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Labour's 'reforms' destroying the NHS

John Pilger

Published 01 November 2007

Tony Benn predicts a revolution in defence of the National Health Service but it may be too late to erect the barricades

Lying back in a hospital ward, the procedure done and successful, a cup of tea going down nicely with the last of the morphine, you are a spectator to the best. By the best, I mean a glimpse of society with none of the dogmatic histrionics of a media and political class determined to change the way we think. That is the worst. By the best I mean, unforgettably, the spectacle of the miners of Murton, County Durham, emerging from the mist of a cold March morning, with the women marching first, going back to the pit. No matter their defeat by superior forces, they were the best.

In a hospital ward, the best is more likely mundane, with people working routinely, listening, responding, reassuring. Their vocabulary is not corporate-speak. Their "productivity" is not a device of profit. Their commitment has no bottom line, and their camaraderie is like a presence; and you become part of it. The common thread is humanity and caring. How exotic that sounds. Turn on the ward's television and there is a weird other-world of "news", with famous dullards spinning the latest destruction of society.

There is the mad Blair calling for an attack on Iran and Ed Balls peddling his dodgy diplomas, and Gordon Brown, fresh from entertaining Rupert Murdoch and Alan Greenspan, announcing his "return of liberty" along with his latest "reforms" that are malignancies on the one institution that embodies liberty: the National Health Service. None of them has the slightest connection with the people running my ward. The divide in modern Britain is between a society represented by those who keep the NHS going, and its mutation epitomised by new Labour.

In Michael Moore's Sicko, Tony Benn predicts a revolution in Britain if the NHS is abolished. But the NHS is being destroyed by attrition, and if the latest "reforms" are not stopped, it will be too late to erect barricades. On 5 October, the Health Secretary, Alan Johnson, approved a list of 14 companies that will advise on and take over the "commissioning" of NHS services. They will be given influence, if not eventually control, over which treatments patients receive and who provides them. They are assured multimillions in profits.

They include the US companies UnitedHealth, Aetna and Humana. These totalitarian organisations have been repeatedly fined for their notorious role in the American health-care system. Last year, UnitedHealth's chief executive, William McGuire, who was paid $125m a year, resigned following a share-option scandal. In September, the company agreed to pay out $20m in fines "for failures in processing claims and responding to patient complaints". Aetna has had to pay $120m in damages after a California jury found it guilty of "malice, oppression and fraud". In Sicko, a medical reviewer for Humana is shown testifying to Congress that she caused the death of a man by denying him care in order to save the company money. Every year, some 18,000 Americans die because they are denied health care or they cannot afford it.

These companies are new Labour's friends. Simon Stevens, Blair's former health policy adviser, is now a CEO at UnitedHealth. Julian Le Grand, writing in the Guardian as a distinguished professor, gives his learned approval to the "reforms" - he, too, was Blair's adviser.

In Manchester, other "reforms" are well on the way to destroying NHS services for the mentally ill. William Scott committed suicide after losing the support of an NHS worker who had cared for him for eight years. What all this means is that the NHS is being softened up for privatisation by stealth. This is the undeclared policy of the Brown government, whose rapacious actions abroad are mirrored at home. It was chancellor Brown who promoted the disastrous private finance initiative as a device to build new hospitals, while handing huge profits to favoured companies. As a result, NHS trusts are bled by £700m a year. This has caused a wholly unnecessary "financial crisis" that is the catch-22 rationale for allowing more profiteers to take over what was a Labour government's greatest achievement. Will we allow them to get away with it?

www.johnpilger.com

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28 comments from readers

writeon
01 November 2007 at 15:13

Something I hear from a lot of people, when talking about the National Health Service, and it also continually mentioned in the media and radio talkshows; is this question; why when so much more is being spent on the health service is it in such dire straights?

Trying to explain this seeming "paradox" is both difficult and time-consuming, clearly I'm not exactly a hit at dinner parties! God he's the guy who thinks we're all being screwed and the government's full of liars!

Most people just don't understand how much tax-payers money is being transferred out of the system and into company profits. Personally, I always thought the profit motive should be kept out of health care altogether, in an ideal world, but then, I'm odd!

Years ago the public sector was identified as an area where there were potentially billions to be earned by private companies, if only they could get in there. The Conservatives and Labour have both facilitated this strategy, and it's likely to continue, unless we get something close to a political revolution and politicians with radically different priorities.

I realize this talk of "revolution" does sound rather 1789ish, but really believe if we're to deal with the Health Service and a whole host of other massive, structural problems, we have no real alternative but a Revolution and replacing virtually the entire political class. I no longer believe in "reform" anymore, or the current Westminster circus anymore. That isn't where the changes are going to come from, the changes must come from the streets!

gnuneo
02 November 2007 at 15:10

reading the first part of pilger's article, and i am immediately transported to the world of 1984, when Winston leaves the closeted area of The Party, and wanders around the London of the Proles.

food for thought.

as to the rest of the article, and the previous comment, and the general drift of much of NS comments by the readers, and i would say there is coming a clear warning to our corpulent feline rulers and their paid employees in Parliament, Whitehall and Downing St. - enough is enough, and very soon you will be forced to choose, are you with the People, or are you with the Vampires?

oh, and BTW, despite the concerted efforts to redirect social rage against immigrants, social benefit beneficiaries, and soon no doubt other religious minorities and homosexuals, people are seeing through your attempts.

this is BRITAIN, not 1920's Deutschland, and we have a long history of liberalism, that will not be so easy for you to overturn.

even the supine yanks are finally waking up to their peril.

if you want a map of the future, i would suggest reading the stupendous "mars" trilogy by Kim Stanley Robinson, and realise he is not actually writing about the colonisation of mars.

become Praxis, and join us, and keep some of your wealth and power, or continue your 'asset stripping', and lose all.

including your souls.

Carl Jones
02 November 2007 at 22:00

Great this, Pilger on Sicko and now Pilder on the NHS. Lets just remember that our NHS was underspent for decades. Blair`s token spending is still in massive shortfall. Not only that,, NHS management is designed to fail, much like the police with their paper work and days in court.

I know for a fact that US healthcare companies are very interested in the UK...all they see is profit opportunity. The other day BBC 5 Live had people on reporting on dental self help and DIY tooth extraction. As I tap away, I`m studying medical books so I can capitalise on the coming medical black market...

...but I fear I could be thwarted...because the real intention, is to reduce life expectancy...you must not drink wine, you may not eat food that could be interesting, you must not smoke, unless its illegal MI6 import from Afghanistan....all smoking was safe before open air nuke testing.....I was looking at a picture in tonights "South London Press", it was of a South London lido....everyone in the picture had zero fat....was it a construct, or did the paparazzi hang around for several hours until all the normal folk had left the shot, you decide?

Let the tide of globalisation role on, you are being enslaved....more so than before.lol

ant
02 November 2007 at 22:19

I wonder if health policy wonks have watched "Sicko", seen the greedy cruelty of the American system and dreamed that one day in this country we will achieve the same?

Cybertiger
04 November 2007 at 10:33

Overfed, oversexed, and coming rapidly over here … the Americanization of the NHS is proceeding apace. When will the British wake up and smell the appalling coffee the Anglo-American politico-corporate coalition is willing to serve up?

Harry
04 November 2007 at 12:00

Oh dear Cybertiger. You post so often, but you never really say anything. What a waste of time it is. What do you mean by "oversexed", exactly?

Cybertiger
04 November 2007 at 13:17

Q. "What do you mean by "oversexed", exactly?"

A. Too many Americans where Americans ought not to be.

Cybertiger
04 November 2007 at 13:20

“…. Tony Benn predicts a revolution in Britain if the NHS is abolished.”

The British people will revolt when oil for cars runs out, just as the revolting American will rise from his apathetic slumber if ever there was a danger that the American death penalty might be abolished, at home or abroad.

Harry
04 November 2007 at 17:16

"Q. "What do you mean by "oversexed", exactly?"

A. Too many Americans where Americans ought not to be."

You mean that Americans have sex too much so they have too many children? Its hardly an intellectual comment, is it?

Cybertiger
04 November 2007 at 18:37

“Will we allow them to get away with it?”

The moral compass of the Anglo-American corporation has simply gone haywire. And as John Stuart Mill once said, “Bad men need nothing more to compass their ends, than that good men should look on and do nothing.”

Harry
04 November 2007 at 18:59

“Bad men need nothing more to compass their ends, than that good men should look on and do nothing.”

Right. What also might help "bad" men, is if people who see theyre "bad" talk a load of gibberish and use weak, hazy arguements that convince no one.

maryb
05 November 2007 at 10:14

The facts in this excellent article needed saying John but I fear that the British will never rise up - they are lazy, indolent, smug and apathetic - and until they are personally affected by some future shortfall in the NHS atributed to the creeping privatisation, they will remain mute.

Cybertiger
05 November 2007 at 10:32

@Harry

"... a load of gibberish and use weak, hazy arguements that convince no one."

I can see some wide floors in your arguements [sic] - more particularly on the spelling floor. Please try harder or try the spellchecker department.

Harry
05 November 2007 at 10:44

Oh yes, very intellectual, Cybertiger. Making fun of my spelling- what an intellectual you are! Unfortunately, if I had to choose between bad spelling and a lack of opinions, Id choose the former.

Could it be time to develop some opinions?

Cybertiger
05 November 2007 at 12:16

@Harry

"Could it be time to develop some opinions?"

We know you have strong anti-communist opinions but you seem radically opinionless on the fate of the NHS at the hands of the rampant capitalist - which of course, is the subject of this topic. You've had time to develop some opinion while persistently - and pointlessly - slagging off my intellectualism - so let's hear it Harry! A decent education wasn't important: is decent healthcare important to you?

Harry
05 November 2007 at 13:41

Of course a decent education is important to me- I never said it wasnt. Without such things you end up with a population made up of people who talk gibberish like above. "the fate of the NHS at the hands of the rampant capitalist"... Come on, cant you use terms that actually express opinions justified by facts instead of mere gut instincts?

Of course the NHS is important to me. However, commenting on an article by Pilger is like commenting on a speech by Castro; the guy sees conspiracies everywhere and bases everything on blunt anti-americanism. His real reason for viewing the NHS with suspicion is because its part of a capitalist system, run by people who are aligned with America. Thats why I dont particularly like bothering to debate pilger. Hes a bore and a bigot, and worse still, hes a communist. Theres no reason at all why a capitalist country cant run a decent, state owned health service, and theres nothing wrong with carefully injecting some market mechanisms into the NHS. Its actually a good idea, providing theyre used selectively. If it isnt improving the NHS as much as it should, that has more to do with the incompetance of a target- and state-obsessed party than with the logic behind it.

Pilger here should be happy. Labour has put more money into the NHS than anyone else. Their budget has ballooned. Whats more, it has improved (although not as much as it should have, given the money involved). That, overall, is reason enough for raving lefties like Pilger to be happy. But no- although more money is going in, and although the quality is going up, hes unhappy because he suspects that some companies are benifitting too.

The thing is, Cybertiger, than your posts are just a load of short soundbites- you dont express real opinions. See above? Its long, and it doesnt contain any poetry. What I say is clear cut- you can tell what I think because its fairly blunt, and it comes to the point. I dont refer anywhere to how often people in other countries have sex, or to the smell of coffee. This makes the force of the arguement stronger, because its clearer. Try it.

Cybertiger
05 November 2007 at 13:50

@Harry

Too many words, too little education, weak arguments and too much rank capitalism. I'm going to take too paracetamol/tylenol and lie down in a darkened room for a long time.

Harry
05 November 2007 at 14:09

Right. You see what I mean? You say I use weak arguements, and yet you dont specify which arguements, say how they are weak, or, indeed, express counter-arguements. You call capitalism "rank", which is a strange word to describe a term thats so ambiguous and comes in so many forms, without explaining why (a large omission, considering it's by far the world's dominant ideology). And then you revert to the same old gibberish as before. Surely, there are plenty of things for you to disagree with in my above post? I guess you just arent bright enough to articulate a disagreement... Or, more plausably, you just arent bright enough to have any real opinions.

Cybertiger
05 November 2007 at 15:33

@Harry

"You call capitalism "rank""

UnitedHealth, Aetna and Humana are the rank weeds of the capitalist kingdom, as John Pilger told us. Didn't you read his article on the big corporate destruction of the NHS? Do you have difficulty with reading Harry? Are you, perchance, the unhappy product of a deficient education system?

Harry
05 November 2007 at 16:07

"Rank weeds of the capitalist system"? Please, lets try to use intelligent language, shall we? "Rank" is a word used by children to describe food they dont like. Again, flowery language used to cover up the fact that you dont have any real opinions.

I asked you for opinions- I didnt ask you to reword Pilger's opinions. Maybe an example of articulating your own opinions would be something along the lines of "I dont think that we should combine the market with the health system, as this would put profit before care". But you werent smart enough to think of that, were you? Instead, you just pinched Pilger's views, making them more ambiguous with your usual gibberish.

Youre questioning my education?! Thats a joke, coming from someone who is unable to write more than a few lines of rehashed nonsense! Of course, I was educated in a capitalist country. I know that you were too, because youre able to write here now-if you were in Cuba, you wouldnt even be able to look at this website. Remember that when youre criticising the "rank" capitalist system.

Cybertiger
05 November 2007 at 17:10

@Harry

"Rank weeds of the capitalist system"? Please, lets try to use intelligent language ... Again, flowery language ..."

The weeds of the big corporate field, particularly the rank ones, tend not to be fragrant blooms - or could even be considered little violets of the shrinking variety. Britain and the British people have a lot to fear from the rankest of those weeds - like UnitedHealth - and that is my humble opinion.

Harry
05 November 2007 at 17:27

Your humble opinion?! Unfortunately, if your opinion exists at all (which I highly doubt, as it sounds suspiciously like Pilger's opinion), then it is lost amongst your constant gibberish! Lets try to figure out if youre really saying anything there at all, shall we??

I assume that by "the weeds", you mean companies like "UnitedHealth", and by "big corporate field", you mean capitalist system. What do you mean by "fragrant blooms"? and what do you mean by "little violets"? And amongst those "little violets", which do you consider to be "shinking", and which do you consider be not "shrinking"?

Lets see if you actually mean anything by these words at all, because it sounds like youre trying to be clever, but are failing because, unfortunately, you arent bright enough to have, or articulate, real opinions.

If you dont reply to each term, Ill assume that my first impression was correct, and you indeed arent really saying anything at all, because you arent intelligent enough.

Cybertiger
05 November 2007 at 17:39

@Harry again

"unfortunately, you arent bright enough to have, or articulate, real opinions."

... only humble ones.

Harry
05 November 2007 at 17:46

I knew it! Those words you used before didnt mean anything!!! Oh Cybertiger, why do you even post here?! It must be very upsetting spending so much time talking to people who are so much more intelligent than you! Maybe its time to try Yahoo chat??!

old.don
05 November 2007 at 21:28

My opinions!

[1] bringing in private corps to NHS inevitably means reduction in service. The PCs have overheads to meet such as dividends, directors and backhanders [just watch the pro private health care experts & politicos popping up for their board room sinecures, after a "decent interval".]

[2] Control of the service will go to the private sector, who will want to concentrate on profitable procedures, however they are worked out. This means that the cuts will come in mental health, and chronic sickness services, the most vulnerable in society will be abandoned.

Look at what privatisation has done to the railways, starting with a doubling of the taxpayer subsidy from day one, and a real tripling of the fares, reduced service. When we have an accident, it takes 5 not 3 days to get the service back, because the various corps bitch about who will pick up the tab. We can expect the latter the bitching in the NHS as the corps seek to offload the costly long term patients on someone/anyone else. Leading to a two tier service. If it all goes pear shaped, they will take the money and jump back over the pond. Most likely after running down investment in the service in anticipation.

If you doubt this, just look how US corps have acted in other sectors of the economy & other countries.

gnuneo
06 November 2007 at 13:39

old.don: expertly written!

harry: i suspect you are young yet, and are still largely ignorant of what is *actually* happening in the world. Your opinions on Pilger are amazingly off kilter, he is one of the very few journalists in the world (incl. the other news areas, such as islamic news, russian news, chinese news etc) who is actually worthy of the title "journalist". I do not agree with all of his opinions, however he has his finger on the pulse far more than the vast majority.

i would suggest for your reading pleasure on corporations googling "water privatisation", and read BOTH sides, both the glossy websites of the corps, and also the less glossy websites of those who reported honestly about these water privatisations across the globe, and the results thereof. There are also many documentaries dealing with this issue. You will learn rapidly, if you do do this, that one does not have to be a "communist" to be utterly opposed to what these legal "persons" have done and are doing in the name of feudal profiteering.

if you have time, i would also recommend picking up a book or two by noam chomsky, and again finding many of your opinions being radically questioned - and by someone who sources *every* claim he makes, as opposed to newspaper columnists/talk radio hosts who can spout BS because they almost never get comeback upon their garbage.

were you to do this, you will appreciate far more the wise words of old.don above, and also perhaps grasp why i, as a fairly vocal pro-market, pro-capitalism debater, finds the notion of further encroachment onto essential public services by these pre-capitalistic feudal entities called 'multi-national corporations' to be utterly abhorrent.

you may still not agree with us, however you will have a much more impressive grasp of what is happening, instead of once again waving around the red-herring that pilger is a "communist", in the apparent belief therefore you have said something of importance.

oh, and can you PLEASE stop spamming up threads with your pointless and childish bickering with cybertiger? If you don't like what he says, or his style, then just ignore him. Go away from the keyboard and do something constructive, like read a book, or watch a documentary, or masturbate.

other people use these comment pages, and spending 20mins wading through your bickering, is just a completely worthless endeavour.

thanks for your consideration in the future,

xx

Cybertiger
07 November 2007 at 21:55

Look at this news article in the British Medical Journal from December 2004.

"The export of managed health care is US foreign policy... The [UK] government is removing the barriers to the market through the redesign of the NHS."

http://www.bmj.com/cgi/content/full/329/7478/1305

"Professor Allyson Pollock, head of the public health policy unit at University College London, said health management was a "trillion dollar industry" in the United States that regarded the UK health system as an "unopened oyster.""

A flotilla of American oyster-catchers are currently circling the NHS like vultures – be afraid, be very afraid … for the future of the NHS ...

maryb
10 November 2007 at 12:17

could harry push off and take his rancid prejudice somewhere else

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About the writer

John Pilger

John Pilger, renowned investigative journalist and documentary film-maker, is one of only two to have twice won British journalism's top award; his documentaries have won academy awards in both the UK and the US. In a New Statesman survey of the 50 heroes of our time, Pilger came fourth behind Aung San Suu Kyi and Nelson Mandela. "John Pilger," wrote Harold Pinter, "unearths, with steely attention facts, the filthy truth. I salute him."

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