Global Justice Manchester

NHS

Big Brother and post-Brexit trade deals

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“Big Brother is watching you 68/366” by Skley is licensed under CC BY-ND 2.0

We’ve been campaigning hard to stop the US-UK trade deal, but it is not the only threat to post-Brexit sovereignty, as the Government rushes to smuggle a whole raft of dangerous deals under the radar while the country is distracted by coronavirus lockdowns and the EU negotiations.

“big brother” by Vince_Lamb is licensed under CC BY-NC-SA 2.0

The recent deal with Japan is a prime example – it lacks many of the privacy protections that we are used to. The Government calls this ‘improving data flows’, but what it really means is that your private details can be traded on the open market.

And Parliament has little control over the process. The Trade Bill is stuck in a ping-pong match between the House of Commons and the House of Lords, as the latter attempts to introduce an element of democracy into a Bill that essentially gives Government Ministers the power to do whatever they want with no effective oversight.

The Japan deal itself has little immediate effect, as the trade in data with Japan is currently minimal. But it is the thin end of a very thick wedge, as it sets precedents for the much bigger deals which the Government is edging towards with the US and the Trans-Pacific Partnership.

Selling our birthright

“Baby getting injection” by vaccinesstockphotos is licensed under CC BY-NC 2.0

A major focus of UK-US post-Brexit trade negotiations will be the NHS patient database. It is probably the biggest, and most complete, collection of personal medical records in the world – an extremely valuable resource which can be used to improve healthcare provision. It can also be a source of massive profit for private companies – and a threat to the privacy of individual patients.

Google is already working with US healthcare companies to find profitable ways of exploiting such data, and they have already grabbed 1.6m patient records from the NHS, through an illegal collaboration with the Royal Free NHS Foundation Trust.

Would you want a website to know your ethnic background?

“Heathrow Border Control” by Ungry Young Man is licensed under CC BY 2.0

Another danger posed by unregulated data flows their use by racist and other discriminatory algorithms. Recently, the Home Office was discovered to be using such an algorithm for ‘streamlining’ visa applications. Not only did the algorithm discriminate against applications from citizens of certain countries, it also used its own decisions as data for rating countries, thus creating a feedback loop of ever strengthening prejudice.

Both sides of the Atlantic have seen a growth in supposedly ‘predictive’ policing, based on machine learning. In the US, campaigners have been attacking the use of facial-recognition technology which ‘predicts’ the criminality of suspects, based on their appearance.

Insurance companies and credit agencies are also investing heavily in this kind of technology.

‘The public-private partnership from hell’

“Cory Doctorow” by Ian Muttoo is licensed under CC BY-SA 2.0

The business model of internet giants Facebook and Google is based on harvesting personal information about us to use for commercial purposes.  These companies want to be able to move that information freely about the globe, passing it from company to company in search of profit. Much of this data will inevitably end up in the countries with the loosest legal regulation on its use

Cory Doctorow describes the current regime of data governance in the US as ‘the public-private partnership from hell, as corporations collect data for commercial purposes and share it with government agencies under the Homelands Security Act. It is a model that is no doubt being eyed by repressive governments everywhere.

The ‘internet of things’ and perpetual surveillance

Increasingly, everyday things are controlled by computers connected to the internet: electric meters; cars; fridges; computer games; TVs; stereo speakers; watches… You name it, it will

“Big Brother 2009 Italy” by _mixer_ is licensed under CC BY-SA 2.0

soon become part of the internet of things. And it will all be capable of collecting data and sending it to a central database. To be used… for what? Some of the potential uses may have great benefits for humankind. Others may just enable vast profits to be made. Some may be sinister, encroaching on our freedom or perpetuating injustice.

Who is to decide what will be permitted? Secretive corporate courts, held under the auspices of trade treaties outside democratic control? The next few years will decide this question.

John

Day of Action on US Trade Deal

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The pandemic preoccupying and dominating the public’s consciousness, many more fundamental issues are in danger of being overlooked. So Global Justice Now, along with Trade Unions, War on Want, Traidcraft and others called for a national Day of Action on Saturday 24th. October, looking for images to use in publicity and for a photo petition as well as to raise awareness in the general population.

The threatened trade deal has numerous strands, all of which threaten our institutions, our standards and our democracy. They are even more dangerous to people in the Global South. If the UK’s acceptance is rolled out as a benchmark of what is required to trade with the dominant economic powers. In Manchester, we united with allies and made several outings to protest the deal. We also invited people to send in and post photos of themselves, their dogs, homes and associates with the message “Stop the US Trade Deal”.

Thursday (22nd. Oct.) saw us in Chorlton, exploiting the wide pavement outside Oxfam on Wilbraham Road and using a simple quiz-display to stimulate engagement with questions on US standards in food hygiene (how many rat hairs are allowed in 25g of cinnamon), permitted insecticide residues allowed on apples, toxic ingredients banned in cosmetics, and the expected cost of the 50 most expensive medicines used in primary care. This proved an excellent way of engaging people. Unusually we didn’t have cards to sign but the excellent flyer GJN had produced gives a link to an e-action and we had a QR code for those who wanted to find out more with their mobile phones. Footfall was disappointing, but with a higher than usual percentage engaging.

Next day we focused on the threat to democratic authorities taking action to stop climate change and joined with War on Want, Fridays for the Future, and Greater Manchester Campaign Against Climate Change’s normal vigil outside the Central Library.

Even the statue of Emmeline Pankhurst joined the protest, reminding Boris Johnson of his commitment on climate change, “We must act now, right now … extinction is forever, so our action must be immediate,” with the suffragist slogan slogan “Deeds Not Words”.

And on Saturday itself we combined with War on Want and Keep Our NHS Public activists to stage a photo-op outside the MRI complex on Hathersage Road.

This brought honks of support from passing traffic and was streamed live by a KONP supporting media student.

Pia Feig (a GJN member and NHS activist spoke about the threat to our health service, not simply in being directly “taken over”, but of the threat of “standstill and ratchet clauses” being included in the deal, progressively biting off chunks of our service.

She also drew attention to the looting of the NHS patient records database. This is probably the most complete patient health database in the world and is an extremely valuable resource for medical research. Its sale to trans-national corporations is one of the least noticed ways in which the the Government is privatising the NHS. It is yet another example of how publicly funded research and knowledge production is expropriated by trans-national capital for profit, rather than being used for the benefit of patients. Big Pharma will look for lucrative opportunities to develop expensive medicines for minor complaints, rather than tackling public health priorities. Meanwhile, US insurance companies will want to use the data to identify and discriminate against the most vulnerable by refusing insurance to them.

Stephen Pennells picked up on the indirect threats to health, reprising the threat to nutrition through US food standards before going on to talk about employment, climate change, government secrecy and the worrying record of Biden, as Obama’s deputy supporting TTIP. This means that whoever is elected President, the campaign will have to further intensify. Both govenments, freed from the deadline of the US election will want something to spin as an economic opportunity in the aftermath of the pandemic’s effect on business, jobs and profits.

These actions reinforced alliances and spread our message. We learnt that we need to develop our media skills. Our speeches were unscripted and reasonable in terms of the “Just a Minute” criteria of speaking without “hesitation, repetition or deviation”. However a quarter of an hour is too long for modern attention spans and it would have benefitted from interactive questioning or reflective prompts.

So we are planning to work on this with a couple of our new recruits, one of whom is a new media student at Salford Uni. If you would like to be involved, don’t be shy!

Save our NHS, StopISDS, stopping “Trade with Trump”, Climate Emergency and Brexit- all in the mix.

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I find it all too easy to get confused at the moment with so much stuff going on- and that’s not counting the domestic concerns like harvesting the apples or getting the paddy that was our lawn cut for the last time.

But perhaps that’s because a lot of these concerns are inter-related and one thing leads to another.

So when local GJN member Pia Feig, also a member of Keep our NHS Public, was putting together a public meeting with People’s Assembly’s “alternative Fringe” during the Conservative Party Conference she thought Global Justice might contribute. This led to Heidi Chow, being invited and speaking. Heidi was ideal as GJN’s senior campaigns manager and leading on the Pharmaceuticals campaign.

Heidi solidarity message Transform the Medicines System_web
We tweeted Heidi challenging other parties to follow Labour’s lead.

Her talk followed the news of Labour adopting a radical stance with respect to medicines and was entitled “Trading with Trump, what a trade deal will mean for the NHS and Trump”. It followed several activist NHS workers talking about their problems and campaigning where they work and developed people’s understanding of where things appear to be heading.

Heidi had already blogged on the threat to the NHS from American trade aspirations several months ago; she went further in Manchester, updating on the winds blowing to and fro with statements, push-back and denial (perhaps camouflaging under-the-table reformulation of ideas to be brought out later).

She pointed out the converging interests of a post-Brexit Brexiteer government eager to prove it can deliver a trade deal with the US and pressure on Trump to deliver “America First” trade deals as he comes up for reelection next year. Informal trade talks have been already going ahead and she believed it could be ready for signing as early as next July.

As trade deals normally take years one may feel this is likely to be a bit dynamic- simple horse-trading with quid pro quos rather than more careful considerations. The current loss of the Trade Bill with it’s pro-Trade Democracy amendments means the Government can strike and then bring a trade deal to Parliament for a take-it-or-leave-it decision as it has been accused of doing in respect to a “no deal Brexit”. This is in marked contrast to the existing EU system where the European Parliament is intimately involved in setting a mandate and continued scrutiny before voting. The Queen’s Speech contained nothing to dispel such fears.

A changed government (if Labour) might sink such schemes, but should a Tory Brexit happen, Heidi expected a UK-US trade deal very soon.

Heidi Chow speaking_web
Heidi explaining the threat of a Trump trade deal

She pointed out that traditional trade deals’ concerns over tariffs have been replaced by more extensive coverage of topics like “Intellectual property”, environmental regulation and access to public services and giving rights to foreign investors.

She went on to speak of the “negative listing” approach by which everything was up for trade (some might say “grabs”) that wasn’t specifically excluded. In the case of services for the NHS this ranges from portering, cleaning, and maintenance to clinical and testing- perhaps difficult for inexperienced non-hospital experienced trade negotiators to consider without leaving mistakes and loopholes. (Even sophisticated and experienced US negotiators had made about 1000 mistakes on such an exercise!)

The threat of US medicine prices hitting the NHS was no surprise to those of us who have been engaged in the GJN pharmaceuticals campaign. She saw Trump’s blaming the NHS for high medicines’ prices in the US as ridiculous when NICE here is having to ration medicines because of prices. The US explicitly wants high American prices to apply in the UK, thereby threatening the NHS’s work.

Beyond these immediate and more widely known threats she moved on to spell out the implication of corporate courts ( generically know as “Investor State Dispute Settlement”- ISDS). Although the US, already bitten by their rejection in the TTIP scheme, is not pushing these, our government hasn’t excluded them. This is despite their opening the door for massive drains on public healthcare funds, should claims be tabled objecting to healthcare-motivated policy decisions.

Caroline Bedale_web
Caroline Bedale of Keep our NHS Public showing a three-way link of NHS, Climate and Trade

But beyond these and more invisible is the threat posed by US corporate take-over of massive NHS data bases which could be transferred to the US and there mined to develop applications that can be sold back to the NHS providing it with diagnostics- not privatisation as usually understood, but nevertheless appropriation of NHS assets which will then be resold, ripping-off the NHS using its own resources; a more sophisticated 21st. century way corporate control can encroach on our NHS!

She said the US objected to any rules restricting cross-border data movement and wanted not only to take our data out of the UK, but then to keep their source code and algorithms.

When she had met Labour’s Shadow Health Secretary John Ashworth he hadn’t appreciate the probable implications of a trade deal with Trump- how much do most back-benchers unless we educate them?

Thanks are due to Heidi for an enlightening and inspiring talk- taking further even those who thought they were boned up on the subject. The only negative was that although those present were the sort of people who can be expected to go out and take the message to their communities and workplaces, we were a minute proportion of the Greater Manchester population who are at risk of these menaces.

The insidious influences of corporate lobbyists are constantly at work gently diffusing their world-view and norms into our society and decision makers’ thinking. To counter this we need to speak out now, whether it’s in relation to the NHS, other public services, the environment and dealing with the Climate Emergency, workers’ rights and conditions, food and chemical standards, animal rights or any one of any number of issues.

We need to speak loudly, clearly and repeatedly. Let’s do it!

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We took the message out to the site of Peterloo to generate publicity pictures, generated interest from passers by and were noticed and photographed by tourists.