Wednesday, July 22, 2026

Tax cuts won’t solve the nursing crisis


National Insurance to rise next week but changes to spring statement make social care less likely to get needed funding

From next week, the health and social care levy will begin, meaning a 1.25 per cent increase in the National Insurance Contribution (NIC).But pressure from the government’s backbench to raise taxes during the cost of living crisis has forced the chancellor Revise plans in last week’s spring statement. All we got was a tax cut that didn’t work when he was supposed to be looking to raise more money for care disproportionately benefit the wealthyRishi Sunak has opted to raise the threshold for people to start paying NIC above £3,000 to qualify for income tax cuts from 2024.

Higher taxes are needed to improve social care, which is widely believed to be in crisis. Most of us will have a need for care at some point in our lives, but too many are unable to access support or end up paying astronomical costs privately. At least 1.8 million people have unmet care needsthe quality of care is often poor, and the quality of work is also poor.

NEF is arguing Provide universal care so everyone can get the quality care they need, while improving standards, pay and the quality of work in the sector. The NIC’s increased funding for care is only 6% of what is needed to meet the target, as most of the revenue will go to the NHS.And, thanks to last-minute amendments by the government, the money that will be spent primarily on care will be largely spent on care caps Will disproportionately benefit wealthy pensionersIn September last year, the government announced it would cap social care costs at £86,000. Their amendment makes it so that only the amount someone spends themselves, not any council contributions, count towards the cap. That means those with moderate assets will have to contribute to more of their costs over a longer period of time. just yesterday, Government rejects House of Lords challenge Ask them to reconsider.

While the government has yet to change the scope of social care funding, it will have to be supplemented with revenue raised elsewhere, contrary to the chancellor’s claim that a dedicated or hypothetical funding stream has been set up for health and care.Combined with the principal’s insistence Prioritize tax cuts over spending increaseswhich makes them less likely to invest enough and meet the scale of care challenges in the future.

The government should have sought to raise more money for social care in a more progressive way.One option is Deepen National Insurance Reform, including removing exemptions for investment income and pension earners and taxing high earners at higher rates.Alternatively, funding for care can be Raised by taxing wealth Similar to work income. Both will raise enough money to bring us closer to Medicare for All.

Far from being a cost-of-living challenge, incremental care funding can be part of a long-term solution by spreading quality jobs and rising wages across the country. our research Shows that investing in universal care could create more than 1 million jobs directly in the care sector and indirectly by liberating more than 1 million jobs by liberating people who are currently unable to work due to unpaid care responsibilities.

After decades of underinvestment, a chancellor who is ideologically obsessed with cutting taxes at all costs cannot solve the care crisis.

picture: Andrew Parsons/10 Downing Street (CC BY-NC-ND 2.0)





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