An interesting read about the NHS and TTIP.
It's not Jeremy Hunt imposing a junior doctors' contract that will destroy the NHS – it's TTIP
Contained in the article is this.
legal experts have shown
Advice - Dr. Kyriaki-Korina Raptopoulou
1 THE LEGAL IMPLICATIONS FOR THE NHS OF TRANSATLANTIC TRADE AND INVESTMENT PARTNERSHIP Executive Summary.
The following advice shows that there are real risks arising from the TTIP that could impact on the NHS unless a robust carve-out is put in place. Some key points from the advice are:
• The EU and US rationale which underpins the TTIP perceives ‘welfare’ in such a way as to include the preservation of consumer and health standards but with no reference whatsoever to the protection of the underlying social and health protection systems like the NHS.
• The protections in the General Agreement on Trade in Services (GATS) and the EU-Canada trade agreement (CETA) applying to “services supplied in the exercise of governmental authority” do not appertain to NHS services. This is clear because of the competitive coexistence of public and private providers in the NHS as well as the private funding and commercial activities of NHS Foundation Trusts.
• Claims that the NHS will be protected as a ‘service of general economic interest’, a ‘public utility’, and/or a ‘public service’ are unfounded because this would still leave it included in the material scope of the TTIP and subject to the full gamut of obligations in the agreement, except for certain features of the market access principle.
• The NHS is subject to numerous obligations under the CETA (mostly to the fair and equal treatment standard and to the principle of protection against unlawful expropriation) that could trigger an investment claim if the UK Government modifies the legal and business environment for healthcare-related investors. The NHS will be in the same position under TTIP unless it is fully and clearly exempted.
• The potential impacts of the TTIP on the NHS are not solely dependent on Investor-State Dispute Settlement (ISDS) being in place. However, the European Commission and the UK Government have been insisting on its inclusion and this will increase potential risks.
• ISDS as perceived in the CETA would allow healthcare-related investors to bring cases against the UK Government and to bypass domestic courts. Said cases will be judged by arbitrators lacking in independence and democratic legitimacy, in procedures subject to confidentiality with no appellate mechanism. It would also promote the risk of suppressing future legislation through the phenomenon of ‘regulatory chilling’.
• Under an investment treaty such as the TTIP, which potentially includes investor protection with the threshold of providing ‘full restitution’ in case of unlawful expropriation, future lost profits can be compensated for as well as the actual value of the property taken. Overall, the expropriator´s responsibility is increased once a taking is considered to be unlawful not only on the basis of UK law but also on the basis of an investment agreement.
• To fully and clearly exempt the NHS from TTIP would require a robust ‘carve-out’ of the NHS from the material scope of the agreement. This would ideally be done on the basis of a Advice - Dr. Kyriaki-Korina Raptopoulou 2 blanket exception inserted in its main text but could also potentially be achieved within the context of a carefully drafted Annex II reservation.
• In the UK’s Annex II reservations concerning health services in CETA, the UK decided to expose public ambulance services and all secondary care services ( i.e. hospital services, public or private) to the liberalising effect of the agreement and not to submit any reservation whatsoever in this respect. This is a worrying precedent for the TTIP.
• When the TTIP final text is complete, it will have to be adopted and ratified by the European Parliament and the EU Member States, respectively; however the role of national Parliaments is unclear and may have to be decided by the Court of Justice of the EU.
• Member States have to agree unanimously in the European Council on any trade agreement that risks “seriously disturbing the national organization of [social and human health] services and prejudicing the responsibility of Member States to deliver them”. However, there is no clear definition of when this applies".