HEALTH Secretary Steve Barclay was accused of launching a despicable attack on striking ambulance workers today after he claimed that they have made a “conscious choice to inflict harm” on patients.
Mr Barclay’s inflammatory attack caused fury among union leaders, who accused ministers of causing a year-round mounting death toll of patients through NHS underfunding, understaffing and government failures.
Figures released today shows a 133 per cent increase this year in patients dying while waiting in ambulances to be transferred into hospital, with the reasons for the delays including overflowing A&E departments, lack of beds and staffing shortages.
The number of deaths increased from 40 to 93 and the number of patients who suffered “severe harm” due to delays tripled from 51 patients to 154 in a year.
The figures, obtained by the GMB union using freedom of Information regulations, compared the years 2020-21 with 2021-22 and added to the anger provoked by Mr Barclay’s accusation.
On National Postal Workers Day 2022, a Royal Mail worker of more than 30 years’ service reflects on what 115,000 of his striking colleagues are fighting for – fair conditions, decent pay, dignity in the workplace and community spirit.
I’ve worked for the Royal Mail for more than three decades, and I can remember thousands of special moments.
You’re working with a special type of person, I’ve come to believe. My colleagues are people willing to go the extra mile. They’re funny and kind, thoughtful and creative. They know that the role they play – and the bond they have with the communities they serve – is unique. I couldn’t count the number of charity runs, fundraising concerts and special events that have been organised by my colleagues.
I remember the wartime stories the older boys could tell when I first started; more recently, I can remember the sacrifices we all made during the pandemic, when many of us died keeping the country connected.
Such proud moments can be reeled off by heart, but so can our problems. During festive periods, we are under serious pressure – but other types of stress are creating an incoming catastrophe. Under-recruitment has meant older workers do more while the next generation isn’t coming through to replenish the ranks, at least not where it matters.
Anecdotally, it’s not uncommon to hear of posties having heart attacks, sometimes fatal, on the job – the price of cutting corners. Ask any postal worker and they can tell you stories about ridiculously outdated toilet facilities, broken doors and seatbelts on delivery vans, and serious complaints getting ignored by managers who seem to think they know better.
Bosses and shareholders come first
The money is there to change all this, but it’s not going where it’s needed. In the last year, Royal Mail made £758m in profit and was able to hand out £400m to shareholders. Royal Mail CEO Simon Thompson even gave himself an advance bonus of more than £140,000. But when it came to the workers who created that profit – and during a historic cost-of-living crisis – Royal Mail’s leadership pleaded poverty then offered us a pay rise of just 2%.
Through the Communication Workers Union (CWU), we voted by nearly 100% on nearly 80% turnout, twice, to strike. Instead of recognising the anger we almost unanimously felt, bosses announced they would withdraw from all existing legal agreements with the union and make moves that many fear could mean the derecognition of the union.
Postal workers believe that, for Royal Mail bosses, the wrecking of your Christmas and my wellbeing is a worthwhile sacrifice to turn the company into a bog-standard, Uber-style delivery courier. There, old-fashioned things such as good conditions, decent pay and self-respect on the job can be easily binned, and casualised workers can work harder for less.
This country deserves better, as does its posties
These bosses aren’t people with roots in the industry, and they aren’t sympathetic to the connection it has to our communities: there’s no profit to be made in knocking on your nana’s door when it’s icy, to check on her.
I do my job because I love it. There are things that money can’t buy – like the laughs we gave kids and elderly people with the (frankly bizarre) costumes we tried on during the dark days of the pandemic – and knowing that you serve a wider community and play a useful role in people’s lives.
This is also why we’re on strike. In this country, a tiny number of well-connected people have been making astonishing wealth out of royally stuffing the rest of us for far too long. It feels like everything just gets worse day by day: our bills are sky high, our trains are wrecked, our rivers are filled with sewage, and rent for many is now becoming an existential crisis – and all because a tiny number of people have never had it better.
I, and 115,000 of my colleagues, don’t want to add to these problems by accepting the destruction of one of our few reliable national institutions. This country deserves better, as does its posties. I hope you can back us in our dispute this Christmas.
There’s so much hoo-ha about the fiscal consequences of nurses resisting pay cuts, but profiting by corporations isn’t deemed an issue.
Imagine a disability almost disappearing if you flew out of the Global South. I have severe haemophilia, a genetic condition that interferes with the body’s ability to clot after bleeding. When left untreated, anything – even a bruise or merely sitting down – can trigger a bleed, internally or externally. Anti-clotting injections can stop this.
However, outside the advanced West, these injections are sold at exorbitantly high prices. When I was a child in India, my parents couldn’t afford such treatment, so they’d bury my bleeding joints under piles of ice to freeze them. Almost all the bleeds I experienced in India were left untreated, resulting in permanent damage to my joints and internal organs. In the UK, the NHS home-delivers me these injections twice a month.
This global medical apartheid is created and perpetuated by pharmaceutical monopolies. Treatment pricing pursues a single sacrosanct goal: making profits. Trade laws allow corporations to keep most of their recipes secret, so that no one else can sell the same medicines at a cheaper price. Then the very same logic of capital menaces governments into withdrawing welfare nets – leaving families absolutely at the mercy of the market.
When a friend recently sent me news about a supposedly “miraculous” new treatment for haemophilia, I was pessimistic. The new intervention replaces the need to inject yourself every other day, which would be revolutionary to many lives. And trials to date have been very positive. But our current pricing and trade regime will inevitably ensure it is out of reach for those who most desperately need it – just as it did with the Covid-19 vaccines.
Profits before patients
Not all is quiet on the Western front, however. In its search for ever-greater profits, Big Pharma is strangling healthcare in richer countries too. The same monopoly pricing and trading mechanisms that keep those in the Global South from accessing care are eating up access in the Global North too.
Between 2011 and 2017, the cost of medicines for NHS England grew from £13bn to £17.4bn – a 5% rise every year. In 2020, this reached £20.9bn. Yet the government is currently considering trade arrangements, leaked documents show, that will increase this cost even further by forcing the NHS to buy from pharmaceutical monopolies instead of buying generic medicines.
By contrast, the US pharmaceutical giant Pfizer recorded profits of $21bn last year. That amount could fund the nurses’ wage demand twice over – while also bringing in more revenue, through tax and spending, than corporate profits do. That should put the nurses’ demands in perspective. It’s not striking health workers who are holding the NHS at gunpoint – it’s the corporate compulsion to squeeze and extract.
Ending the global medical apartheid necessitates ending pharmaceutical monopolies. Saving the NHS also necessitates this. These monopolies suck up public money for the development of drugs and then suck it up again by selling those same drugs back to the public at high prices.
Studies have shown that new drugs for rare diseases can be developed at costs up to £1.2bn cheaper than claimed by corporations. Organisations such as Global Justice Now have pointed this out repeatedly.
Take the development of abiraterone, for instance, which treats advanced prostate cancer. Its development was publicly funded, but once released to the market, the NHS was forced to ration it because it was exorbitantly expensive. Meanwhile, the corporation that sold it, Janssen, made £7.2bn in sales.
The NHS spends billions buying treatments that were developed using public funding. In 2018, the UK spent around £500m on cancer drugs that were developed through publicly funded institutions. Things have only gotten worse. Prices more than doubled for several drugs between July 2018 and October 2020. A pack of 28 risperidone tablets, a commonly prescribed antipsychotic medicine used for treating mental health disorders, went from £2.68 to £49.21 – an increase of 1,736%. Drug prices in the UK are not subject to controls. They are negotiated behind closed doors.
There’s so much hoo-ha about the fiscal consequences of nurses resisting pay cuts, but profiting by corporations isn’t deemed an issue. British prime minister Rishi Sunak claims that paying minimally decent wages to nurses is “obviously unaffordable”, while saying nothing about all the extra cash being handed to pharma companies that have a stranglehold on NHS spending.
Some battles are between forces larger than those visibly involved. The NHS strike against dramatic wage cuts (not for outrageous wage demands, as the government would have it) is one of them. The struggle of NHS workers can strike at the heart of the forces that profit from a segregated global health system.
This is a system that is only interested in making nauseating profits. Even if the pharmaceutical giants lost 20% of their profits, they’d still outperform 75% of other industries. They are also avoiding billions in taxes, according to a 2018 report by Oxfam – money that could otherwise expand the ever-shrinking pool of public-sector healthcare workers.
These profits, by the way, are by definition on top of what is spent on research and marketing. Taxing these profits will not only bring their profitability down to less nauseating levels. It’s the only way to curb treatment prices – and bring dignity to NHS workers. The bonanzas to corporations come at the cost of our health. And they come at the cost of decent wages for healthcare workers.
Big Pharma isn’t patriotic. These corporations don’t love the NHS. They may operate in the UK (and the US), but they suck the life out of working people around them.
But working people in the Global North, especially workers in the NHS and in the pharmaceutical industry, hold legitimate power over Big Pharma because they foot the bill for its profiteering. They can demand price controls and transparency. Therefore they play an important role in taming the beast that has come back West to stalk Frankenstein. The NHS strikes should be seen as a manifestation of this larger struggle.
There is a Himalayan distance between the healthcare that people receive in the Global South and in the Global North. I know – I have lived this distance first-hand. But we are united in being subjected to the same systemic forces. Everywhere, the same corporations are hollowing out people’s ability to exercise their right to health; a right that is foundational to the meaningful exercise of any other right.
What the nurses are up against when they go on strike should unite us all.
Next year is forecast to be one of the hottest on record with global average temperatures forecast to be about 1.2C above what they were before humans started to drive climate change, the UK Met Office predicts.
If correct, it would be the 10th year in a row to see global average temperatures reach at least 1C above what they were in pre-industrial times, measured as the period 1850-1900.
The current hottest year in records dating back to 1850 is 2016, a year that saw an ‘El Niño’ climate pattern in the Pacific which pushes up global temperatures on top of global warming trends.
