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Volume III,  Number 42              November 23 - 29, 2003            Quezon City, Philippines


 





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Warfare Over Health Care
Foreign doctors, health professionals decry globalization, war on terror

Today’s magnifying globalization and war has transmuted the “health is wealth” cliché—-that one’s right to live is in the hands of a few who dominate the world.

BY DENNIS ESPADA
Bulatlat.com

 

Dr. Eleanor Jara of the Council for Health and Development delivers the welcome remarks.

“Unhampered economic globalization has caused increasing poverty while United States’ (US)-led wars of aggression maim and massacre millions of people and destroy social infrastructures and our planet Earth itself…this makes the world more dangerous and filled with unspeakable suffering and death.”

Thus declared at least 120 doctors, nurses, medical professionals and workers from 12 countries who participated in the International Conference on Challenges in Health Work amidst Globalization and War in Manila last Nov. 10.  The participants vowed to launch a broader resistance to U.S. intervention and its unilateral policy of preemptive war to combat terrorism. 

The Council for Health and Development (CHD), International League of Peoples' Struggles (ILPS)-Ad Hoc Health Commission, International People's Health Council and the People's Health Movement organized the conference.

U.S. wars: a tragic and painful ordeal

The actual costs of war are immeasurable, not to mention its psychosocial impact on human beings. According to Politics of Health Knowledge Network, the world spends about $863 billion every year on military expenditures, with the U.S. military purportedly to spend $399 billion next year.

Every day, at least 30,000 children (or 11 million per year) die from preventable and curable diseases worldwide. And yet the world just needs $9 billion to provide water and sanitation for all people in developing countries while $2.5 billion is required for global HIV/AIDS prevention annually. As of Sept. 23, Iraqi civilian deaths number between 7,757 and 9,565.

Dr. Bert De Belder, coordinator of Medical Aid for the Third World (MATW), a health solidarity agency of the International Action for Liberation (Intal), related during the conference the testimonies of four medical doctors namely: Drs. Geert Van Moorter, Colette Moulaert, Harrie Dewitte and Claire Geraets who volunteered for emergency medical aid in Baghdad at the height of the U.S. invasion of Iraq.

“They learned how the water and electricity supply were deliberately targeted by U.S. bombs, inflicting further hardship on the civilian population.” De Belder said. “They heard how U.S. troops left wounded Iraqi soldiers to die alongside the road. They were confronted with the dreadful wounds caused by U.S. and British cluster bombs, the use of which in populated areas is prohibited by international law.”

A Belgian medical doctor, De Belder is co-author of the book “Kasama: The Philippine Struggle for Health and Liberation Through the Eyes of Two Belgian Doctors” (together with Rita Vanobberghen), a biographical account on their stay in the Philippines in the 1990s.

International health workers’ protest against commercialization of health services

“They [the doctors] were witness to U.S. tanks shooting at ambulances—yet another violation of international humanitarian law,” De Belder said.  

Tearing down the wall of oppression

More than two million people in Palestine are “virtually under house arrest” as a result of Israel’s military occupation. A security fence has been built by the Israeli government between the two territories, effectively restricting the movements of Palestinians and violating their right to freely move around.

To display their support to Palestinians’ quest for independence, health activists attending the conference tore down replicas of the “separation wall” which symbolize the security fence being built by Israel around Palestine.

Dr. Unnikrishnan PV, a delegate from India and spokesperson of Humanitarian Action, berated U.S.-controlled media for propagating deceptions and lies on the Palestinian conflict. He appealed to the Filipino media, “not to follow that lie and continue to uncover the truth which is extremely important for the people of the world.”

Health for all

Twenty-five years since the World Health Assembly held in September 1978 and the signing of the Alma Ata Declaration which defined the strategy of primary health care and the goal of “health for all by the year 2000,” access to adequate and affordable health care is rapidly declining, especially in Third World countries.

The Alma Ata Declaration states that: “health, which is a state of complete physical, mental and social well-being, and not merely the absence of disease or infimity, is a fundamental human right and that the attainment of the highest possible level of health is a most important worldwide social goal whose realization requires the action of many other social and economic sectors in addition to the health sector.”

Since the 1980s, the policies and impositions of the World Bank (WB), International Monetary Fund (IMF) and the World Trade Organization (WTO) have converted health care from basic service into a lucrative source of mammoth profits for capitalist investors along the paradox of “free trade.”

For instance, with the Trade Related Aspect of Intellectual Property Rights (TRIPS) agreement, protection of patent rights was introduced where they did not exist, raising prices of drugs from 12 percent to 200 percent which made them out of reach for those who need them most. TRIPS declared a minimum period of 20 years for the duration of patents, delaying the availability of cheaper, generic medicines.

Conference workshop

The General Agreement on Trade in Services (GATS) on health, on the other hand, liberalizes the entry of foreign investments and professionals in the service sectors. Capitalist investors are allowed to enter the WTO-member countries, control hospitals and laboratory services, and institute profit-oriented health maintenance organizations.

Emma Manuel, president of the Alliance of Health Workers (AHW), sums up the impacts of WTO, including TRIPS and GATS. “WTO signals the death of the public health system in Third World countries. It is dangerous to people’s health,” she said.

Passport for overseas work

It has come to be that the nursing profession in the Philippines is largely seen as a passport to go abroad.

Martha Roberts of the Grassroots Women from Vancouver, Canada, reported that Canada’s immigration policies are, in effect, gearing toward health care privatization where migrant workers with professional training (mainly Filipinos) come to Canada through the Live-In Caregiver Program to work 24 hours a day in their employer’s home for little more than $2 dollars an hour.

“This is a version of modern-day slavery and exploitation by the Canadian state,” Roberts said. “I spoke with doctors who said they’re planning to go back to study nursing so they can immigrate to Canada.”

Elsie Brandes-de Veyra, president of the Philippine Nurses Association in Metro Manila, laments the exodus of Filipino nurses to other countries. She believes, however, that nurses will not choose to leave the country “if only our government will support their needs,” she said.

AHW's secretary-general Jossel Ebesate described the situation of nurses as “a bit frustrating.” He says that organizing the nurses and other health workers is a challenge and not without obstacles.

“But as we expose them to poor communities and they grasp the realities of our country’s social ills, some of them change their minds and realize that they’re more needed here,” Ebesate said. Bulatlat.com

Photo courtesy of Council for Health and Development

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