Equity: Is sameness important?
I have been thinking a lot in the past few weeks about whether
participatory budgeting is 'fair'. I do not mean fair in the sense
of whether everyone gets to take part or even in the sense that it
runs alongside representative democracy. Both are important issues
but not relevant to me right here right now.
When I question the fairness of the situation what I am really
asking is this:
If people in one area vote for police officers is it 'fair' that
they get safer streets? Or is it 'fair' if young people get better
GCSE results because residents in their area voted for extended
learning classes and not street lights.
This raises two questions that are crucial for all people in
public policy.
Firstly, is it right that services are different in different
areas? When I was growing up in the 1990s the expression 'postcode
lottery', used often in relation to healthcare, was taken as
evidence of the failure of the State to provide equally for all
it's citizens.
But in reality any democracy that believes in local government
is accepting de facto this level of difference. Urban councils have
different needs to rural ones; policing levels vary; schools are
structured in different ways. The aims are the same (good
schooling, quality of life, excellent public services, general well
being) but the means of acheiving them are different and the
emphasis on the different elements is different too.
In my mind we, as a nation, are ok with difference, as long as
it is not fundamental to our experience of public services. We
accept a library in Tower Hamlets being better than the one in
Hastings (to use my home town) but maybe not that certain drugs are
available in one place but not another (a problem that was
partially fixed by NICE).
So You Decide! is basically ok against this criteria.
The second problem is that of who decides. In my view we are ok
with difference, as long as it is not a major difference
and as long as it is legitimate.
In Oregon (USA) in the 1990s the State Government organised a
series of detailed consultation events designed to understand what
the community wanted from their health services. The events were a
success and the Oregon State Government were prepared to implement
them across the State. The only problem was that the attendees at
these events in the words of one researcher were largely from a
'narrow band of professionals and citizens of high socio-economic
status.'
Inequity may be acceptable but only when the reason for that
inequity is seen as legitimate.
In Tower Hamlets we're still working on how to manage this. If
anyone has any suggestions just drop me a line.
Until next time....