ok, how about a bit of sunday morning optimism, if you'll humour me.
the way 'we' (as in the prevailing politics of the boards) see things, class struggle is an irreducible manifestation of capitalism, so even when working class struggle falls off, capital's attacks continue. at some point people will start pushing back ... (elementary really)
so, there's been an upsurge in mass protests against nhs cuts recently which looks like just the beginning, and also a few industrial actions by the already or about-to-be outsourced elements of the NHS (whipps cross, nhs logistics ...) more minorly, there's the bugged bin tax thing that seeks to further shift the cost of pointless production (or rather production for profit, not need i.e. gratuitous packaging etc) onto workers. organisers of the anti-nhs cuts demos are talking up poll tax comparisons already, so are we seeing the seeds of a working class fightback?
the bosses can't afford our health? we can't afford theirs!




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not sure about this. the form that struggle takes is crucial - i.e. it needs to avoid the social democratic trap (professional trade unions, representative "socialist" parties, welfare state, etc.) in order to avoid the same problems as in the past.
Most of these protests don't seem to transcend these old forms of class struggle to any great extent - see the recent Labour Party Conference decision (pushed by the professional trade unions) to oppose any further privatisation/outsourcing of the NHS. This is, I think, still the main way that people envisage some kind of resistance to the advance of capital. For this reason I'm not quite so optimistic.