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And the incontinent public spending programmes?
That doesn't mean, of course, we don't also need medium- and long-term public spending programmes.
In Britain, the big increases earmarked for health have left little room for many other public spending programmes.
Countries from Russia to Venezuela and as close as Norway have relied on oil and gas to create wealth to fund public spending programmes.
The traumas of the economic chaos and wheelbarrow inflation of the 1920s, which paved the way for Hitler, have bequeathed a fear of living beyond your means and vast public spending programmes.
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So credible was Labour's public spending programme that in September 2007 David Cameron and George Osborne felt obliged publicly to match it for three years up to 2010.
Similarly, the Caymans have also faced a financial crisis after a public spending programme and reduced fees from banks meant it was forced to beg the Foreign Office for permission to raise a £280m bank loan.
It was a judgement call – albeit a mistaken one in my view – not to defend the record of Labour in office from 1997-2010 and to allow the Tory narrative on the economy and the Blair/Brown public spending programme to go unchallenged.
Irrespective of ideology, it is plain to everyone that NHS funding is bending the rest of the public spending programme out of shape while leaving the health service short of cash and social care vulnerable to the vagaries of the market, with the likelihood of more care home providers getting out.
Algeria's government has considerable wealth from its oil and gas exports and is trying to tackle social and economic complaints with a huge public spending programme.
In Icarus, a constitutionally unconstrained black government comes to power on a wave of popular support and noble intentions and embarks on a huge and unsustainable public spending programme, which crashes the economy.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com