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The real cause of Bernie Sanders' problems with the DNC (and America's healthcare mess!)

Basically, 2/3 of Bernie's much-needed platform, as well as the self-stated agendas of (all?) other politicians, to a large extent are potentially blocked by trade agreements that (the leaderships of both) US parties have been cooperating in hiding! They represent a huge betrayal of the American people by both parties. And the reasons for this are complicated and urgently need the nation's attention, or else the policy trap could become so costly to reverse it could become permanent, at a cost of as much as 41% or more of the nations jobs according to a Harvard study. (the agreements also potentially trade away service jobs, basically the 80% of the economy that isn't manufacturing.)

subsidies

WORK IN PROGRESS - If you want to know about how the WTO frames subsidies in health care when those subsidies are in a "public option" situation like those in the US or UK (which is to say mixed systems) - its disturbing.

Trading Health Care Away? GATS, Public Services and Privatisation

"But talks have since begun to change one of the 28 agreements overseen by the WTO -- the General Agreement on Trade in Services or GATS. The US, EU, Japan and Canada are trying to revise GATS so that it could be used to overturn almost any legislation governing services from national to local level. And non-government organisations (NGOs) and trade unions are demanding that services in the public interest be clearly exempt from GATS. It details how public services may not in fact be excluded from GATS and explores the implications for public health care."

Medicaid Expansion in Health Reform Not Likely to “Crowd Out” Private Insurance

"Contrary to claims by some critics, the Medicaid expansion in the new health reform law will overwhelmingly provide coverage to people who otherwise would be uninsured, rather than shift people who already have private coverage to Medicaid." --- comment: This concept of "crowd-out" was literally created by the GATS and it's concept of minimal trade restrictiveness which requires that all government-subsidized measures be the most minimal possible - as well as possibly time limited, for example, only available to either an individual for only a few years, or possibly a country - for only a short period, perhaps a decade or less, (or perhaps only if they are and remain an LDC) . In this case, Medicaid is kind of a loan, not an insurance program, as it is subject to repayment, and only available to the destitute, and near destitute with assets that will only become available at their deaths, such as a home - after their other options have been used up. This "prevents healthcare prices from falling", and "preserves the profit in selling insurance", and "the value of the insurance companies investment". These are the most important things in a for-profit healthcare system. Especially as it becomes "The one bright spot in a dismal economy"

Towards Developing Subsidy Disciplines Under the GATS

Entities like the European Community are being criticised by developing countries (and have been by the US for a long time) for subsidizing essential services like higher education and healthcare which cost dearly in the fast growing Asian countries, which hold most of the world's population. For example "In addition, other form of subsidy that can distort trade both within and outside domestic territory is subsidy given to residents for acquiring specialised skills. When the residents, armed with specialized skills that are subsidized by government, temporarily move abroad the subsidy causes distortion. At present this distortion is limited, if at all, since the members countries usually have strict immigration/visa regulations. But even when there is no temporary movement of natural persons, subsidized specialized skills may distort trade when, for example, outsourcing of services to the subsidizing member takes place via mode 1." (page 14) "Even if the above channels through which trade distortion takes place are addressed, trade distortion may still occur if one of the sub-sectors is subsidized or when any particular mode is subsidized. So a full blown subsidy disciplines should check against cross-(sub) sectoral and cross modal trade distortion, even when such subsidies in a specific mode or specific sub-sector are available to both domestic and foreign service suppliers. Subsidy disciplines ought to address these channels of subsidy-induced trade distortions". (page 15) "Trade Distortion" is when the normal hierarchies of quality/value/cost are disrupted by government intervention or lack of intervention or any other "measure", "devaluing" a service. See also the rlated principles of minimal derogation, (minimal trade restrictiveness" and proportionality.

Crowd-Out Ten Years Later: Have Recent Public Insurance Expansions Crowded Out Private Health Insurance?

This concept is important in countries like the US (and UK as part of the EU) who have made GATS and similar commitments, because whatever it does, any public option is not supposed to cut into a co-existing insurance industry's core customers, if it does, the country's laws are subject to challenge by any interested party. (typically a country, like the US) under GATS rules, which are very broad and designed to create and support new rights of corporations, as protected by countries. If a country feels its insurance industry could do better if the other country was forced to "discipline" its domestic regulations to comply with WTO rules. In the case of health care and health insurance, this key gotcha would not apply in a country where there was a single payer system like Canada's - Don't confuse a system like England's (whose NHS, despite its dominant position, is only a 'public option' therefore quite vulnerable to external challenges) with Canada's (totally single payer+exempt) . See discussions elsewhere on here of "GATS Article I:3" and the "Governmental Authority Exclusion" - use the keyword/tag interface - currently in the left hand column, you may need to scroll down, to find them.