My Lords, it is a pleasure to follow the noble Baroness, Lady Fox. I am afraid that on this issue, as I am sure she would expect, we profoundly disagree. I am delighted to support the amendment of the noble Baroness, Lady Morgan, and those from my noble friend Lord Clement-Jones, which do the same sort of thing and address the critical issue of what is a proportionate response, respecting the fact that the position for adults is different from that for children. What is a proportionate response, recognising that there is a large cadre of vulnerable people who need help to manage the beneficial but also worrying tool which is social media?
I shall cover only the issues on which I have any degree of competence in this complex field, which is to speak about the importance of this amendment because of the particular nature of eating disorders. I declare an interest as the mother of a young adult who has eating disorders and had them when she was a child. The noble Baroness, Lady Fox, talked about the need to allow adults to use their reason. Let me tell the Committee about people with eating disorders: I would
love it if I could get my daughter to be as reasonable as she is when I talk to her about the benefits of proportional representation, where she can beat me hands down, when I try but fail to get her to put food in her mouth.
Eating disorders have two issues of relevance to this debate, and they are why I support the case for the strongest protection for them, the default being that people should have to opt in to have access to harmful content. First, eating disorders are intensely controlling. They suck people in, and they are not just about not eating; they control how they exercise; they control who they see; they are a control mechanism over a person’s whole life. I reject the idea that you can get someone who is controlled, day and night, by an eating disorder to make the decision to opt out of accessing social media content, when we know that people with eating disorders gravitate towards it because it provides them with content that sustains their illness. It provides them with communities of other users— the pro-mia and pro-ana sites, which sound incredibly comforting but are actually communities of people that encourage people, sometimes literally, to starve themselves to death. That controlling nature means that, for me, people having to opt in is the best way forward: it is a controlling illness.
Secondly, eating disorders are a very competitive illness. If you have anorexia, you want to be the thinnest. In the old days, that meant that you would cook food that you would not eat, but you would get your sister to eat it and you would feel good because you were thinner. Of course, with social media, you can now access all these websites where you can see people with nasogastric tubes and see people who are doing much “better”. As the noble Baroness, Lady Morgan, said, in that dreadful phrase, they provide “thinspiration”: people look for thinness and compare themselves to other people. It is an insatiable desire, so the idea that they will voluntarily opt out of that is just away with the fairies.
As I say, we need a proportionate response. I appreciate that people with eating disorders may well choose to opt in, but I think that the state in the first place should require that people have to opt into that choice. We have heard about the various mental health organisations that have made that case, but in thinking about this and talking to Rose about it, I think there is another fundamental reason why it is right that the state should take this approach. As the noble Baroness, Lady Morgan, said, eating disorders can start at a young age, but they can also start after the age of 18. If someone in their mid-20s—or mid-30s or mid-40s—is starting to feel a bit uncomfortable about their body image and starting to get some rather odd views about food but does not yet have an eating disorder, that is the time when, if they get support and do not get encouragement, we might be able to stop them getting sucked into these appalling vortexes of eating disorders. If we have this provision that people have to opt in, they might not see that content which, as has been mentioned, is being pushed at them—the right reverend Prelate the Bishop of Oxford gave examples the other week of how these sites feed you stuff immediately as soon as you start going down this route. If people have to opt in, we might just have that chance of stopping them getting an eating disorder.
Yes, people have to be given access to some of this material in a free society, but it is the role of the state to protect the vulnerable, and the particular nature of eating disorders means that, for me, this amendment is vital.