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A/RES/44/232. Trends in the transfer of resources to and from the developing countries and their impact on the economic growth and sustained development of those countries

Note Paragraph F, which refers to the meeting in Punta Del Este, Uruguay that established the process that led to the creation of the WTO and begun a "standstill" during which time Member nations were to stop making regulations of any kind which impeded this goal (thats how they frame the expansion or especially creation of what we call public services.) So after that point, we were legally bound not to create a public healthcare system, a problem that continues to this day. So, all around the world, often politicians promising changes that are blocked by these treaties. Instead, a great many countries including (especially) the US and the other countries that made commitments in those areas are bound.