We lost. But the fight continues

Labour cannot let the coalition ruin the NHS.

It was a tense two days: attention was focused, argument was heeded. Heads nodded in agreement. There was no barracking. We're a polite lot in the Lords. The second reading of the Health and Social Care Bill was introduced by the Health Minister the Earl Howe. He was universally praised for the thoughtful and exact way he introduced this legislation. Willowy of stature with a slick of grey hair his quiet voice commanded the Chamber. He could, as Labour Baroness Donaghy remarked have "made this Titanic of a Bill sound like one of Abromovitch's yachts". We're a polite lot in the Lords but we make our differences clear.

There were 100 speakers over a day and a half, with 41 of them women, and up to six bishops sitting together, their white sleeves billowing like foam on the bishops' benches. The Archbishop of York made a powerful speech in favour of Lord Owen's amendment that proposed the setting up of a new Select Committee to scrutinise contentious issues around the duties of the legal accountability of the Secretary of State, such a Committee to run in parellel as the House of Lords itself debated remaining clauses. But first there was Labour Peer Lord Rea's amendment that "this House declines to give the bill a second reading...." Labour peers voted for both and both amendments would be lost, by 134 and 68 respectively.

Many cited their personal background: Baroness Kennedy spoke of her surgeon husband's family, a dynasty of doctors who wanted no part of anything other than a publicly funded and provided National Health Service: Lord Alderdice spoke of his extensive medical family too: sadly they were on different sides. Everyone spoke of being inundated with letters, emails and briefings. Passions ran high: some of us feared the NHS was being handed over to privatisation. Baroness Murphy called this "twaddle". Baroness Bottomley called it "romantic poppycock" and gave a warm welcome to the bill. She also managed to praise the merits of Tesco, a connection that didn't seem appropriate. Lord Mawhinny condemned what he believed was an unprecedented.level of scaremongering. Those of us who are genuinely scared spoke of the risk of the free market, of going the way of America which spends 2.4 times more on health per person than Britain and yet has life expectancy levels lower than here.

By the end of day one the numbers in the Chamber had thinned. Former trade unionist Bill Morris's turn to speak came at around midnight. But next morning the Chamber steadily filled up. The ailing Philip Gould turned up to support Labour; the recently widowed Lord Saatchi arrived to support the coalition. Some wondered whether Mrs Thatcher might come among us.

At the last minute there was a sudden flurry of discussion about whether Lord Owen's proposals could be brought in by a certain date. Last minute expectations and fears coalesced around this minor spat. And then it was time to line up in the lobbies.

And so we lost. Being fewer in number, Labour could only have carried the day if enough Cross benchers and Lib Dems came across and voted with us. And not enough did. So the Bill now goes to its committee stage, a time when a cascade of amendments will be tabled, each one argued to death and perhaps significant changes brought to this unwieldy and unwelcome bill. We face hard days ahead, but every inch gained will be worth it. We all know that the British public want the NHS to survive as they know it, only better. Labour were on the way to doing that. We can't let the coalition ruin it.

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The rise of the green mayor – Sadiq Khan and the politics of clean energy

At an event at Tate Modern, Sadiq Khan pledged to clean up London's act.

On Thursday night, deep in the bowls of Tate Modern’s turbine hall, London Mayor Sadiq Khan renewed his promise to make the capital a world leader in clean energy and air. Yet his focus was as much on people as power plants – in particular, the need for local authorities to lead where central governments will not.

Khan was there to introduce the screening of a new documentary, From the Ashes, about the demise of the American coal industry. As he noted, Britain continues to battle against the legacy of fossil fuels: “In London today we burn very little coal but we are facing new air pollution challenges brought about for different reasons." 

At a time when the world's leaders are struggling to keep international agreements on climate change afloat, what can mayors do? Khan has pledged to buy only hybrid and zero-emissions buses from next year, and is working towards London becoming a zero carbon city.

Khan has, of course, also gained heroic status for being a bête noire of climate-change-denier-in-chief Donald Trump. On the US president's withdrawal from the Paris Agreement, Khan quipped: “If only he had withdrawn from Twitter.” He had more favourable things to say about the former mayor of New York and climate change activist Michael Bloomberg, who Khan said hailed from “the second greatest city in the world.”

Yet behind his humour was a serious point. Local authorities are having to pick up where both countries' central governments are leaving a void – in improving our air and supporting renewable technology and jobs. Most concerning of all, perhaps, is the way that interest groups representing business are slashing away at the regulations which protect public health, and claiming it as a virtue.

In the UK, documents leaked to Greenpeace’s energy desk show that a government-backed initiative considered proposals for reducing EU rules on fire-safety on the very day of the Grenfell Tower fire. The director of this Red Tape Initiative, Nick Tyrone, told the Guardian that these proposals were rejected. Yet government attempts to water down other EU regulations, such as the energy efficiency directive, still stand.

In America, this blame-game is even more highly charged. Republicans have sworn to replace what they describe as Obama’s “war on coal” with a war on regulation. “I am taking historic steps to lift the restrictions on American energy, to reverse government intrusion, and to cancel job-killing regulations,” Trump announced in March. While he has vowed “to promote clean air and clear water,” he has almost simultaneously signed an order to unravel the Clean Water Rule.

This rhetoric is hurting the very people it claims to protect: miners. From the Ashes shows the many ways that the industry harms wider public health, from water contamination, to air pollution. It also makes a strong case that the American coal industry is in terminal decline, regardless of possibile interventions from government or carbon capture.

Charities like Bloomberg can only do so much to pick up the pieces. The foundation, which helped fund the film, now not only helps support job training programs in coal communities after the Trump administration pulled their funding, but in recent weeks it also promised $15m to UN efforts to tackle climate change – again to help cover Trump's withdrawal from Paris Agreement. “I'm a bit worried about how many cards we're going to have to keep adding to the end of the film”, joked Antha Williams, a Bloomberg representative at the screening, with gallows humour.

Hope also lies with local governments and mayors. The publication of the mayor’s own environment strategy is coming “soon”. Speaking in panel discussion after the film, his deputy mayor for environment and energy, Shirley Rodrigues, described the move to a cleaner future as "an inevitable transition".

Confronting the troubled legacies of our fossil fuel past will not be easy. "We have our own experiences here of our coal mining communities being devastated by the closure of their mines," said Khan. But clean air begins with clean politics; maintaining old ways at the price of health is not one any government must pay. 

'From The Ashes' will premiere on National Geograhpic in the United Kingdom at 9pm on Tuesday, June 27th.

India Bourke is an environment writer and editorial assistant at the New Statesman.

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