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The Genesis of the GATS (GATS' beginnings, through one set of eyes)

"The Uruguay Round services negotiations saw the light of day amidst pressures from lobbies in developed countries, unilateral retaliatory actions, and ideological struggle in the developing world. The final outcome, the GATS, certainly characterized by a complex structure and awkward drafting here and there, is not optimal but is an important first step towards the liberalization of trade in services. This article traces the GATS negotiating history, from its very beginning in the late 1970s, paying particular attention to the main forces that brought the services dossier to the multilateral trading system (governments, industries, and academics), and the interaction between developed and developing countries before and during the Uruguay Round. We will follow the actions, positions, and negotiating stances of four trading partners – Brazil, the European Union, India, and the United States – that were key in the development of the GATS. Finally, we will, indicatively at least, try to attribute a ‘paternity’ (or, rather, a ‘maternity’) to some key features and provisions of the agreement."

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.