A protest against the government's health reforms. Photo: Getty
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The government's NHS reforms have been "disastrous"

A respected health policy think tank, the King's Fund, has blasted the government's restructuring of the health service.

Bad news for David Cameron, and another "weapon" in Ed Miliband's NHS armoury, as a think tank blasts the coalition's "disastrous" health reforms.

A think tank respected on health policy, the King's Fund, has found the government's restructuring of the NHS "distracted" from patient care. Its chief executive, Chris Ham, told the BBC:

People in the NHS focused on rearranging the deckchairs rather than the core business of improving patient care.

That's contributed to the increasing waiting times and declining performance that patients are experiencing.

The think tank report finds the government's "set of policies designed to streamline and simplify the organisation of the NHS ended up having the opposite effect" and adds that the new system is "bewildering in its complexity" and has left a "strategic vacuum" in some areas.

Although this criticism was just reserved for the first three years of the government's changes, and the think tank's report found focus to have returned to patient care in the past two years, this report is still a big blow to the Prime Minister. His party has been suffering a lack of trust from the electorate on the health service ever since it began pushing the controversial Health and Social Care Bill (now an Act), which is something Labour has been playing to its advantage in the polls.

The report also levelled criticism at Labour, accusing it of "crying wolf" with "ill-founded" claims that the coalition has been privatising the NHS. I have also argued that the opposition's cries of "privatisation" lack authenticity, considering the last Labour government's role in letting the market in. Yet if independent bodies are nevertheless focusing on the government's failures regarding the NHS, this will only fuel the success Miliband has had so far in making the subject central to his election campaign.

Anoosh Chakelian is senior writer at the New Statesman.

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The EU’s willingness to take on Google shows just how stupid Brexit is

Outside the union the UK will be in a far weaker position to stand up for its citizens.

Google’s record €2.4bn (£2.12bn) fine for breaching European competition rules is an eye-catching example of the EU taking on the Silicon Valley giants. It is also just one part of a larger battle to get to grips with the influence of US-based web firms.

From fake news to tax, the European Commission has taken the lead in investigating and, in this instance, sanctioning, the likes of Google, Facebook, Apple and Amazon for practices it believes are either anti-competitive for European business or detrimental to the lives of its citizens.

Only in May the commission fined Facebook €110m for providing misleading information about its takeover of WhatsApp. In January, it issued a warning to Facebook over its role in spreading fake news. Last summer, it ordered Apple to pay an extra €13bn in tax it claims should have been paid in Ireland (the Irish government had offered a tax break). Now Google has been hit for favouring its own price comparison services in its search results. In other words, consumers who used Google to find the best price for a product across the internet were in fact being gently nudged towards the search engine giant's own comparison website.

As European Competition Commissioner Margrethe Vestager put it:

"Google has come up with many innovative products and services that have made a difference to our lives. That's a good thing. But Google's strategy for its comparison shopping service wasn't just about attracting customers by making its product better than those of its rivals. Instead, Google abused its market dominance as a search engine by promoting its own comparison shopping service in its search results, and demoting those of competitors.

"What Google has done is illegal under EU antitrust rules. It denied other companies the chance to compete on the merits and to innovate. And most importantly, it denied European consumers a genuine choice of services and the full benefits of innovation."

The border-busting power of these mostly US-based digital companies is increasingly defining how people across Europe and the rest of the world live their lives. It is for the most part hugely beneficial for the people who use their services, but the EU understandably wants to make sure it has some control over them.

This isn't about beating up on the tech companies. They are profit-maximising entities that have their own goals and agendas, and that's perfectly fine. But it's vital to to have a democratic entity that can represent the needs of its citizens. So far the EU has proved the only organisation with both the will and strength to do so.

The US Federal Communications Commission could also do more to provide a check on their power, but has rarely shown the determination to do so. And this is unlikely to change under Donald Trump - the US Congress recently voted to block proposed FCC rules on telecoms companies selling user data.

Other countries such as China have resisted the influence of the internet giants, but primarily by simply cutting off their access and relying on home-grown alternatives it can control better.  

And so it has fallen to the EU to fight to ensure that its citizens get the benefits of the digital revolution without handing complete control over our online lives to companies based far away.

It's a battle that the UK has never seemed especially keen on, and one it will be effectively retreat from when it leaves the EU.

Of course the UK government is likely to continue ramping up rhetoric on issues such as encryption, fake news and the dissemination of extremist views.

But after Brexit, its bargaining power will be weak, especially if the priority becomes bringing in foreign investment to counteract the impact Brexit will have on our finances. Unlike Ireland, we will not be told that offering huge tax breaks broke state aid rules. But if so much economic activity relies on their presence will our MPs and own regulatory bodies decide to stand up for the privacy rights of UK citizens?

As with trade, when it comes to dealing with large transnational challenges posed by the web, it is far better to be part of a large bloc speaking as one than a lone voice.

Companies such as Google and Facebook owe much of their success and power to their ability to easily transcend borders. It is unsurprising that the only democratic institution prepared and equipped to moderate that power is also built across borders.

After Brexit, Europe will most likely continue to defend the interests of its citizens against the worst excesses of the global web firms. But outside the EU, the UK will have very little power to resist them.

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