adjusted

2:41

in all sorts of ways to that.

2:44

I don't think we've adjusted to it fully as individuals.

2:47

We haven't adjusted to it as a society,

2:50

how we manage pensions.

2:52

And of

2:53

course, I would say this how we manage social care.

2:55

That's a huge issue that we just haven't

2:58

addressed. But that's

3:00

one very big change

3:02

that I think is good, but has

3:04

some tricky

3:07

consequences that we haven't addressed.

3:11

Massive growth, further growth

3:13

in the number of people going to university. And

3:16

I think that's an extraordinary and wonderful

3:18

thing. And not just

3:21

growth in the total numbers, but shift in

3:23

the gender balance. So again, if we go back

3:25

slightly further, we go back to the early 1950s. The early

3:27

1950s, there were about 3,500

3:30

women in the UK

3:33

going to university each year, and about 40,000

3:35

men. Now we're at over 3,000 women,

3:40

and a bit less than 300,000 men. So

3:42

a huge

3:43

increase in the overall number, but

3:45

also a massive shift in

3:48

one of the really critical gender

3:50

inequalities. And of course, we're not, there are all kinds

3:52

of inequalities of many types, including

3:54

gendered, that are still there. But that

3:56

has been an astonishing transformation

3:59

that I think is good.

3:59

we don't pay enough attention to.

4:03

That's something really too delighted. And

4:05

then with a slightly more

4:07

statistical sense, just

4:09

the availability of data had been

4:12

transformed over the last 45

4:15

years. So when I first worked

4:17

at the IFS, actually, I'm

4:19

afraid to say, Will, there was a mistake in your

4:21

introduction. I didn't start working at the IFS

4:24

in 1981. I started working full

4:26

time at the IFS in 1981. I had the astonishing opportunity

4:30

to go and work as a summer student while I was still

4:32

an undergraduate in 1980. In 1980,

4:35

I can remember being there

4:36

in the summer, we were using

4:39

the

4:40

computing service in

4:42

Oxford, a mainframe computer in

4:44

Oxford that reputedly, I don't

4:46

think it's true, but the anecdote was

4:49

that it consumed as much water to keep itself

4:52

cool as the domestic consumption of Oxford. I said,

4:54

I don't think it was true. There

4:56

was a noise that I thought was a pneumatic drill, which

4:58

is actually the card reader. This

5:01

was a whole different technology.

5:05

By 1981, it was possible to

5:07

use

5:08

PCs, micro computers, to

5:10

analyze

5:12

data from the family expenditure survey.

5:15

So for the first time at the IFS, we

5:17

were able to, in something like

5:19

real time, look at the distribution income,

5:22

write programs that would allow us to assess

5:25

the improve of potential changes

5:27

to the digital social security system on

5:30

the distribution income. What happened

5:32

over the last 40 years has been an astonishing

5:35

multiplication of that. So

5:37

the amount of data and the richness

5:40

that is available now for social

5:42

scientists to start to understand

5:44

more about how the labor market works,

5:48

how

5:49

an education system or a health system

5:51

is working, what kinds of decisions people

5:54

are making about retirement, all of that stuff. There's

5:57

now almost

5:58

too much data to look at.

5:59

And that means that we can answer all kinds of questions

6:02

that simply were impossible before. Well, we're

6:04

going to look at some of those questions over the next half

6:06

an hour. I'm very struck

6:09

actually, in a social

6:11

science, you go back to the 1890s, the early

6:13

part of the 20th century,

6:16

people looked at social science and data

6:18

very primitive as it was, but they thought, hmm, we're

6:21

really going to kind of solve the world's issues with

6:23

this. You know, the great surveys by

6:25

Booth of London and Seaburn Roundtree

6:28

in York. But

6:30

I mean, you know, little

6:33

progress was made. And again, there was hope for in

6:35

run up to the Second World War. And now you're

6:38

telling us we can do all these wonderful things now with

6:40

all this data. Are we making

6:42

enough progress with

6:45

the statistics and the data and analysis

6:47

and the trends and what we know about

6:50

ourselves? There's enough being acted upon,

6:52

given that we know so much more about, you know,

6:55

our social and economic structures. I think probably

6:57

the answer to that

6:59

is inevitably no and

7:01

never. We never make as much progress

7:03

as we would like. And

7:07

one of the things that I suppose

7:10

is most worrying is whether

7:13

policy decisions are

7:16

as informed by data analysis, they

7:18

should be. And my reflection

7:20

after these few decades

7:23

of working in these areas is that I sometimes think

7:25

that we pay too much attention to policy

7:28

and not enough attention to the ways

7:30

in which the world changes that

7:33

aren't driven by policy that

7:35

might be driven, for example, by technological

7:37

change, by better understanding. So in

7:40

some senses, you know,

7:41

what's one of the most important changes

7:43

that's occurred in the last hundred years

7:45

or so, the massive reduction

7:48

in infant mortality rates from

7:50

the beginning of the last century,

7:52

one child in 10 dying before the age

7:55

of five to in this country, that

7:57

number being now around three in

7:59

a thousand. Not much

8:01

of that

8:02

has been result of explicit

8:04

policy changes, but I don't think it's

8:07

pulling levers. I'd ask

8:09

that it has been technological change, better understanding

8:12

of hygiene, better medication. And

8:15

I do think there's a tendency for us all

8:17

to get caught up in a bubble where we

8:19

think the most important thing that can be done is

8:22

a change in policy when often the most important

8:24

things that have happened have been the result

8:27

of technological change, behavioral

8:29

change, of changes in attitudes.

8:32

The increase in the number of women going to

8:34

university hasn't come about because

8:36

a government pulled a particular lever. It's

8:39

come about because we've changed

8:42

our attitudes, some attitudes that

8:44

were wrong towards

8:47

the idea of women going to university, to attitudes

8:50

that now welcome and support on

8:52

the whole, not of course everywhere and at

8:54

all times.

8:56

So it's not all about policy. Hold that

8:58

thought because I am going to come back to that.

9:01

But I just wanted to kind of push you a bit about

9:03

the British economy in the

9:06

early 2020s or the mid-2020s. Productivity

9:12

flat for the best part of 15 years,

9:16

stagnant real wages, public services

9:20

and tremendous pressure, debt

9:22

service, the cost of actually servicing

9:25

our national debt for

9:28

a bunch of reasons that we know well, has

9:31

now approached 10% of all tax receipts.

9:35

Our international accounts are all over the place. How

9:38

do you see it? I mean, are you going to point

9:40

out and say, well, that's far too pessimistic. Here's

9:43

all these bright spots. I agree

9:45

with you and here's more

9:47

worrying figures. I

9:50

mean, first of all, just give us a rounded

9:52

picture of actually how serious you think our

9:54

national plight is and then kind

9:56

of give us some pointers about, I mean, you've

9:58

only got a couple of minutes here. a couple

10:02

of pointers about what you would

10:04

focus on and then let's come in on those.

10:06

Well, so

10:08

I don't think we're looking very different from the rest

10:10

of the developed world. And

10:13

one of the things that's happened in the last few weeks is there

10:15

have been some revisions to our

10:18

estimates of the overall

10:20

size of the market economy that

10:22

now make it look as though the performance of the

10:24

UK is roughly in the middle of the performance of

10:28

the developed nations in the post-COVID

10:29

period.

10:31

And I think there's something a bit chastening

10:33

there, which is to remember that

10:36

all data when it comes out is an estimate and

10:39

it can change later. And the second is that we're

10:41

a pretty small nation and it's going to be unusual

10:44

for us to be performing

10:46

or behaving in ways that look very different to those

10:49

around us. The story of the British economy

10:51

is on the whole the story of

10:53

the world economy and British

10:57

politicians and academics

10:59

and public servants and journalists. So

11:01

we're a bit less important

11:02

than it sometimes becomes a big

11:04

wheel. That's a disgrace. What

11:06

a disgrace we think is there, I can't believe you've said

11:08

that. We're driven

11:11

by the world. We're in our very

11:13

small part of the world and we respond as the

11:15

rest of us. Let me talk a bit more about

11:17

something where I could claim to have a bit

11:20

more experience and knowledge. And that's

11:23

the level of public

11:25

spending, the size of the national debt, which is

11:27

something people have got very agitated

11:29

about. Yeah, OK. Yeah. Go there. The

11:34

stock of debt as a share of

11:36

national income is now roughly under a

11:38

percent.

11:38

And

11:41

that is higher than it's been for most

11:43

of the period in 1960. But

11:45

it's lower than it was for most

11:48

of the period from the First

11:50

World War to 1960.

11:52

And it's lower than it was for the whole of the period

11:54

from 1750 to 1850.

11:59

it's been is more than 250% of national income.

12:03

It is not the stock as it is, it's the cost of

12:05

servicing it. They're really of the... So

12:08

the cost of servicing it at the moment is high

12:10

because inflation is high and we have quite

12:12

a lot of index linked debt.

12:15

This is an area where

12:18

I just think as economists

12:20

and as policymakers, we

12:22

haven't done a very good job. We

12:25

talk about things that we say are fiscal rules

12:28

and the rule might be depending on

12:30

who the government is and when it's a large change, it might be

12:32

that

12:33

the stock of national debts should fall

12:35

or that we should only borrow to invest.

12:38

These are very

12:39

inadequate ways of thinking about borrowing.

12:42

If we think about how we think about borrowing for

12:44

ourselves, if we

12:46

think about borrowing as individuals, then we might

12:49

want to borrow to buy a house. And

12:51

then what we're doing is we're borrowing money so we can

12:53

buy something we use over a long period. And

12:56

we do it if we think the price that we will

12:58

pay for the asset and the borrowing

13:01

is less than

13:03

the value of the consumption. So we should be applying

13:05

those kinds of rules to the way

13:07

we think about what we do together.

13:10

Government is in the end just what we do

13:13

together. So very odd simply to have a rule

13:15

that says it should fall. There

13:17

could easily be occasion that we saw in both

13:19

Covid and the response to the war in

13:22

Ukraine when that's just not the right thing

13:24

to do. We should be evaluating

13:27

borrowing in that light. And we should remember that it's

13:29

true that

13:32

we have a higher

13:34

stock of borrowing and therefore a higher cost of

13:36

servicing with debt than one of the other

13:38

G7 countries.

13:40

But every other G7 country has

13:42

a higher, and in some cases

13:44

much higher level of national debt than

13:46

we do in Japan. For example, it's

13:48

over 250%.

13:49

I struggle with this. Most

13:52

of my working life trying to outmake that argument and

13:54

also to try and make the argument which

13:57

has kind of ancillary to it. You

14:00

know one should look at the kind of stock

14:02

of national assets and actually the kinds of things

14:05

that you know You're spending money

14:07

on I mean I I really believe

14:09

that a kind of well-designed

14:12

investment program financed

14:14

by borrowing that probably

14:16

was going to kind of lift productivity

14:19

and Growth in the medium term would actually

14:22

not Freak out the financial

14:24

markets actually It

14:27

was kind of this trusses unfunded tax cuts

14:29

that freaked out the markets nonetheless,

14:31

I mean I do The

14:34

first time and I and I'd put my fears

14:36

to rest I mean I I mean we have I

14:39

mean There's only 15 years

14:42

get worthy Average

14:44

length of British public debt was 14 or 15 years

14:46

longest in the g7 now It's

14:49

two years because of the impact of quantitative

14:51

easing and then that's and

14:53

then the and that's very very very Kind

14:56

of susceptible to short-term Change

14:58

interest rates with the character of that and

15:01

then you've got you know about quarter national

15:03

debt is indexed to inflation And

15:05

that has swollen forever as

15:08

a result of the inflation of the last kind

15:10

of two years and ongoing into next year

15:12

So, you know, it's kind of a it's

15:14

kind of a thing and actually Either

15:17

one has to grow faster or one has to have

15:20

a higher tax base or

15:22

one way or another, you know What's got to kind of manage

15:24

it? as Well as as

15:27

well as organized investment. I mean I as

15:29

well as tell people not to worry about the actual stock So

15:33

I agree. I agree with all of that

15:35

So there is no doubt a

15:38

short-term issue with the current servicing

15:40

national debt

15:42

But I think it is short-term issue. Yeah Yeah,

15:44

yeah I think I think the real the

15:46

crunch issue in a way this may relate to some some

15:48

stuff that you want to talk about later in the context of

15:50

the social care is how we address

15:53

what we want the states to be doing and One

15:57

of the things that I think I can see over

15:59

the

15:59

ideas that I've been looking at this is

16:02

that

16:03

on the whole we've gone on as a

16:05

society and as politicians

16:08

wanting to increase spending in certain areas

16:11

health is one obvious example. The

16:13

other is support of all the people

16:15

as the number of all the people has grown massively. Cost

16:18

of paying pensions other forms of

16:20

support has grown massively. So we've gone on increasing

16:23

a whole set of things

16:25

which you'd expect us to want to spend more on as

16:27

we get wealthier and

16:29

we haven't wanted on the whole to

16:31

do that by increasing the overall level

16:33

of taxation. So we've cut other

16:35

things and at the beginning of the post-war

16:38

period there was an easy thing to cut and that was defence.

16:40

It had been 9% for national income, it's now down

16:42

to 2. But then we've

16:44

ended up cutting infrastructure and capital projects

16:47

and there's now nothing left to cut. And it's

16:49

also worth noting that one of the consequences

16:52

of increasing spending as

16:54

a share of national income on health and on support

16:57

of older people has been that at the same time

17:00

we've reduced the share of national income that

17:02

we spend on education. That's great. Yeah,

17:05

thinking back to your what are three changes,

17:08

the change that probably bothers me most of all

17:11

is that in 1975-6 we spent 6% of national income on

17:13

education. And

17:17

now we spend between 4

17:19

and 4.5% national income on education.

17:22

It's a complete disgrace. Over

17:25

a 50 year period when we've grown on

17:27

average much better off real incomes

17:29

have grown a lot.

17:31

Surely education is something

17:33

that in economist terms we

17:35

call luxury goods. The income elasticity

17:38

of demand is greater than one and if you get richer

17:40

you want to spend more of your income on education.

17:42

Thank you for explaining that. Thank you for explaining that. I'm sure

17:44

some listeners won't know what the elasticity of

17:46

demand means. But how on earth

17:49

have we managed as a society to

17:51

reduce by a quarter

17:53

the share of our economy that we dedicate to

17:55

education? And it just seems to

17:58

use a technical term.

17:59

Well, some of it has gone off balance sheet with

18:02

student loans, hasn't it? I mean, I guess you could

18:04

say. Yes, but the number of students

18:07

has grown. In 1975, the number

18:09

of students in higher education

18:11

was tiny. Now, it's

18:14

true that there have been some demographic changes,

18:16

but basically we just have, we have

18:18

reduced the proportion of

18:20

our economy that we spend on education. And that seems,

18:23

that seems very, very

18:25

surprising.

18:27

I just want to take a moment to talk to you very

18:29

briefly about the organisation behind the WE

18:31

Society. The Academy

18:33

of Social Sciences is a national body for

18:36

academics, practitioners and learned

18:38

societies in the social sciences.

18:41

As the president of the Academy, I can tell you that

18:43

we champion the vital role social sciences

18:45

play in education, in government, in business,

18:48

the list goes on. You can find

18:50

out more about the Academy of Social Sciences work,

18:52

support us or read up on our fellows

18:55

by going to the website acss.org.uk.

18:59

That's acss.org.uk.

19:03

Tell us what we should be covering, who we should

19:05

be speaking to by emailing wesociety

19:09

at acss.org.uk.

19:13

Now, back to the conversation.

19:21

We have not, as a community,

19:24

been grown up and honest

19:26

about how much

19:28

we want to spend on the things that we do together.

19:30

And the challenge that has faced a whole

19:33

series of governments since

19:35

the mid 1970s is that

19:37

we want to spend more on our health care.

19:41

We want to spend more on looking

19:43

after those paying pensions to those, the

19:46

increasing number of people who are over pension

19:49

age. But we haven't worked

19:51

out whether there's something that we're willing

19:53

to stop doing together or

19:55

whether we're willing to pay more for this. And of course, if we were if

19:57

these were all things that we did on our own, we would be spending a lot more on the things that

19:59

we do together.

19:59

our own and we find those changes

20:02

very easy. So if we look at the composition of

20:04

consumption then it's organised

20:06

individually. It changes very radically.

20:08

The proportion of our total consumption that

20:11

goes on food has fallen very dramatically

20:13

over the last 50 years because as

20:16

we on average have got richer, on average

20:18

we spend a smaller proportion of our income on food.

20:20

The proportion of our income that we spend on transport

20:23

has gone from 4% to 12% because

20:26

as we get richer we choose to

20:28

do more of that. We're very good at adjusting our

20:30

individual

20:31

consumption. We're very poor

20:33

at and what the political system is being very

20:35

poor at is adjusting our

20:37

communal consumption. There's no doubt that

20:39

we will want to spend more on food care. We

20:41

probably, most of us, want to spend more on education.

20:44

We probably, most of us, want to spend

20:46

more on our incomes in retirement. But the

20:48

consequence of that is

20:49

we need to spend more together and

20:52

if we're going to go on doing all the things that we're doing at the moment

20:54

that means that taxes need to go on

20:56

going up. And that's why we have a

20:59

higher level of taxation now than we've heard

21:01

in the post-war period despite having a

21:03

government you think on the whole for the last 13

21:05

years would have been in favour of lower

21:07

rather than higher taxes. But

21:09

the truth is that the

21:10

expectation of

21:13

public consumption has meant

21:15

that those tax levels

21:17

have stayed up

21:18

and we need to have an honest debate about what

21:20

we're going to do over the next 20 years.

21:23

If we want to go on with the kinds of structures

21:25

we have at the moment,

21:27

paying people like you and me

21:29

a pension in retirement through the state,

21:32

paying our health care, paying for our children's

21:34

education, then we're going to need taxes to go up.

21:37

And if we don't want taxes to go up, we're going to have

21:39

to make some choices that

21:42

most people find very unpalatable.

21:44

We're not very honest about that. The political debate

21:46

here is very poor. Of

21:49

course, I buy all that. I mean, it's

21:51

kind of, it follows inexorably from

21:53

the data. But I

21:56

want to really call you

21:58

out a bit and call a spade a spade.

31:40

student

32:01

fees, which are currently 9,250

32:03

and in real terms need to go to 12 grand. Is that one

32:06

way? Would you extend it to

32:09

the principle to training so

32:12

all trainees can borrow and so you

32:14

make it demand led? Does

32:16

that mean that you get insufferable, intolerable

32:18

amounts of debt hung around

32:20

the shoulders

32:23

of our young people, burdening

32:26

them for kind of their early career?

32:28

What's the answer?

32:31

I don't know what the answer is except that I

32:33

know the wrong.

32:35

I genuinely think that

32:38

under almost any plausible set of

32:40

assumptions,

32:41

as an economy grows richer, the

32:44

rational thing and the thing people want to do is spend a large

32:46

proportion of the economy's total

32:49

output on education. We've

32:51

reduced it by a third in the

32:54

last quarter or

32:56

a quarter in the last 25, 25 years.

33:00

That seems to me that

33:02

we're failing

33:05

to put

33:07

into practice what I think almost

33:09

all individuals would feel,

33:11

which is the importance of looking

33:13

after the next generation.

33:16

So I think rather than it being a question

33:20

about details of policy on which I'm

33:23

simply not expert, I know that's something

33:25

maybe I'd like to get more experts on. There's

33:28

a bigger existential

33:31

question about how we

33:33

value that kind of communal

33:35

consumption and how we pay for

33:37

it. I don't think we've

33:38

been honest enough about it and it's

33:40

resumption that I think we're

33:42

splitting current generations

33:45

of little children

33:46

down. And this is almost the obverse

33:49

of the social care for the healthy

33:51

problem. It's hard to get people

33:53

to think about

33:55

the difficult challenges that some

33:57

older people face and that will

33:59

face. It's pretty easy to

34:01

get people

34:03

to look at and think about

34:05

primary schools. I cycled past on

34:08

hand-open primary schools on my way into work this

34:10

morning. And the

34:12

lifting of the spirit that we all experience

34:15

seeing little children and their parents

34:17

and their carers dropping them off and their teachers welcoming

34:20

them. And that's so enchanting. And you

34:23

think,

34:23

well, given how enchanting it is and

34:26

how important and that sense of potential

34:28

and delight and let's

34:32

get it right. Absolutely. No,

34:34

I mean, completely right. I mean, we

34:37

have amongst the shortest five-year-olds

34:39

in Europe because of nutritional problems.

34:43

And then

34:44

we just don't spend the money on bringing

34:48

them to give them the opportunity to

34:50

flourish and to acquire

34:53

whatever the

34:56

gods have given them to

34:58

develop them so they can make their own

35:00

lives kind of great and also in the act make

35:02

our lives great because we all

35:04

benefit. And in particular, in the 21st

35:07

century economy, it's

35:10

obvious and it's a real must. Well,

35:13

look, on that note, we should end. It's been a remarkable 45

35:17

minutes talking to a leading social scientist like you, hearing

35:21

you describe your internship

35:24

in 1980, the

35:27

magic of growing data, life

35:31

expectancy, growing

35:34

numbers of the gender balance at university

35:36

changing, your view that

35:38

we should think about public spending

35:41

as actually consuming,

35:46

collective consuming, collective provision

35:48

of things that we cumulatively want

35:50

to have, your notion of risk

35:53

pooling which underpins your reports

35:55

on social care and that final

35:58

kind of wonderful.

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