Medical equipment on a NHS hospital ward at Ealing Hospital in London, January 18, 2023
THE NHS needs a cash injection of around £8.5 billion a year over the next four years to improve the service, experts have said.
The figure is more than three times the £2.5bn promised in the Spring Budget.
A BMJ Commission on the Future of the NHS report said that amount, even alongside a £3.4bn investment over three years to improve productivity through digital transformation “certainly will not make up the significant shortfall that the NHS now faces.”
Nuffield Trust senior associate John Appleby and two colleagues warned annual spending on the NHS rose by just 1.2 per cent between 2010-20, compared to 6.2 per cent from 2000-10.
Labour is counting on the unpopularity of the Conservative Party to catapult it into power but in the absence of specific policies and failure to improve quality of life, electoral goodwill will quickly evaporate.
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Labour and Conservatives have become slaves to arbitrary fiscal rules even though they have failed to deliver almost every target relating to economic growth, inflation, public debt, investment and more. Labour emphasises that it wants to reduce the government debt to GDP ratio in five years’ time. However, no rationale is presented for such a straitjacket. No assessment is made of the consequences of removing billions of pounds from the economy. No rationale as to why low debt to GDP ratio is an indicator of the prosperity of a nation and why this should take priority over investment or redistribution. Analogies with household budgets or maxed out credit cards are misleading as governments, especially those with global currencies such as the Pound Sterling, can create money to achieve desired social objectives and levy selective taxation to eliminate inflationary effects. But Labour is no student of the modern monetary theory.
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Debt can be used to rebuild the economy even if Labour and Conservatives are hostile to it. The Post-Second World War boom was built upon direct public investment in new industries and social infrastructure. In 1946, public debt stood at over 270% of its GDP. This provided jobs and fuelled demand. It fuelled corporate investment as the state bought goods and services from the private sector. It laid foundations of emerging industries, such as biotechnology, information technology, aerospace and more specially as the private sector showed little appetite for long-term investment and risks. Within a generation, the public debt came down to 49% of GDP and I can’t recall our parents and grandparents fretting about the public debt.
Instead of a dynamic state, both Labour and Conservatives support further cuts in public spending even though that will reduce investment, slow economic growth, and inflict long-term damage. Too many public buildings and schools are crumbling away. The government response is that college spending per student aged 16–18 in 2024 will be 10% below 2010 levels, and about 23% below them for school sixth forms. Since 2010 local council funding has been cut by 23.3% in real terms, leading to degradation of public services and higher council tax on hard-pressed households. Hospitals in England have a waiting list of 7.6m appointments. None of this can be addressed by adherence to arbitrary fiscal rules.
There is a strong case for redistribution of income and wealth, but Hunt and Reeves ignore it even though higher disposable income for the less well-off has a greater multiplier effect. No amount of economic growth can be sustained unless people have good purchasing power to buy goods and services. Both parties reaffirm their faith in trickle-down economics which has seen wealth sucked upwards and prevent economic recovery. The UK has 171 billionaires with combined wealth of £684bn. The richest 1% of the population has more wealth than 70% of the population combined. The richest 10% of households hold 43% of all wealth, and the poorest 50% own just 9%.
Injured Palestinians, including children, are brought to Nasser Hospital to receive medical treatment following Israeli attacks in Khan Younis, Gaza, on January 22, 2024. (Photo: Belal Khaled/Anadolu via Getty Images)
If we can’t find the morality to stop, we may find we have created a world in which no one can count on upholding basic human rights.
Many decades ago in Chicago, my favorite of several part-time student jobs was operating the “old-style” telephone switchboard at a small hospital called Forkosh Memorial. The console of coils and plugs included a mirror so operators could keep an eye on the hospital entrance, which on weekends and evenings was also monitored by an elderly, unarmed security guard named Frank. He sat at a classroom style desk near the entrance with a ledger book.
Over the course of four years, on weekends and evenings, “security” at the hospital generally consisted solely of Frank and me. Fortunately, nothing much ever happened. The possibility of an attack, invasion, or raid never occurred to us. The notion of an aerial bombardment was unimaginable, like something out of War of the Worlds or some other sci-fi fantasy.
Now, tragically, hospitals in Gaza and the West Bank have been attacked, invaded, bombed, and destroyed. News of additional Israeli attacks is being reported on a daily basis. Last week, Democracy Now! interviewed Dr. Yasser Khan, a Canadian ophthalmologist and eye surgeon who recently returned from a humanitarian surgical mission at the European Hospital in Khan Younis in Gaza. Dr. Khan spoke of bombings taking place every few hours resulting in a constant influx of mass casualties. The majority of patients he treated were children from age 2 to 17. He saw horrific eye injuries, shattered faces, shrapnel wounds, abdominal injuries, limbs severed above the bone, and traumas caused by drone-launched laser-guided missiles. Amid the overcrowding and chaos, healthcare workers tended to patients while lacking basic equipment, including anesthesia. Patients lay on the ground in unsterile conditions, vulnerable to infection and disease. Most of them also suffered from severe hunger.
At Forkosh Hospital in the 1970s, I had a mirror to see what was happening behind my back, but everyone on Earth can see, directly, the horror of U.S. support for a genocidal event happening on our watch.
Normally, a child who undergoes an amputation faces as many as 12 additional surgeries. Khan wondered who would do the follow-up care for these children, some of whom have no surviving relatives.
He also noted sniper fire prevented doctors from going to work. “They’ve killed healthcare workers, nurses, paramedics; ambulances have been bombed. This has all been systematic,” Khan explained. “Now there are 10,000 to 15,000 bodies decomposing. It’s the rainy season right now in Gaza, so all the rainwater mixes with the decomposing bodies and that bacteria mixes with the drinking water supply and you get further disease.”
According to Khan, Israeli forces have kidnapped 40 to 45 doctors, specifically targeting specialists and hospital administrators. Three healthcare professional organizations have issued a statement expressing deep concern that the Israeli military has abducted and unlawfully detained Dr. Khaled al-Serr, a surgeon at the Nasser Hospital in Gaza.
On February 19, WHO Director-General Dr. Tedros Adhanom Ghebreyesus described conditions in the Nasser hospital after Israel ordered evacuation of Palestinians from the complex. “There are still more than 180 patients and 15 doctors and nurses inside Nasser,” he said. “The hospital is still experiencing an acute shortage of food, basic medical supplies, and oxygen. There is no tap water and no electricity, except a backup generator maintaining some lifesaving machines.”
Eight years ago, in October of 2015, the United States military destroyed Afghanistan’s Kunduz hospital, run by Médecins sans Frontières (Doctors Without Borders). For more than an hour, a C-130 transport plane repeatedly fired incendiary devices at the hospital’s emergency room and intensive care unit, killing 42 people. Thirty-seven additional people were injured. “Our patients burned in their beds,” read the MSF’s in-depth report. “Our medical staff were decapitated or lost limbs. Others were shot from the air while they fled the burning building.”
The horrific attack outraged war resisters and human rights groups. I remember joining a group of activists in upstate New York who assembled outside a hospital emergency room with a banner proclaiming, “To bomb this site would be a war crime.”
In 2009, on a smaller, yet still horrific scale, I witnessed an Israeli onslaught in Gaza called “Operation Cast Lead.” In the emergency room of the Al Shifa hospital, Dr. Saeed Abuhassan, an orthopedic surgeon, described experiences similar to Khan’s. This surgeon grew up in Chicago, very close to the neighborhood where I lived. I asked him what he would want me to tell our neighbors back home. He listed a litany of horrors, and then he stopped. “No,” he said. “First, you must tell them that U.S. taxpayer money paid for all of these weapons.”
Taxpayer money feeds the bloated, swollen Pentagon budget. U.S. Senators, last week, cowed by AIPAC, decided to send Israel an additional $14.1 billion to boost military spending. Only three Senators voted against the bill.
From Palestine, Huwaida Arraf, a Palestinian-American human rights attorney, wrote on X: “The scary part is not that Israel is planning the forcible transfer of the Palestinians it hasn’t slaughtered, but that the so-called ‘civilized world’ is allowing it to happen. The ramifications of this coordinated evil will haunt its collaborators for generations to come.”
At Forkosh Hospital in the 1970s, I had a mirror to see what was happening behind my back, but everyone on Earth can see, directly, the horror of U.S. support for a genocidal event happening on our watch. Gravely distorted versions of what occurred on October 7, cannot—even if believed—justify the scale of the horrors being reported in Gaza and the West Bank each day.
The U.S. government continues enthusiastically to bankroll Israel’s systemic and inhumane destruction of Gaza. U.S. advisers make feeble attempts to suggest Israel should pause or at least try to be more precise in their attacks. In its quest for hegemonic superiority, the United States tears into ever tinier shreds whatever remains of a commitment to human rights, equality, and human dignity.
What kept Forkosh Hospital secure, decades ago, was a social contract that presumed safety for a small hospital serving the local population.
If we can’t find the morality to stop supplying weapons for ongoing Israeli onslaughts against Gaza and its places of healing, we may find we have created a world in which no one can count on upholding basic human rights. We may be creating intergenerational wounds of hatred and sorrow from which there will never, ever be any safe place to heal.
A version of this article first appeared on The Progressive website.
Palestinians receiving dialysis treatment are pictured at the Al-Aqsa Martyrs Hospital in Deir Al Balah, Gaza on February 8, 2024. (Photo: Ali Jadallah/Anadolu via Getty Images)
“There is a particularly cruel circular logic at play here: Israeli forces, as they bomb and besiege Gaza, are creating an urgent need for medical care among civilians while simultaneously denying them access to it.”
A pair of human rights experts on Friday urged the International Criminal Court to prosecute any Israelis who have played a part in the assault on Gaza’s healthcare system, which is in tatters after months of relentless airstrikes, shelling, and a suffocating blockade.
“Since Hamas’ horrific October 7 attack, Israel has repeatedly targetedhealthcare facilities, ambulances, and access roads,” Annie Sparrow, a practicing clinician in war zones, and Kenneth Roth, former executive director of Human Rights Watch, wrote in an op-ed for Foreign Policy.
“It has arrested healthcare workers, blockaded fuel needed for generators, and withheld critical medical and surgical supplies—all of which are intended to undermine Gaza’s healthcare system,” they added. “There is a particularly cruel circular logic at play here: Israeli forces, as they bomb and besiege Gaza, are creating an urgent need for medical care among civilians while simultaneously denying them access to it.”
Sparrow and Roth called on the International Criminal Court (ICC), which is currently investigating alleged war crimes in the occupied Palestinian territories and Israel, to “prosecute Israelis responsible for bombing hospitals, denying access to medicines and vaccines, and causing excessive civilian harm.”
“These attacks could be part of a plan to make Gaza uninhabitable and drive Palestinians out, an outcome that senior Israeli ministers—whose support Israeli Prime Minister Benjamin Netanyahu needs to remain in power—continue to promote,” they wrote.
The near-total collapse of Gaza’s healthcare system under Israel’s assault, combined with the scarcity of clean water and other necessities, has left millions of Gazans at growing risk of disease. There is no longer a single fully functional hospital in the Gaza Strip, according to the United Nations.
“Israel’s destruction of Gaza’s healthcare system is not only an important part of the genocide charges [brought by South Africa]—it is also a blatant war crime that should be prosecuted outright by the International Criminal Court,” Sparrow and Roth wrote Friday, noting that while the International Court of Justice “resolves disputes between states, the ICC adjudicates criminal prosecutions of individuals.”
“Targeting healthcare achieves little militarily while amplifying the death toll and suffering caused by indiscriminate bombardment,” the pair continued. “Such attacks flout the core purpose of international humanitarian law—to relieve civilian suffering—and are thus often an omen of broader atrocities to come.”
Destroying Gaza’s Healthcare system is a war crime.
The ICC should prosecute Israelis responsible for bombing hospitals, denying access to medicines and vaccines, and causing excessive civilian harm @ForeignPolicy
The World Health Organization (WHO) said Friday that it has documented more than 350 attacks on healthcare in the Gaza Strip since October 7. The attacks killed at least 645 people and injured 818 more, according to newly released WHO data.
“These attacks have affected 98 healthcare facilities, including 27 hospitals damaged out of 36, and affected 90 ambulances, including 50 which sustained damage,” WHO spokesperson Tarik Jasarevic told reporters in Geneva.
The WHO’s new figures came shortly before Israeli Prime Minister Benjamin Netanyahu instructed Israel’s military to craft a plan to forcibly “evacuate” civilians from Rafah, a densely crowded city whose hospitals are overwhelmed with injured patients and displaced people.
Netanyahu’s order intensified concerns that an Israeli ground invasion of Rafah is imminent.
Catherine Russell, head of the United Nations International Children’s Emergency Fund (UNICEF), warned that a Rafah assault could be catastrophic for the enclave’s already starving and desperate population.
“We need Gaza’s last remaining hospitals, shelters, markets, and water systems to stay functional,” Russell told The Associated Press. “Without them, hunger and disease will skyrocket, taking more child lives.”
Israeli occupation forces obstructing the work of ambulances in Jenin. (Photo: Mohammad Mansour/WAFA)
Over 500 Palestinians were killed in the West Bank in 2023. Under its undeclared policy of collective punishment, Israel also destroyed a significant amount of civilian infrastructure such as roads, residential buildings, and hospitals in West Bank since October 7
Israel’s war on Gaza has entered its fourth month. It has killed over 23,000 Palestinians in the besieged enclave and injured around 60,000. Nearly 80% of all Gazans have been displaced due to the constant bombings. The amount of destruction and killing in Gaza is horrendous. The offensive has also extended to the West Bank where Palestinians have been facing a form of undeclared collective punishment both before and since the war in Gaza.
Though the West Bank has always faced violent attacks from Israeli occupation, those attacks have increased manifold since the beginning of the war in Gaza. Despite the fact that Hamas does not rule the territory, Israel used the excuse of Operation Al-Aqsa Flood to justify its unprecedented attacks on civilians and their infrastructure there.
Between October 7 and December 31, last year more than 340 Palestinians, including a large number of children, were killed in attacks carried out by both the Israeli forces and illegal settlers.
The Israeli attacks targeted Palestinian civilians, including artists from the famous Freedom Theater, while homes were demolished, hospitals and medical facilities targeted, and roads and other civilian infrastructure uprooted.
At least three Palestinian men were shot and killed by the occupying Israeli forces during the intervening period of Monday evening and Tuesday night in Tulkarm. Video footage of these attacks showed Israeli forces first shooting and killing the men and then running over the bodies of one of them with their military vehicle.
A terrifying scene of an Israeli Jeep running over a young man after shooting him along with two other young men in Tulkarm in the West Bank.
Israeli soldiers prevented paramedics from reaching the young men leaving them to bleed until they died. pic.twitter.com/Udm539Ho0D
Israeli forces reportedly conducted similar night raids in Qalqilya, Nablus, Ramallah, and Bethlehem, among several other places on Tuesday night, arresting scores of people and destroying civic infrastructure.
Israeli occupation is targeting the Palestinians in the West Bank economically as well by refusing to transfer millions of dollars in tax revenue to the Palestinian Authority, leaving it with no money to pay the salaries to its over 140,000 employees. It has also refused to allow around 150,000 workers from the territory to return to their jobs in Israel since October 7.
Deadliest Year since 2005
Israeli forces similarly attacked the Jenin refugee camp a couple of days ago and killed at least 7 Palestinians. They have targeted the camp repeatedly since October 7, killing over 60 Palestinians there and deliberately destroying most of the roads and other civil infrastructure. According to Al-Jazeera, Tulkarm too has been a center of Israeli attacks with at least 60 Palestinians killed since October 7.
In August, the UN had already declared 2023 to be the deadliest year for the West Bank as the number of Palestinians killed in Israeli attacks had crossed 200, more than the previous high of 167 in 2022.
According to the latest data, the total number of Palestinians killed in 2023 has crossed 500 with over 13,000 more injured in the attacks carried out by both illegal settlers as well as Israeli soldiers.
More than 70 of the Palestinians killed in Israeli attacks were children. This is the highest number of the Palestinian children ever killed in the occupied West Bank in a year. Some sources say the death toll among children is even higher.
Settler Violence
According to Israeli human rights organization Yesh Din, 2023 was also the most violent year for the Palestinians in the occupied West Bank in terms of the number of attacks carried out by the illegal settlers. According to it, at least 10 Palestinians were killed in 2023 just in those attacks.
According to the UN Office for the Coordination of Humanitarian Affairs (OCHA), at least 1,225 cases of settler violence were recorded in 2023.
The figure presented by the Palestinian officials for the same is almost double at 2,410. It also claims that the number of Palestinians killed in settler violence in 2023 was 22.
There are around 500,000 Israeli settlers living illegally inside the occupied West Bank. Most of these illegal settlers participate in attacks on nearby Palestinian villages under security cover provided by the Israeli occupation forces.
The settlers attack the villages, burn Palestinian houses, their farms and other properties, and attack people trying to prevent those attacks with the objective of terrorizing people to leave their villages and farms.
Record number of Palestinians detained
More than 11,000 Palestinians were also arrested or detained by Israel in the last year in the occupied West Bank alone, which is almost three times higher than the total number of Palestinians inside Israeli prisons before the beginning of the year.
Some of them were later released after a brief period of detention. Some others were released as part of the prisoner exchange deal between Hamas and Israel. Still the number of Palestinian prisoners inside Israeli jails has jumped from around 4,500 before the beginning of the year to over 7,000 at the end of it.
A joint statement issued by Detainees and Ex-Detainees Affairs Commission, the Palestinian Prisoners Society, Addameer, and others stated that 1,085 of those detained by the Israeli occupation forces from the West Bank in 2023 were children.
As per reports, scores of Palestinian prisoners have been killed inside Israeli jails with large number of them reporting torture and abuse by the prisoner authorities.
