In 1950 Richard Titmuss (1907-1973) took up the first Chair of Social Administration at LSE, where he remained for the rest of his career. Superficially this was a surprising appointment since he had no formal educational qualifications. But three factors explain his coming to the School. First, Titmuss was, and remained, extremely good at networking. In the 1930s, for instance, he had joined the Eugenics Society where he rubbed shoulders with prominent social scientists and academic leaders such as William Beveridge (LSE Director 1919-37) and Alexander Carr-Saunders (LSE Director 1937-57). Second, in the late 1930s, although employed by an insurance company, Titmuss was nonetheless carrying out independent, and well-regarded, research. His particular interests were in what he saw as the threat to Britain’s future population growth and structure and the state of the population’s health. Third, in the early 1940s he was commissioned to write one of the official histories of the British experience on the ‘Home Front’ during the Second World War, Problems of Social Policy. This volume, which appeared in 1950, remains an invaluable source of data about the wartime social services while also setting out what Titmuss argued must be achieved by post-war social reconstruction. For him, this should be based on the British people’s wartime social solidarity and social cohesion. [LSE history blog]
I don’t even know what to do with that biography. I’m one of those as thinks the right kind of experience in a field is generally equal to educational qualifications. But kicking it with Beveridge in the Eugenics Society? Just one of those unsurprising surprises that always seems to lurk in the closets of this empire.
So this is just going to focus on what I found interesting about what he saw and documented about the Welfare State, which is as useful in some ways as the Beveridge Report damn it. Considered a classic, these essays published in book form in 1958 contain another unsurprising surprise about just how far back current debates go. This is a collection of talks really, covering quite a lot of ground and looking at the many different aspects of poverty and working class demographics impacting on costs and policies of the welfare state. Not all them were useful to what I’m working on, but give such a good sense of how things began, which explains so much about how we have ended up where we are.
The titles give a great sense of the wealth of historical data and discussion to be found here.
Social Administration in a Changing Society
First, just a brief excerpt on this new department of the LSE, and the drive behind its founding — the expected appearance of the Fabian Webbs, the unexpected appearance of funding from Tata and the welcome transition from a moral inquiry into symptoms to a depper inquiry into causes:
This department for the study of social administration was founded at a time when fundamental moral and social issues were being debated with vigor and a new sense of purpose. It was a product of the ferment of inquiry to which the Webbs, Charles Booth and many others contributed so much. Poverty, on the one hand, and moral condemnation of the poor on the other, were being questioned. Inquiry was moving from the question ‘why are they poor?’ Professor Tawney, aware, as he has repeatedly taught us, that the most important thing about a man is what he takes for granted, was in his element when he gave his inaugural lecture as Director of the Ratan Tata Foundation… (17) it was a period when social policies were being shaped by diagnoses which took account of the presenting symptoms rather than of the causes of contemporary social ills. (18)
The Social Division of Welfare
So here we have the principal contemporary critiques of the Welfare State:
‘The Welfare State’ was ‘established’ too quickly and on too broad a scale. the consequences, it is argued, have been harmful to the economic health of the national and its ‘moral fibre’.
Ah, the old moral fibre. That’s one they keep coming back to.
Against this background, compounded of uneasiness and complacency, criticism has mainly focused on the supposedly equalitarian aims or effects of the social services. it is said that the relief of poverty or the maintenance of a national minimum as an objective of social policy should not mean the pursuit of equality…The error of welfare state policies since 1948 has been, according to this diagnosis, to confuse ends and means, and to pursue equalitarian aims with the result that the ‘burden’ of redistribution from rich to poor has been pushed too far… (35)
We can’t all be equal is another. Not that a bit of redistribution is the same thing.
Titmuss notes that the widespread nature of these criticisms have
produce[d] in the public eye something akin to a stereotype or image of an all-pervasive Welfare State for the Working Classes. Such is the tyranny of stereotypes today that this idea of a welfare society, born as a reaction against the social discrimination against the poor law may, paradoxically, widen rather than narrow class relationships. As Gerth and Mills have pointed out ‘… if the upper classes monopolize the means of communication and fill the several mass media with the idea that all those at the bottom are there because they are lazy, unintelligent, and in general inferior, then these appraisals may be taken over by the poor and used in the building of an image of their selves’. That is one danger…a second emanates form the vague but often powerful fears that calamity will follow the relaxation of discipline and the mitigation of hardship…(37)
I just…again, the more things change the more they stay the same. Turns out the upper classes did monopolize the media, did (further) propagate the idea that poverty was caused by being lazy and inferior. Our prime minister and cabinet are still spouting these things today like a stream of poisoned water out of a Flint water fountain.
What the welfare state was meant to achieve on the other hand? I rather like this, it feels a short rather conservation definition of the welfare state, yet one that takes as a starting place that the residents of the country form a whole, and that they are all part of one society:
All collectively provided services are deliberately designed to meet certain socially recognised ‘needs’; they are manifestations, first, of society’s will to survive as an organic whole and, secondly, of the expressed wish of all the people to assist the survival of some people. ‘Needs’ may therefore be thought of as ‘social’ and ‘individual’; as inter-dependent, mutually related essentials for the continued existence of the parts and the whole. No complete division between the two is conceptually possible…(39)
Pension Systems and Population Change
This is a talk about pensions and the impact of a changing population, the ‘long-term shift from an ‘abnormally’ youthful population in the nineteenth century to a more ‘normal’ age structure… (60) Are we really STILL having that same conversation? Yet at the same time it really brings home the horrors of working class life and early death before the welfare state was put in place. Also the fact that it was believed possible after the war, how much more should it be possible now?
All the adjustments involved in changing over to a different population structure can only be made with the minimum of social friction if the redistributive effects are equitably shouldered. They are as much a national affair as war or mass unemployment. It thus behooves us to take account of the total complex apparatus of social policy in relation to old age…(61)
It’s hard to believe this was written at a time when equality was growing, even if slowly…
The outlines of a dangerous social schism are clear, and they are enlarging. The direction in which the forces of social and fiscal policy are moving raises fundamental issues of justice and equality; not simply issues of justice between taxpayers as a separate class, or between contributors as a separate class, but between all citizens. Already it is possible to see two nations in old age; greater inequalities in living standards after work than in work; two contrasting social services for distinct groups based on different principles, and operating in isolation of each other as separate, autonomous, social instruments of change. (74)
Those days are long since gone, and it is steadily widening again. People still are worried about those pensions penciling out though.
War and Social Policy
Ah, another issue that remains an issue. Yet WWII moved everything in a new direction even as every war since seems to have been part of the pendulum swing back. On the Education Act 1944, Beveridge Report 1942, National Insurance, Family Allowances, National Health Service Acts:
All these measures of social policy were in part an expression of the needs of war-time strategy to fuse and unify the conditions of life of civilians and non-civilians alike. In practice, as we have seen, this involved the whole community in accepting an enlargement of obligations–an extension of social discipline–to attend to the primary needs of all citizens… as war has followed war in an ascending order of intensity, so have the dependent needs of wives and children been increasingly recognized. The more, in fact, that the waging of war has come to require a total effort by the nation the more have the dependent needs of the family been recognized and accepted as a social responsibility. (84)
‘The Position of Women’
A whole essay! On women! Amazing! Not particularly deep or insightful, why am I even excited, but it exists. Titmuss writes:
Few have been concerned with the working-class woman, and particularly with the conditions of life of the working class mother. (88)
He’s not wrong either. Shocking given the next fact:
At the beginning of this century, the expectation of life of a woman aged twenty was forty-six years. (91)
You really need to look at work done by people like Pember-Reeves and Harkness and Higgs to understand just how much hardship is contained in such statistics, but I am curious about the changes he notes here around marriage — not least because I had always assumed Victorians married younger and were more likely to marry period. Wrong.
No doubt the political and legal emancipation of women has contributed to these changes in what is expected from marriage. A more socially equal relationship was foreseen by the leaders of the Women’s Movement but what they could hardly have envisaged is the rise in the popularity of marriage since about 1911. (99)
Married life has been lengthened not only by declining mortality but by earlier marriage…In 1911 24 per cent of all girls aged twenty to twenty-four were married; by 1954 this proportion had risen to 52 percent. … There are now fewer unmarried women aged fifteen to thirty-five in the country than at any time since 1881… (101)
Industrialization and the Family
Not only does Titmuss give thought and space to the particular circumstances and hardships faced by women, but also of the family (perhaps following Engels here):
Industrialization demanded the breakdown of the mutual relationships of the extended family; paradoxically, the poor law struggle–though ineffectually–to maintain them… Authoritarian patterns of behaviour, sanctioned in the factory, were carried into the home. (110)
This is curious, were families less authoritarian really before factories? I wonder. He also tries to tackle the meaning of unemployment, citing Bakke’s Citizens Without Work on the idea ‘that a man’s job was not simply something that brought him money; it was an activity that gave him a place in the social world and in large measure gave meaning to his life‘. (113)
This of course is one of the underpinnings of Labour’s goal of full employment which in turn supports the welfare state economically.
The Hospital and Its Patients
He spends most time on the NHS here, full of facts and figures that I confess made me nod off just a little. The juicy bits were in the next section
The National Health Service in England
Like this one:
Among all the ideas of the 1930s and 1940s which led to the creation of the Health Service the one which increasingly dominated the mind of the public and the profession alike was the idea of prevention; the prevention of ill-health and incapacity. (140)
And what the hell happened to this idea of territorial justice?
‘Perhaps the most important argument in the planning approach [to the NHS] was the need for ‘territorial justice’–more equality of access to medical care services for people living in different parts of the country. In other words, a geographically comprehensive hospital service could not, it was thought, be provided under the aegis of some 2,000 separate, independent and often competing hospitals. (143)
But always fighting the everpresent argument that costs were spiraling out of control. In 1950 the BMJ’s headline went:
The National Health Service is heading for the bankruptcy court…and we are facing bankruptcy because of the Utopian Finances of the Welfare State. (2 December, 1950 — 148)
But this was from the time doctors hated everything about the NHS.
The other point of interest comes when Titmuss emphasizes the importance of practitioners spending time with patients…ah, imagine those days. How did we ever come to the 10 minute rule? Absurd. But that happened long after his time.
The Irresponsible Society
This was the most interesting piece I thought, from the point of view of today. Saved for last of course. He outlines some of the issues and guess what…they feel remarkably contemporary. Like this one Titmuss expected to be sorted in the 60s:
One of the most important tasks of socialists in the 1960s will be to re-define and restate the inherent illogicalities and contradictions in the managerial capitalist system as it is developing within the social structure of contemporary Britain. Much of the doctrine of Victorian Marxism is no longer applicable to a different set of fundamental illogicalities in a different age. (215)
In highly complex and wealthy societies like our own almost all social forces tend to encourage the growth of conformism unless checked by strong, continuing and effective movements of protest and criticism. If these do not come from socialists and if they are not stated in terms of power they will not come at all. (219)
Socialists fighting conformism! Encouraging multiple strands of criticism and protest! It’s the socialism I would have loved to see, if only that had happened!
This is just depressing:
We did not understand that government by the people could mean that power in the government, the Cabinet and the City, could lie almost permanently in the hands of those educated at Eton and other public schools. (220)
And finally, words against the solution that continues to be put forward today but its remarkably prescient on housing:
These problems will not and cannot be solved by the private insurance market, by property speculators, by forcing land values to insanely prohibitive levels, or by any criteria of profits and tax-free gains. Private enterprise is only building about 1,000 new dwellings a year in the county of London, for example, and most of them are luxury flats for the rich. Nor will they be solved by growth of the ‘social welfare firm’… (229)
If only New Labour could pay attention.
Titmuss, Richard M. ( 1976) Essays on ‘The Welfare State’ Third Edition. London: George Allen & Unwin Ltd.