Gerry McCartney, Lucinda Hiam, Katherine E Smith, David Walsh
{"title":"UK welfare reforms threaten health of the most vulnerable","authors":"Gerry McCartney, Lucinda Hiam, Katherine E Smith, David Walsh","doi":"10.1136/bmj.r593","DOIUrl":null,"url":null,"abstract":"Cuts to disability benefits will worsen health and the economy The chancellor of the exchequer, Rachel Reeves, will set out the UK government’s spending plans in her spring statement on 26 March.1 The consultative green paper, Pathways to Work ,2 has already outlined plans to cut several billion from the welfare budget, with the aim of saving £5bn by 2029-30.3 The plans include stricter criteria for personal independence payments (PIP) for people with disabilities; halving incapacity benefit payments under Universal Credit for new claimants; and restriction of incapacity benefit top-ups to those aged 23 years and older. Ministers have argued there is a “moral case” for these cuts, and that “people that can work [should be] able to work.”3 However, the chancellor’s approach is unlikely to achieve this goal for two key reasons. First, high rates of economic inactivity in the UK reflect its almost unique failure among industrialised countries to recover population health after the pandemic,456 which came on top of over a decade of declining health linked to austerity,7 as well as long term …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":"96 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"The BMJ","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1136/bmj.r593","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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Abstract
Cuts to disability benefits will worsen health and the economy The chancellor of the exchequer, Rachel Reeves, will set out the UK government’s spending plans in her spring statement on 26 March.1 The consultative green paper, Pathways to Work ,2 has already outlined plans to cut several billion from the welfare budget, with the aim of saving £5bn by 2029-30.3 The plans include stricter criteria for personal independence payments (PIP) for people with disabilities; halving incapacity benefit payments under Universal Credit for new claimants; and restriction of incapacity benefit top-ups to those aged 23 years and older. Ministers have argued there is a “moral case” for these cuts, and that “people that can work [should be] able to work.”3 However, the chancellor’s approach is unlikely to achieve this goal for two key reasons. First, high rates of economic inactivity in the UK reflect its almost unique failure among industrialised countries to recover population health after the pandemic,456 which came on top of over a decade of declining health linked to austerity,7 as well as long term …
财政大臣雷切尔·里夫斯将在3月26日的春季声明中公布英国政府的支出计划。咨询绿皮书《通往工作的道路》(Pathways to Work)已经概述了从福利预算中削减数十亿英镑的计划,目标是到2029- 2030年节省50亿英镑。将新申领人在通用信贷下的丧失工作能力津贴减半;将丧失工作能力津贴充值限制在23岁及以上的人。部长们认为,这些削减是有“道德理由”的,而且“能工作的人(应该)能够工作”。然而,出于两个关键原因,奥斯本的做法不太可能实现这一目标。首先,英国的高经济不活跃率反映了它在大流行后恢复人口健康方面几乎是工业化国家中独一无二的失败,这是在与紧缩政策有关的十多年来健康状况不断下降7以及长期……