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Public Citizen: "Presidential Candidates' Key Proposals on Healthcare and Climate Will Require WTO Modifications"(2008)

This essay's by Public citizen explains how the 2008 Presidential candidates proposals (just as today) all violated provisions of the GATS agreement and US 'commitments' and other trade rules and how those commitments were likely to conflict with the promises, making them impossible or very difficult to implement the longer we waited. The references are extremely useful. Highly recommended you read this if you are interested in healthcare in the US.

The Potential Impact of the World Trade Organization's General Agreement on Trade in Services on Health System Reform and Regulation in the United States. (2009)

In this 2009 paper, the late Nicholas Skala, explained the "GATS" agreement, its implications for US healthcare reform and why we urgently need to apply for and pursue a specific procedure (Article XXI) to withdraw from the GATS in order to avoid built in traps for the unwary, for example, to get single payer health care. This is all necessary because previous Administrations quite foolishly signed away our rights to regulate dozens of services including those relevant to healthcare financing and delivery (and many others, literally most of our economy) away in the GATS when we entered the WTO. Skala also explains how additions made to GATS in 1998 further prevented and hamstrung regulators, If they attempt to expand instead of deregulate existing social services without leaving GATS or formally modifying the US's "Schedule of Specific Commitments" using Art. XXI FIRST. (See 'Recommendations' section) Otherwise, we cannot improve anything and attempts to expand the Affordable Care Act will encounter numerous GATS provisions like "standstill" and "rollback", which are meant to protect foreign investors profits, locking them in at the Feb 1998 level. If a demand is made in the WTO, compel us to make cuts to restore that previous level of regulation. The level at the end of February 1998 is carved in stone as a regulatory ceiling we are not supposed to exceed. TISA also embeds the GATS dates apparently. GATS can also impact jobs and a newer agreement also globalizes procurement of services, requiring the opening of the economy to temp worker companies if they can provide services cheaper than US firms, potentially taking control over a very wide range of once public & quasi-public government funded and subsidized activities, unless they qualify for a very few, narrow exemptions, such as the 'governmental authority exclusion' defining what can be a 'public service'. (see that keyword on the left, below) If you only read a few papers on GATS on this site, make sure this is one and also read that keyword. Also see "explainer" tagged items.