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The £110 billion figure needs considerably more qualification. It is the OBR’s nominal 2030–31 forecast for a broad category covering children, pensioners, carers and working-age adults, including disability benefits that can be received while employed. Only £81.5 billion is classified as working-age spending, and that is still not synonymous with long-term worklessness. The health and employment problem is real, but calling the entire total a “sickness bill” obscures more than it explains.

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