How Peru is poised to defy Washington

Fujimori versus Humala is a battle of neoliberal continuity against progressive reform.

On 10 April, Peruvians went to the polls in the first round of the country's presidential elections. No candidate obtained the 50 per cent share necessary to assume the job outright, and so, in just over a month, Ollanta Humala and Keiko Fujimori will go head to head in a contest that has ramifications that go far beyond the country's borders.

The duel certainly represents a clash of ideologies. Fujimori, aged just 35, is the daughter of the former president Alberto, currently serving a 25-year jail term for crimes against humanity committed during his ten-year reign between 1990 and 2000.

Harden your lines

Despite his transgressions, a significant number of people in Peru are grateful to Fujimori Sr for crushing the Shining Path guerrilla movement that waged a bloody, 20-year insurgency against the state. He also wins praise for reducing inflation and initiating food distribution programmes in poor districts.

Keiko, who enjoys near-blanket support from Peru's corporate media, has promised to institute peripheral welfare schemes in an effort to secure support from the nation's poorest. However, she endorses the neoliberal economic principles that have earned the country a deserved reputation as one of the world's most unequal societies.

Many also fear that she would pardon her father and his cronies and take a hard line against indigenous groups clamouring for a bigger slice of the nation's resource revenue.

She has endorsed the "security policies" of the former Colombian president and US darling Álvaro Uribe, who presided over a draconian police state, smashed the unions and gave weapons and impunity to paramilitary death squads prior to leaving office last year.

Human hybrid

Humala, who took 31.7 per cent of votes compared to Fujimori's 23.5 per cent in the first round, is a former army officer who has positioned himself as something of a hybrid of Hugo Chávez's radical wealth redistribution and Lula da Silva's more moderate social inclusion policies.

He was vocal in condemning the government's crackdown against a protest by mine workers in April, during which nine people were killed,. Such incidents are becoming increasingly frequent under the current president, Alan García. Humala attributes the labour unrest to a lack of dialogue between community groups and a government that tends to side with the interests of foreign capital.

Humala has pledged to renegotiate contracts between the state and multinational companies operating in Peru, particularly in the mining sector. He says his aim is to channel more money into desperately needed social welfare schemes and boost the country's pension reserves.

Polls place Humala 6 points ahead of Fujimori as the run-off approaches. Victory would make Peru the latest Latin American country to elect a progressive leader in defiance of the Washington Consensus. That has not gone unnoticed in the US, all too aware of its dwindling influence in a region once regarded as its "backyard".

Photo: Getty
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The big problem for the NHS? Local government cuts

Even a U-Turn on planned cuts to the service itself will still leave the NHS under heavy pressure. 

38Degrees has uncovered a series of grisly plans for the NHS over the coming years. Among the highlights: severe cuts to frontline services at the Midland Metropolitan Hospital, including but limited to the closure of its Accident and Emergency department. Elsewhere, one of three hospitals in Leicester, Leicestershire and Rutland are to be shuttered, while there will be cuts to acute services in Suffolk and North East Essex.

These cuts come despite an additional £8bn annual cash injection into the NHS, characterised as the bare minimum needed by Simon Stevens, the head of NHS England.

The cuts are outlined in draft sustainability and transformation plans (STP) that will be approved in October before kicking off a period of wider consultation.

The problem for the NHS is twofold: although its funding remains ringfenced, healthcare inflation means that in reality, the health service requires above-inflation increases to stand still. But the second, bigger problem aren’t cuts to the NHS but to the rest of government spending, particularly local government cuts.

That has seen more pressure on hospital beds as outpatients who require further non-emergency care have nowhere to go, increasing lifestyle problems as cash-strapped councils either close or increase prices at subsidised local authority gyms, build on green space to make the best out of Britain’s booming property market, and cut other corners to manage the growing backlog of devolved cuts.

All of which means even a bigger supply of cash for the NHS than the £8bn promised at the last election – even the bonanza pledged by Vote Leave in the referendum, in fact – will still find itself disappearing down the cracks left by cuts elsewhere. 

Stephen Bush is special correspondent at the New Statesman. He usually writes about politics.