This deeply concerns me. A few days ago the mellifluous Irish left-wing vlogger, Maximilien Robespierre, posted a video asking if Keir Starmer was planning to push the privatisation of the NHS even further if or when he gets into 10 Downing Street. I didn’t see more than a few seconds of the video, but it seemed to be based on Starmer’s cagey response to how he would solve the country’s current crises. While Starmer has promised to repeal the anti-strike legislation, which would definitely be a great step if he actually does it, he answered that question by stating that Labour would not be spending its way out of these problems. This looks like an attempt to assure Tory voters that Labour is now fiscally responsible and no longer the high-spending party of traditional Tory caricature. But the current problems in the Health Service and other sectors are partly caused by decades of cuts and underinvestment. In the case of the NHS, the funding has also been gobbled up by increased administration expenses created by privatisation. So where is this extra investment, and improved services, supposed to come from? Blair tried to solve this by pushing the NHS’ privatisation further than Tories had dared. Not only were further NHS services outsourced to private healthcare providers, but he also created the Community Care Groups of doctors, who were responsible for commissioning medical services. These CCGs were granted the powers to buy in private medical services, and to raise additional income privately. Starmer is a Blairite, as shown by his vehement persecution of the Labour left and embrace of neoliberalism. One of the great commenters on this blog has suggested that he’s an admirer of the Swiss healthcare system. This is a mixture of state and private medical insurance, the degree depending on wealth. In the case of the very rich, it’s all, or nearly all, funded by private health insurance. In the case of the poor, it’s state-funded according to whether they can afford a level of private insurance. I have a feeling Nick Clegg of the Lib-Dems believed in the same kind of continental system. This obviously violates the fundamental principles on which Nye Bevin founded the NHS: that it should be universal and free at the point of delivery.
No-one wanted Blair to push through his NHS privatisations and there was electorally no need for it. By the time Blair was elected in 1997 the country was so thoroughly fed up of Tory misrule and their policies that Blair could have pursued a traditional Labour policy of renationalising it as well as funding it properly. But Blair was a Thatcherite and intensely concerned to get the Tory press and Tory voters onside, to the point that Rupert Murdoch has been described as an invisible presence at cabinet meetings. Blair’s pursuit of Tory policies left traditional Labour voters and members feeling betrayed and disenfranchised and the party lost both. They only continued winning elections because the Tories were worse.
I joined the Labour party a few years ago, inspired by Corbyn’s commitment to genuine Labour party policies and the protection and renationalisation of the NHS. I really don’t want to see it privatised by Starmer as Blair did.
If Starmer does push through further measures to privatise it, not only will he betray this country’s working people, making them poorer and with less available healthcare, then it will also have disastrous consequences for the direction of politics in this country. The recent surge of identity politics following the Black Lives Matter protests back in 2020 has also resulted in a backlash and the appearance of anti-woke parties further to the right, like Reform, led by Richard Tice, and Laurence Fox’s Reclaim. If working people become alienated from politics because whichever party you choose, economically they’re all the same, it leaves the way open for the far right. That was shown very clearly in Margaret Hodge’s neck of London, where Hodge did so little to tackle the rise of the BNP that the stormtroopers at one point had seven members on Tower Hamlets council. Their fuehrer, Derek Beacon, even sent her a garland after their squalid electoral victories. What has been shown to work against the fascist parties and unite working people of different ethnicities and religions is effective, traditional Labour welfare policies. These are desperately needed in themselves, but without them there’s the possibility that Britain may go the same way as the continent in the rise of extreme right-wing nationalist parties.
Renationalising the NHS and restoring the welfare state will not only massive improve the health, wellbeing and prosperity of the British working people, but will do much to stop the racial division and alienation fuelling the drift towards the parties of racial division, friction and resentment.
And what a sordid, depressing spectacle it is too! But we can’t say it wasn’t expected. One of the most dispiriting pieces of last week’s news was that Starmer had appeared in the pages of the Financial Times, declaring he was only intent on power and would take Labour back to the glorious policies of Tony Blair.
Yes, Tony Blair! The unindicted war criminal who pressured the intelligence agencies into ‘sexing up’ the ‘dodgy dossier’ on Saddam Hussein and lied about the dictator having weapons of mass destruction that he could launch within forty minute. This was all done to provide the pretext for an illegal invasion with his best mate, George ‘Dubya’ Bush. It was all done ostensibly to liberate the Iraqi people from a murderous tyrant. The reality was that it was all done so western multinationals led by the American-Saudi oil industry could grab Iraq’s oil reserves and its state enterprises. The result was the destruction of one of the most secular societies in the Middle East and its welfare state. The country’s economy was decimated as the neo-Cons turned into the kind of low tax, free trade state they’d like America to be, unemployment hit 60 per cent and society descended into sectarian violence and chaos. Women could no longer pursue careers outside the home, the American army colluded with local thugs in running deaths squads while the mercenaries also employed by the occupying forces ran prostitution and drugs rings and shot Iraqis for sport. Then, a few years later, Blair joined Bush’s successor, Barack Obama, and Immanuel Macro in helping to overthrow Colonel Gaddafy in Libya, with the result that one half of that country is in the hands of militant Islamists, who have re-opened the slave markets to sell Blacks.
Blair’s domestic policies have also been horrendous. Blair pushed the Thatcherite programme of privatising the Health Service into a much higher gear, so much so that it astonished some Tories. They remarked that he got away with doing more than they would have dared with Labour in opposition. Blair set up to the Community Care Groups, the doctors’ organisations charged with running doctor’s surgeries so that they could raise money privately and buy services from private healthcare companies. The new health centres and polyclinics he set up were also to be privately run. More contracts were given to private healthcare companies and more hospitals closed or turned over to private healthcare companies to run instead. His health secretary, Alan Milburn, wanted the NHS to become nothing more than kitemark on services provided by private healthcare companies. The same Milburn is in this fortnight’s issue of Private Eye following an article Milburn wrote in one of the papers calling for more of the NHS to be given over to private industry. Milburn is not a disinterested observers, as the Eye’s article shows his connections with any number of private healthcare companies.
This is the same Blair who gave positions in government, including regulatory bodies, to the chairmen and senior staff of big businesses that donated to him and his party. He applied the Public-Private Finance Initiative to industry as a whole, resulting in costs and delays massively increasing in public works projects. He favoured the big supermarkets over small, family run stores, thus putting many of them out of business. At the same time, the farmers who supply the supermarkets found themselves locked into extremely exploitative contracts.
He also carried on the Tories’ policy of destroying state education. Thatcher’s project of revitalising schools by privatising them as ‘city academies’ had been a failure and was actually being wound up by her education secretary, Norman Fowler. But Blair fished it out of the dustbin, rebranded them as ‘academies’ and forged ahead with the idea, even against local opposition. The result has been a series of scandals over schools run only narrowly religious lines with draconian and humiliating disciplinary codes. At the same time, the academies have also been criticised for seeking to maintain their academic standards through highly selective admissions policies excluding the less academically able and those with behavioural difficulties. These academies have been boosted with the expenditure of tens of millions on them while ordinary state schools are starved of funds. When this is taken into account, they don’t perform any better than ordinary state schools. In fact they often performed far worse, as a string of academies have folded or their schools taken back into state administration.
At the same time, Blair, Mandelson and co also demonstrated their hatred and contempt for the unemployed, the poor and disabled. They fully believed in Thatcher’s ‘Victorian value’ of less eligibility, in which the process of claiming state benefit was to be made as humiliating as possible in order to deter people from claiming it. Based on spurious, fraudulent research cooked up by American private health insurer Unum, they decided that most people claiming disability benefit were malingerers. The result was the infamous work capability tests, which were set so that a specific percentage of claimants were found to be ineligible and thrown off benefit. The result has been even more despair, starvation and deaths for hundreds of genuinely disabled people, who have had their only source of income removed. It was also Blair, who introduced workfare as part of his risible ‘New Deal’. Under the guise of teaching long term benefit claimants the necessary skills to get them back into work, the unemployed were handed over to work for various businesses and private sector organisations, like the big supermarket chains and charities. If they refused, they lost their benefits. Contrary to what Blair and his Tory successors claimed, this does not help unemployed people get back into work. In fact it does the opposite. The unemployed actually do far better looking for jobs and voluntary work on their own.
Blair also hated the trade unions, the working class organisations that have been part of the Labour party since it was founded in 1905 or so. The Labour party was partly set up to protect trade unions and their members. But Blair did everything he could to smash their power further. When he became head of the party c. 1997 he threated to cut the party’s ties with them if they didn’t back his reforms.
Yes, Blair won three elections, but the cost was a massive drop in membership and support amongst traditional Labour voters and activists. From this perspective, Jeremy Corbyn was actually far more successful, turning Labour into the biggest and best funded of the UK parties. This was through the simple technique of putting forward a traditionally socialist, truly Labour set of policies: end the privatisation of the NHS, renationalise the utilities, restore the welfare state, remove the restrictions on the trade unions and give working people proper rights at work. Corbyn became massively unpopular only due to a concerted campaign of personal vilification, but his programme was genuinely popular. Unlike Blair’s, who only won the election because almost two decades of Tory rule had made them even more unpopular.
But the Labour left and the continued popularity of socialism continues to worry the Blairites. Hence Starmer’s determination to purge the party of them, and most specifically socialist Jews. On Wednesday there was a Virtual meeting of left-wing labour politicos and activists on Zoom discussing Starmer’s continuing persecution on the Labour left. One of the great speakers quoted the late Tony Benn. Speaking during the purges of Marxists from the party in the 1980s, Benn stated that it would start with the Marxists, go on to the socialists and end with a merger with the SDP. It was all about protecting capitalism. Occasionally the party would be given a chance to govern the country, but nothing really would change.
And that’s really what you can expect from Starmer’s return to Blairism. It’s just going to be more Tory policies, put forward by people who claim to represent ‘real Labour values’ but who in reality have nothing but absolute contempt for the working class and the ideals of the people who founded the party.
As Mike has pointed out, it was clear which direction Starmer really was going from the outset. Despite his declaration that he would continue Corbyn’s manifest promises, he broke every one of them as soon as he could. He carried on the purges under the pretext of clamping down on anti-Semitism – and who knew so many anti-Semites were self-respecting Jews! – and then had the whip withdrawn from his predecessor. He has also done his best to destroy the party’s internal democracy, suspending individuals and constituency parties at a whim and imposing his own candidates against the wishes of local activists.
Somehow Starmer has managed to convince himself that a return to Blairism will be a vote-winner. Well, it hasn’t so far. Coupled with the islamophobia and anti-Black racism of his supporters, it’s led to the party massively losing members and working class support. The result has been a string of election defeats.
Blair was a mass-murderer, whose wars have turned the Middle East into a charnel house and whose economic and welfare policies have further impoverished this country and its awesome, hard-working people. But they kept capitalism secure and further enriched the already obscenely wealthy.
And to Thatcherites like Starmer and his supporters, that’s all that really matters. Expect Labour to lose, and continue to lose, with this open move to the right.
More evidence of the absolute absence of any real, traditional Labour values from the noxious vacuity now taking up space as the leader of the Labour party. Mike put up a piece a day or so ago commenting on a tweet someone sent to Starmer asking him if he was going to vote against the government’s latest legislation opening the NHS up to further privatisation, allowing private healthcare companies to sit on NHS boards and take over GPs’ surgeries. In areas where this has been tried, it’s been a disaster. Those companies can only make profit by cutting staff and services, so you can far worse treatment. This isn’t up for debate, it’s true. It also seems to mark the transition to a two-tier health service: an under-resourced, substandard state sector for the proles while the rich will go to the better private service, which only they can afford. Assuming that it doesn’t result in the NHS being totally privatised and transformed into an American-style healthcare system, which is financed through private healthcare with medicare and medicaid, state-payed healthcare existing only for the poor.
So how did the great leader, who would unify the party and defend the Health Service respond to this vital question? He didn’t. He didn’t reply at all. Major indecision, as Johnson calls him, struck again! Or worse – it’s a tactical silence, because he won’t. The Tories have been privatising the Health Service piecemeal since Thatcher, but Blair when he took power went further than they did. Blair was responding to lobbying by American healthcare companies, including some of the same companies and scumbags who’d been lobbying and drafting policies for the Tories. He created the Community Care Groups of doctors, who were supposed to control the funding for the doctors’ surgeries of which they were in charge. They were also given the ability to raise money privately outside NHS funding and to buy in services from the private sector. It was also Blair’s idea to have the polyclinics or health centres he was building run by private healthcare companies. Alan Milburn, his health secretary, would have liked to have turned the NHS into a kitemark for services provided by private companies.
And Starmer and his squalid followers are true Tory blue Blairites. It seems that despite his election videos in which he promised to defend the NHS at the last elections, he has absolute no such intentions. He’ll betray the NHS to get the votes of all those swing Tories Blair lusted after. But Blairism is a spent force. The Tory voters ain’t coming over to the Labour not when Johnson appears to be prepared to spend more to keep Britain at least somewhat above water. Johnson’s getting reviled for it by the extreme right too. There’s an anti-immigrant YouTube channel, We Got A Problem, that put up a video a few days ago denouncing Johnson as a Communist! This showed the Tory flame or tree or whatever against a red background with a hammer and sickle. This shows you how utterly removed from reality the Tory right are. The result of this is that some people are definitely going to vote Tory, while traditional Labour voters will stay home because Starmer is, like Blair, doing absolutely nothing for the working class. But hey, he’s aiming to get more support from corporate donors!
The debate’s on Wednesday. We have to do everything to defend the NHS. And that means getting rid of both the real Tories in parliament and the imitators in the Labour party. Let’s end privatisation and
Get that greedy, profiteering, factionalist disgrace Starmer out!
The parties have been running their election broadcasts this week in the run up to the local, elected mayoral and other elections in May. I caught a bit of Labour’s the other night, and wasn’t impressed. The piece I glimpsed consisted of Starmer sitting in front of the camera, urging people to vote Labour to protect it from the Tories’ privatisation. And the Tories are privatising the NHS by stealth, all under the cover of bringing in best practice from the private sector. And the Lib Dems have been exactly the same. They were the Tories’ partners in David Cameron’s wretched coalition government, which carried on the privatisations. Nick Clegg did nothing to stop it. Indeed, he gave every assistance to the Tories and seemed to be fully behind the handing over hospitals and doctor’s surgeries to private enterprise to run. Just as the Liberals and SDP were way back in 1987, when the two allied parties had declared that it didn’t matter whether doctors and hospitals were public or private, provided that the treatment was free. Except that the Tory privatisation of the NHS will definitely not retain free treatment at the point of use, as provided by the terms of the NHS’ establishment. The Tories wish to turn the NHS into a fully private system funded by private medical insurance like the American health system.
There are Labour MPs who are fighting tooth and nail to protect the NHS. I’m thinking here of the people on the Labour left, such as Jeremy Corbyn, Richard Burgon, Diane Abbott, Rosina Allin-Khan. I also believe that others from the Labour right are doing so. At one meeting of my constituency party here in south Bristol, our local MP Karen Smyth said she joined the Labour party and became an MP because she was so appalled at what Cameron and co. were doing to the Health Service.
But I find Starmer’s claim that he will protect our NHS much less than credible. He’s an arch-Blairite, who has spent his tenure as leader so far in conjunction with the wretched NEC trying to purge the party of left-wingers and socialists. This has involved all the usual trumped-up, fake charges of anti-Semitism. And sometimes there’s no explanation given at all, like when the NEC barred three of leading Labour contenders for elected mayor of Liverpool. Worse than that, he has broken all of his leadership promises. He claimed that he would continue to uphold Labour’s manifesto promises of returning the utilities to state ownership, reversing the NHS’ privatisation and properly funding it, strengthening the welfare state and workers’ rights and restoring power to the unions. But in practice he hasn’t done any of that. It might put off all those rich donors he’s trying to attract. He has shown no real opposition to Johnson’s government, and what little he has shown has been glaringly opportunistic. So opportunistic, in fact, that right-wing windbag and broadcasting egomaniac, Julia Hartley-Brewer, asked him if there was anything in fact he stood for when he appeared on her wretched show on LBC radio.
And if this isn’t ominous enough, the fact remains that Tony Blair also went ahead with the right-wing programme of privatising the NHS. The polyclinics and health centres Blair set up were opened up to private management. He continued handing over doctors’ surgeries and hospitals to private healthcare firms. And the Community Care Groups, the groups of doctors which were supposed to manage local NHS doctors’ budgets, were granted the ability to buy in services from private sector companies, and raise money from the private sector. His Health Minister, Alan Milburn, wished the NHS to be reduced to a kitemark logo on services provided by private industry. And I fear Starmer will do exactly the same.
Brian Burden, one of the great commenters on this blog, posted this comment noting Starmer’s telling lack of opposition to another Tory appointment.
Hi, Beastrabban –
I refer you to p19 of the April 7 issue of Socialist Worker: Samantha Jones, formerly of Openrose Health, owned by US health insurance giant Centene Corporation, has recently been appointed a top adviser to Boris Johnson. Openrose took over scores of NHS GP surgeries earlier this year. Centene has faced a number of fraud and corruption law suits in USA. Socialist Worker believes that Johnson is moving towards the full privatisation of the NHS. Not a whisper from Starmer about any of this.
I wasn’t aware of this appointment, though I haven’t been paying much attention to the news recently. Not that I think it would be in the news. Ray Tallis and Jacky Davis have a whole chapter in their book, NHS – SOS to how the BBC has supported the privatisation of the Health Service. I’m not a fan of the former Socialist Workers’ Party, but I’ve no doubt they’re correct about this and are right to publicise it. And Starmer’s silence is telling.
I doubt very much that Starmer’s serious about protecting the NHS. And everyone else seems determined to privatise it with the exception of the much-reviled Labour left.
So forget the vile propaganda and smears against them and support the real people of principle who are standing up for this most precious of British institutions.
More lies from the party of smear and bully: they’re denying they’re selling off the NHS. At around 10.00 O’Clock on Wednesday Jeremy Corbyn appeared, brandishing a copy of the documents of the negotiations between Donald Trump and his British counterpart, Boris. And two minutes after he made his speech, the Tory spin machine trundled into action using what Peter Oborne has called its paramilitary wing, Guido Fawkes. The site stated that they had all six of the documents Corbyn had seen, and one didn’t mention the NHS at all. And the second, he declared, showed that Britain was heading for cheaper drugs through the deal with the Americans.
The Torygraph’s Christopher Hope then claimed that Corbyn was a threat to national security, as those documents had been marked secret. Zelo Street has pointed out how hypocritical this is, coming from the man or the paper that leaked ambassador Kim Darroch’s confidential views on what a massive imbecile Trump is. Tory chairman James Cleverly decided to add his tuppence worth’s, a declared that this breach of confidentiality by Corbyn showed his wasn’t fit to be Prime Minister. This was then refuted by Aaron Bastani of Novara Media, who pointed out that if that was true, then what about Fawkes, which had uploaded the documents with the civil servants’ names attached. Which Corbyn hadn’t done. And Pete tweeted that the documents actually showed that NHS access to generic drugs is an issue for the US.
This was confirmed by Steve Peers, who cited the relevant texts to disprove the Fawkes’ lies utterly. Peers tweeted
This is either ignorant or dishonest about Trump’s trade policy on drug pricing. It’s the other way around – Trump’s policy is to *increase* the prices paid for drugs outside the US … Here’s Trump’s policy on drug pricing in his own words, objecting to ‘unreasonably low prices’ outside the US – from the House of Lords library briefing on ‘the NHS and future trade deals’, 4 July 2019.
Some have objected to Corbyn saying that Trump seeks ‘full market access’ for medical products. But this phrase is found in the Trump administration’s own public document setting out its objectives in the US/UK talks … this falls short of the claim that “the NHS is for sale” in the trade talks with Trump. But we do know: a) patents/NHS drug pricing is under discussion (although we can’t be certain what final FTA would say on this) … b) Trump’s objective is NHS paying *more*, not less.
Zelo Street concluded its coverage of this with the comment
‘Labour’s revelation has cut through. The Tory boot boys have confirmed it. Game changer.’
But the Tories are still pursuing a policy of NHS privatisation even without the wretched trade negotiation with Trump.
They and the Blairites have been doing it for forty years, ever since Thatcher got into power in 1979. She really did want to privatise the NHS completely, but was only prevented by a cabinet revolt. So she contented herself with privatising the ancillary services by opening them up to private tender, and trying to encourage a target of 15 per cent of the British population to take out private health insurance instead.
This piecemeal privatisation continued under John Major, who introduced the private finance initiative, in which private firms would cooperate with the government to build hospitals. A few years ago Private Eye published a piece on this, revealing that its architect, Peter Lilly, saw it as an opportunity to open up the NHS to private enterprise.
Then in 1997 Blair’s new Labour came to power, and the process of privatisation was ramped up. Blair was no kind of socialist. He was an ardent Thatcherite, who the Leaderene in her turn hailed as her greatest success. He immediately pushed through a series of reforms in which the management of hospitals would be opened up to private healthcare companies. At the same time, the NHS could also contract in private healthcare providers like hospitals. The new polyclinics or health centres that the Blair regime established were also to be privately managed by companies like BUPA, Circle Health and Virgin Healthcare. And the Community Care Groups of doctors, which were supposed to be responsible for allowing doctors to manage their own funds, were part of this policy. They could raise money through private enterprise and contract in private healthcare companies.
One of Blair’s Health Secretaries wished to reduce the NHS to nothing more than a kitemark on services provided by private companies.
And this policy was continued and expanded in turn by the Tories.
They have done nothing to repeal any of this legislation. Instead they have taken it further. Andrew Lansley’s Health and Social Care Bill is particularly obnoxious as underneath its convoluted verbiage it absolves the Health Secretary from the responsibility of ensuring that everyone in the UK has access to proper healthcare. This overturns one of the core principles of the NHS that has been there ever since it was set up by Nye Bevan and the Labour Party in 1948.
And it has gone on. The Tories wanted to give whole regions over to private healthcare providers, which would have brought the NHS’ complete privatisation that much closer. At the moment the majority of medical contracts have been given to private healthcare providers. Mike revealed on his blog that about 309 contracts had been given out, thus refuting the Tory claim that they aren’t selling the Health Service off.
This is a process that has been going for decades. But it is extensively covered by books like Raymond Tallis’ and Jackie Davis’ NHS – SOS. I’ve also written pamphlets on it, one of which is still available from Lulu. See my publications’ page on this site. And there are other books. Many others.
The Tories are selling off the NHS, and it is only Corbyn and his team that oppose it. The Blairites in Labour and the Lib Dems are utterly complicit in it.
Yesterday’s I newspaper also carried some very interesting and important news in an article by Paul Gallagher. The article ‘GPs ‘shifting support to Lib Dems’ is mainly about the majority of GPs supporting the Liberal Democrats rather than Labour or the Tories. But the really important stuff is in the last paragraph, where it reports
But Labour remained the party GPs believed would look after the NHS – 30 per cent trusted Labour, 20 per cent opted for the Liberal Democrats and 14 per cent chose the Conservatives. Some 30 per cent chose “none of the above”.
This follows the Tories promising that they will increase spending on the NHS by £20bn a year by 23-4, Labour stating it would be £26 bn a year and the Fib Dems that they would increase it by £35 bn over the next five years. Apparently only 20 per cent of GPs say the will vote Tory at the next election, whereas 30 per cent said they would at the last one. Support for Labour was also down 10 per cent. 31 per cent of GPs had said they would vote Labour at the last election, but now it’s only 21 per cent. 31 per cent of GPs, however, say they will vote Lib Dem, up from 19 per cent at the last election. This is according to a survey conducted by GPonline.
A few remarks on this. Firstly, this poll only records the way those GPs, who responded to the survey said they would vote. These may unrepresentative of the great majority of GPs for various reasons. For example, the GPs, who replied are obviously those with the time and motivation to vote. Others may be too busy or otherwise not motivated.
Secondly, it shows that the Lib Dems have eaten into the Labour vote through Jo Swinson presenting herself as a progressive alternative to Labour’s extremism and anti-Semitism. But this is a mistake. Labour is neither anti-Semitic nor extreme. Corbyn’s policies are simply a return to the social democratic consensus which delivered over three decades of prosperity and economic growth after the War. And the Lib Dems are not in any way progressive. Jo Swinson consistently voted with the Conservative government, far more so than many leading members of the Tory party. She fully supported the swingeing welfare cuts, the privatisation of the NHS, the bedroom tax and other Tory attacks on the poor and vulnerable. How progressive is someone really, who wants to put up a statue to Margaret Thatcher? Clearly she isn’t, and only 2 per cent more of her party support Remain than Labour. As she seems ready to do a deal with the Tories and go into coalition with them as he predecessor Nick Clegg did, rather than support Corbyn, it seems that she personally only regards supporting Remain as a temporary electoral strategy. If there’s a hung parliament, you can bet she’ll be round Johnson like a shot pledging her support.
I also feel that belief in the Labour party as the true supporters of the NHS would be higher, if Blair’s new Labour hadn’t been so determined to privatise it through the introduction of privately run health centres, the award of contracts to private healthcare firms, including GP services, and the introduction of the Community Care Groups, who were empowered to raise funds through private enterprise and contract in private services. It’s these Blairite policies, which spring from Blair’s own Thatcherism, that Corbyn intends to remove.
The real message, for anyone who genuinely prizes our NHS, is that only Corbyn’s Labour party can be trusted with it. Not Johnson, not Swinson, just Corbyn.
Last week the orange generalissimo managed to cause massive offence and outrage on his state visit here. And it wasn’t just for merely being present, although that was certainly a major factor in the protests his visit provoked. No, Trump and his spokesman were touting for a trade deal with Britain after Brexit. And he demanded that ‘everything should be on the table’, including healthcare.
Which means the NHS.
MPs from all sides of the House immediately swung into action to condemn the Fascist cheeto’s demands that the NHS should be opened up to private American healthcare companies. There were a string of high profile Tory MPs, including former health secretary Andrew Lansley, loudly denouncing Trump’s demand, and stating that they weren’t going to include the NHS as part of the Brexit deal and were going to defend this most precious of British institutions. Lansley in particular was scathing about Trump’s opposition to the way the NHS controlled drug prices. He was afraid that if Trump has his way, this would be discarded to allow predatory American pharmaceutical companies to charge excessive and unaffordable prices for needed drugs.
He’s absolutely right.
One of the current scandals with the American private, insurance-driven healthcare system is that the drug companies can and do charge whatever they like for their products, which means that these are often beyond the ability of ordinary Americans to afford. I’ve blogged on here about a piece from The Young Turks about how Americans are hoarding drugs or buying those intended for animals from vets because they can’t afford them. And the worst example of a drug company actually raising prices is the case of Martin Shkreli. When he took over one company, he raised the price of an anti-AIDS drug to well over $300 a pill. He said he only wanted rich Americans to be able to use it, not poor Indians. He was rightly massively vilified for his gross racism and profiteering, but continued to defend himself, as he really couldn’t see that he had done anything wrong.
But while it’s heartening to see all these politicians stand up to defend the health service, I don’t believe them. With one exception, of course: Jeremy Corbyn. The Tories and the Blairites simply can’t be trusted to defend the NHS because they haven’t done it up to now. Indeed, they’ve done the exact opposite, all the while denying it.
Remember how Maggie Thatcher loudly declared that the NHS was ‘safe with us’, and she would keep her wretched claws off it. She even put it in her memoirs, denouncing the claims of the Labour party that she was planning to privatise the health service as lies. But she herself was lying. Cabinet minutes released a couple of years ago showed that she very much wanted to privatise the NHS. She was only stopped because of a massive cabinet revolt and the fact that her Personal Private Secretary, Patrick Jenkin, had visited the US and had seen personally what a travesty American private healthcare was.
So she satisfied herself with cutting its budget and trying to encourage Brits to take out private health insurance instead. She was aiming for about 11 per cent of the British population to take out such insurance.
She was followed by John Major, whose health secretary Peter Lilley was, I believe, one of the others who attacked Trump’s demand for a slice of NHS action. But Lilley was responsible for the Private Finance Initiative, under which private firms were to be allowed to bid for NHS contracts and building and running hospitals in partnership with the government. It was deliberately introduced with the intention of opening up the health service to private healthcare companies. And Lilley was advised in his health policies by John Lo Casio of the American private health insurance fraudster, Unum.
Well, the government changed with Labour’s 1997 electoral victory, but the Thatcherite privatisation of the NHS remained on course. Blair was an unashamed Thatcherite, and she had reciprocated his feelings by calling him and New Labour her greatest achievement. Blair also took over Lo Casio and Unum as his advisers on health policy, and continued the stealth privatisation of the NHS. The Community Care Groups of GPs he set up to contract in healthcare services were given the power to purchase it from the private sector and to raise funding privately themselves. The health centres and polyclinics he set up were to be run by private healthcare firms, like Circle Health, BUPA and Beardie Branson’s Virgin Health. NHS contracts, including out of hours services in many regions were privatised and the contracts awarded to private healthcare firms.
And yes, American healthcare firms were among them. Private Eye reported how Blair was surrounded by American public sector contractors, all lobbying for their share of British state business. Like the private American prison company, Wackenhut. And this included private healthcare companies. Blair was particularly impressed by the private American healthcare provider, Keyserpermanente, which he thought provided better value for money than the traditional NHS structure. It doesn’t, but that was ignored, and the American company provided the model for his NHS reforms. His health secretary, Alan Milburn, wanted the NHS to become nothing but a kitemark for services provided by private companies.
And this continued under David Cameron and Tweezer. Despite the loud shouts by Lansley and Jeremy Hunt that they ‘treasure’ the NHS, both of them preferred private healthcare and previously stated that they wanted the NHS effectively abolished and the lines blurred between state and private provision. There’s also a solid block of Tory politicians that would like the NHS sold off completely. Like the Devon Tory MEP, Daniel Hannan, dubbed by Guy Debord’s Cat ‘the Lyin’ King’ because of his gross mendacity. The majority of NHS contracts are being awarded to private healthcare firms, rather than kept in-house, and they have been angling to win the contracts for whole regions. Which brings the complete privatisation of the NHS even closer.
Andrew Lansley’s convoluted Health and Social Care Act of 2012 also enabled its privatisation by removing the obligation of the health secretary to provide healthcare to everyone in the UK, which had been a statutory requirement since the founding of the NHS in 1948. The Tories have also consistently voted to introduce charges for certain NHS services. Mike over at Vox Political has frequently given the voting record of some of the worst Tories, who have not only done this, but also supported other attacks on the poor like cutting welfare services, raising tuition fees and supporting the bedroom tax.
And I don’t trust the Lib Dems either. They went into coalition with the Tories and did absolutely nothing as their partners in government continued to attack the welfare state and the NHS. Indeed some of them, like the former MP for Taunton Dean, strongly supported it.
I have to say that I think that the outrage from the Tories at Trump’s demands is largely hypocritical. They’d very much like to make a deal with Trump, that includes the NHS along with other essential services that should only be run by the state. But, as with the cabinet revolt against Thatcher, they’re afraid that if they agree, they will be voted out in a devastating landslide, possibly never to get back into power.
The only person, who can be trusted to defend the NHS and keep it safe from Trump and the other privatisers, is Jeremy Corbyn.
Don’t trust the Tories. They still want to and are privatising the NHS. Nor the Lib Dems or ‘Centrist’ Labour, who are exactly the same. The only real hope of defending and reviving the NHS is with Corbyn and the victory of a genuine, socialist Labour party at the next election.
Mike last Friday put up a piece reporting that the physicist and cosmologist, Stephen Hawking, had joined a group of university professors and campaigners mounting a legal challenge to Hunt’s planned introduction of Accountable Care Organisations into the NHS. The article notes that Hawking and Labour MPs are opposed to them, as they have the same name and are modelled on similar organisations which manage care within the private American healthcare system. Hawking sees them very much as a device to cut services and expenditure, and open the NHS up to further privatisation. The campaigners are also opposed to the way these organisations are being introduced without statute, and part of the point of the legal challenge is to open them up to proper parliamentary debate.
Mike’s article also notes that Hawking has challenged Hunt to a debate, and used statistics to prove his point that Hunt was wrecking the NHS. To which Hunt responded by accusing him of ‘cherrypicking’ the data. Which in my experience is exactly what the Tories do, in order to hide their own duplicity and destructiveness. Hawking has challenged Hunt to a public debate. To which Hunt responded by running away. The comedian Ralf Little has also challenged the Health Secretary to a debate. Twice. And Hunt’s run away from that.
But not according to the Beeb’s Newsbeat, which claimed that it was Little running away from Hunt. Hunt has also been madly spinning, claiming that he’s waiting for Little to show the evidence, when in fact Little has. It’s Hunt who’s been running away.
Is this a genuine mistake, or yet more rightwing bias at the Beeb? I’d say it was more right-wing bias. However, the Beeb’s clearly getting a mite sensitive about this, as Ian Hislop got a bit sniffy about claims of anti-Labour bias at the Beeb a few weeks ago on Have I Got News For You. He made a sneer about such accusations, as if that stopped them from being true.
Wildswimmerpete posted this observation about the basis for this latest privatisation in Kaiserpermanente:
*Unt: ” following a US-style privatisation agenda with his introduction of Accountable Care Organisations (ACOs)”. The “name that should never uttered”: Kaiser Permanente. *Unt seems to spend a lot of his time at KP’s HQ no doubt for inspiration to feed his delusions.
This is very much how it appears to me. It looks very much like an extension of Tony Blair’s policy. Blair also wanted the privatisation of the NHS, and looked to the ‘managed care’ system devised by Kaiserpermanente in America, which was supposed to deliver care more efficiently and economically. In fact, it doesn’t, but that’s the effect of free market ideology on people: they become completely impervious to the truth, blinded by the glory of Thatcherite economics. Blair also set up the Community Care Groups, groups of GPs which were also supposed to be given the powers to arrange for the provision of services within the NHS, or alternatively, to buy in services from the private sector.
Of course, Blair was just following and expanding the policies of NHS privatisation introduced by Thatcher and John Major. It was Major, who introduced the system of allowing private companies to build and run hospitals and other NHS services under the Private Finance Initiative.
And Andrew Lansley’s Health and Social Care Act of 2012 is a particular danger, as it absolves the Health Secretary of his statutory obligation to ensure people have access to state provided healthcare.
I’ve written a couple of pamphlets on this. One of these, Privatisation: Killing the NHS, is available from Lulu. The other is a desktop published work, which you can get directly from me, if you want it. Just leave a message in the comments if you want one, and I’ll get back to you.
And I also put up this video on YouTube urging everyone to vote for Corbyn in the elections, as he’s the only one, who has promised to renationalise the Health Service.
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