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it's consistent from the view point that streeting is a parternalistic person. the what and why is window dressing to him ultimately believing people do not know what's best for them (the state/capital) and it should be chosen for them. it's why the messaging is so focused on punishing poors (as liz kendall is atm). it's an inherently protestant, misanthropic position.
it doesn't suprise me at all that someone who operates on this principle would be on the back foot of progressive thought.
Also can't help note that Streeting's stance on puberty blockers for kids ('Not enough research! Ban it!') is in stark contrast to his stance on giving weight loss drugs to the poor ('Absolutely zero research! It's a great idea!')
Not that it's surprising, of course, because Streeting is a vile little goblin who functions mostly on a diet of malice, but nonetheless....