Birmingham City Council is in a deep economic crisis and is seeking to heap this onto the backs of workers whilst cutting services provided for public health, including those which keep our streets clean and free of disease.
Birmingham City Council was once the single biggest local authority in Europe, but a workforce of 20,000 has been slashed in half and the plans which are being implemented by Labour Councillors seek to reduce this number to 7,000 by 2018. They blame it on the Tories but they ALL play the same game, its called capitalism, where the rich get richer and the poor get poorer.
And the Birmingham anti-cuts movement does very little about it. Headed by Labourites and Trots they’re too busy infiltrating Momentum or sitting on various committees of one form or another. They particularly love talking to one another at the Trades Council. And the Communist Party of Britain doesn’t have time to organise public opinion or workers against the cuts, they have a grand election campaign to run for Mayor of the West Midlands. Despite its small size, the Communist Party of Great Britain (Marxist-Leninist) in Birmingham is the only political organisation which can be seen three or four times a week in various parts of the town undertaking political work amongst the working class. If you want to get involved email email@example.com
Bin men under attack – again
Refuse workers are vital to society; they do a job most people don’t want to do. Just because they work with rubbish they shouldn’t be treated like rubbish. In meetings held in March with Council refuse workers it was announced that Bin men are expected to take a £3,000 per annum pay cut and work an increase from four to five working days a week. Crews on wagons are to be reduced, as is the ratio of leading hands which risks putting the public at risk from fatal collisions on busy streets. This news has not gone down well with all the yards in Birmingham, and the more class conscious workers will be calling on workers to strike at the mass meeting in April.
Bin men and others who turn out on strike will need to come out determined to win. The bin men must be urged to find creative ways to ensure lorries do not leave depots, that tyres are bereft of air, that wagons have ignitions but no keys, that entrances and exits are barricades and scabs run a gauntlet from the Agency office to the depot. The public can help! Any wagon that makes it out must be prevented from completing its work and pressure must be piled upon the Council from the rate payers, who can take their rubbish and heap it upon the steps of the Council House for Labour Party leader Clancy and his gang to clean up, better still take the rubbish to the neighbourhood offices of the local Labour Party.
The movement against cuts
Too many people in this country are waiting for all the cuts to magically come to an end and a return to things as they were but capitalism is in systemic crisis no recovery is possible.
Whether it’s in relation to the privatisation of the NHS, an end to foreign wars of aggression or the seven year long freeze on public sector pay it’s time for British workers to draw a few simple conclusions from all too apparent observations:
The following letter was sent by a Proletarian reader to the British Medical Association journal BMA News.
“Readers of BMA News over the last couple of weeks cannot fail to have noticed the BMA’s conspicuous ‘No More Games’ campaign, designed – we are told – to appeal to the UK government to stop “playing games” with the NHS.
With all due respect to the leadership of our trade union, what UK governments – regardless of party political stripe – have done and continue to do to the NHS since 1979 is not a ‘game’, it is a pre-planned step-by-step programme to re-privatise healthcare in this country.
The first step in 1983 was to take NHS executive power away from doctors and place it instead in the hands of new business managers.
Step 2 in 1990 was to replace the old funding system of simple block budget allocation, with an artificial ‘internal market’ whereby ‘providers’ would henceforth compete for funding from ‘commissioners’.
Step 3, from 1997, was the expansion of the Private Finance Initiative (PFI), whereby NHS Trusts were encouraged to ‘solve’ their funding problems by – in effect – paying for new (and often unnecessary) infrastructure projects on a credit card.
Step 4 was the introduction of ‘Foundation Hospitals’ – in effect embryonic private hospitals – from 2002: since then the government has decreed that all NHS Trusts must ultimately become Foundation Trusts, or else be subsumed into existing Foundation Trusts.
The final step was the Health and Social Care Act 2011, which in fact formally abolished the NHS as a universal free healthcare system: ‘NHS’ is now little more than the name for a pot of taxpayer money that will increasingly be directed to the government’s friends on the boards of private healthcare providers.
And so you see, the government is not ‘playing games’ here, far from it. It is no more likely to be dissuaded from privatising the NHS by appeal to reason or kindness than it was to be dissuaded from invading Iraq. Or Afghanistan. Or Libya. Or Yugoslavia. Or Ukraine …
Perhaps if anyone needs to be told to stop ‘playing games’ here it’s the BMA?”
Red Youth was pleased to support a handful of the many hundreds of picket lines organised across the country today in defense of the NHS. Thousands of workers staged a 4 hour stoppage in protest against a provocative 1% pay rise (in effect a serious pay cut).
In July 2010, barely two months after a general election campaign in which the Tories promised “no more top-down reorganisations of the NHS”, Health Secretary Andrew Lansley announced the new government’s plans for the biggest restructuring of the NHS since its foundation in 1948.
Yet such bare-faced contempt for the British public profoundly misjudged the fact that these days, with disillusionment with mainstream politics at record levels, only the pathologically naïve would fail to see the Health and Social Care Bill 2011 for what it really is: the final outright privatisation of the NHS.
There has been a huge upsurge of popular opposition to the proposals, with inspired campaign groups like 38 Degrees and Keep Our NHS Public spearheading the fight alongside NHS workers themselves. As usual the do-nothing tactics of the Labour party and TUC have been put thoroughly to shame by the dedication, courage, and ingenuity of these activists.
Yet all too often even the likes of 38 Degrees leave themselves exposed by a superficial analysis that, for example, sees the HASC Bill as the personal project of Lansley himself – a problem that could perhaps be removed if only Lansley could be removed, if only the government could somehow be persuaded to ‘see sense’.
Always in the background there lurks the dangerous illusion that every British worker should by now know to avoid like the plague: that if only a Labour government were in office, all would be well.
Meanwhile, Lansley has given way to Jeremy Hunt, and the privatisation drive is intensifying rather than abating. The latest proposals, if they pass into law, will make it compulsory for GPs to open up all areas of health provision to private companies – something that Lansley stated emphatically last year would definitely not happen!
Privatisation and profiteering
Those who attempt to defend the last Labour government’s record on the NHS typically point to the increase in funding from 1999. But while some of that money did go to frontline care, this actually occurred only as an accidental and temporary trickle-down side effect of the real policies driving increased spending at that time: the likes of the Private Finance Initiative (PFI) that sought easy profit opportunities for big business by mortgaging NHS assets to private banking consortia.
While the huge increase in public funding for the NHS (from £49bn in 1999/2000 to £119bn in 2009/10) that this covert privatisation process entailed was temporarily sustainable during the last decade’s cheap credit boom, the capitalist economy’s catastrophic tailspin into global recession means this is quite clearly no longer the case.
This is the rationale behind the ongoing so-called ‘Nicholson Challenge’ for the NHS to make £20bn-worth of cuts in ‘efficiency savings’ by 2015. And let us remember that this target of £20bn was announced to leading NHS doctors before the ConDem government was elected – ie, by the last Labour government.
If decency and common sense governed political decisions in Britain, these savings and more could easily be made by targeting the obvious source of the gross inefficiency that has caused NHS spending to spiral out of control in the first place: ie, by cancelling PFI debt and removing all private-sector involvement in the running of the NHS.
But capitalism does not quite work that way; and so wards and whole hospitals are closed and clinical staff thrown out of work so that corporate interests can continue to profit out of the NHS.
The media spin that persists in its weasel attempts to invert this reality, blaming spiralling NHS spending on an ageing population, or rising patient expectations, or the mythical ‘inherent inefficiency of the public sector’ should fool no-one. The US healthcare system is entirely privately-owned, and is the most expensive and inefficient in the developed world, costing $6,719 per person per year while leaving 50+ million Americans uninsured and millions more seriously underinsured.
The socialist alternative
In stark contrast, socialist Cuba’s health system, entirely publicly-owned, is able to provide free comprehensive health care for all at a cost of only $362 per person per year, achieving population health statistics rivalling and even surpassing those of developed countries.
The difference? At no point in the Cuban system is there anybody who is driving up costs by making a profit. Moreover, the fact that the state is the sole provider of health care avoids the obscenely wasteful duplication, cherry-picking, and poor coordination of services that inevitably arise when multiple inter-competing private providers are involved.
Though Cuba’s healthcare achievements are relatively well-known these days, it is less widely recognised that the inspiration for the Cuban system was that of the Soviet Union; still less that the Soviet system – as the world’s first free universal healthcare system – also served as the model for Britain’s NHS itself.
Though Labour are invariably credited as the benefactors of the NHS, the fact is that the NHS was effectively a concession made by British capitalism due to the relative strength of the working class in the aftermath of the triumph of Soviet socialism in the second world war.
Many things have changed since then. The collapse of the USSR has meant that British capitalism no longer feels compelled to make such concessions to workers to deter them from revolution. Moreover, the profits from reconstruction of industry that fuelled the post-war boom have long since dried up, with capitalists increasingly turning to the option of easy taxpayer-funded bonanzas arising from the privatisation of public services: utilities, railways, education … and the NHS.
Since the end of the post-war boom, Labour governments have been just as complicit as the Tories in the slow liquidation of the NHS. It was the Callaghan administration of 1976-79 that began the process of hospital closures, while the Blair government not only kept the Tories’ internal market but further accelerated NHS privatisation by transforming NHS Trusts into ‘Foundation’ Trusts – embryonic private hospitals.
The lesson of history is clear: the problem is not merely the HASC Bill and subsequent regulations, to be resolved simply by getting rid of Lansley, Hunt or Cameron, or – God forbid – by voting Labour at the next election, but the whole rotten capitalist system, which, in its insatiable desire for profit, will continue its merciless attack on the living standards of working-class people until it itself is overthrown.