GATS' Article XXI procedure.

Below in the top two graphics, you can read the potentially costly and time consuming procedure required to emancipate our country's service sectors from the WTO.

Necessary procedure for safely leaving GATS or modifying GATS commitments.

GATS Article XXI procedure - We must pursue this "divorce" from the WTO to escape the WTO GATS trap to regain our freedom to regulate health care.

GATS Article XXI procedure - We must pursue this "divorce" from the WTO to escape the WTO GATS trap to regain our freedom to regulate health care.

Politicians who don't leave GATS first, who try to expand healthcare to all states to lower standards in order to bring in foreign insurers - will trap the entire nation.

One popular idea thats been in circulation for quite some time, involves large scale international trade in healthcare services, managed like an auction site with patients health information driving bids for care and hospital beds. Like bidding on airline flights or hotel rooms, or subprime mortgages, however, it has major pitfalls. See "The Scope of GATS and of its Obligations" section on medical tourism.

Harmonization - to allow one policy to be sold in all states has been the major demand by foreign insurers to enter the US market, a change that will forever shut the door to Article XXI buying our freedom if we should ever be able to, because the cost would increase exponentially. So selling on epolicy "across state lines" will not only reduce medicolegal standards of care to the lowest common denominator everywhere, it could also end up leading to subsidized care only being offered overseas for poorer patients.It should be noted that the WTO is just one of many FTAS, some like the TISA is pushed by the US and seems to have a major healthcare globalization compnent.

Globalization is framed by the US and European countries to the developing countries as offering them access to resources and a means of funding their beleaguered healthcare systems with foreign patients but the reality of poor Americans overseas as their lives at home fall apart (and Single Payer is blocked forever) seems very very unlikely to be the panacea that the poor countries are hoping for in a world where inequality between rich and poor is rising rapidly.

Note also that the GATS must be left to preserve Social Security and Medicare

Expanding Medicare to more people, without leaving GATS first, could 'accidentally' destroy Medicare and Social Security (Because of the Annex on Financial Services provisions)

We must leave GATS first and then we can only have a totally noncommercial scheme that has no competition, so that means no health insurance can be sold. We don't want to end up in the horrible condition the NHS is in the UK, that will happen if we allow insurance to be sold like they have. See Page 11 here.

NOTE: There is another page, an article in the News section on the Article XXI procedure too, that you should also read-

Also read its related links. Also read the "carve-outs" keyword links (may need to scroll up)  and read the Recommendations..

Additional resources

As appropriate for a paper by a brilliant JD student, the late Nick Skala's 2009 paper has extensive  legal references.Skala also included a carve out at its end which seems like a good idea because it announces our intent unambiguously to the world is to leave these agreements.

Without that, given the intentional ambiguity situation, (or "creative ambiguity") nothing else would work.

Remember the intent of these 'agreements' nobody in their right mind would agree with, is to capture regulation and end democracy in specific economic domains (service sectors that involve money) irreversibly, so we wont get a second chance, after all, corporations need CERTAINTY and protection from fickle voters. If they just let us vote for things, we would likely tax them and where would they be then? "Majoritarianism" (<<note: This is satire!)

They rigged the system with GATS a long time ago. They are NOT going to let anything change that, not in a million years. The only way out is to expose their little scam so they have to pay a high price for their dishonesty in trust. NOW.

Recently, this paper on JSTOR has collected some of the other relevant links together and formatted them conveniently for use in legal citation.

Because of GATS rules requiring one way motion only (GATS only allows deregulation, not re-regulation) it, must be done NOW or our country's policy space remains imprisoned, our citizens effectively held hostage.

Candidates who claim things they cannot deliver, like "expanding the ACA" in violation of the standstill and rollback  and the progressive liberalization rules, without getting out of the GATS first are allowing a massive job outsourcing (GATS's default, and already planned) in those sectors and at best misrepresenting the GATS situation, and it's quite likely for that reason, they don't intend to win.

The entire US political situation is an elaborate theatrical performance that its just unbelievable people don't see through. Getting out of the GATS may be difficult because other countries claim we promised them the jobs now,( not only after the "single undertaking" as we claim)

As soon as we express our intend to leave, foreign countries may- likely will demand compensation, embarrassing both parties that they would in effect sell their entire constituency out - trading away their jobs by the millions to the lowest bidders. After all, this is America, the country where almost every film has a happy ending.US politics now is made for TV, its not based on facts. Also, its script writers are on strike.

(Unfortunately, in the real world, often the rich and powerful crush the weak.)

Read the rules, the rules that all WTO members who have made commitments in the relevant sectors, like we have, must follow.

Progressive Liberalization is an aspect of GATS' extreme ideology.

Barring the correct exit procedure, we will be unable to do anything except make things worse and worse.



How to find WHAT service sectors we have committed:

How to find the United States' Specific Commitments -  our GATS schedules, there are several ones - they are additive- so you need to read all of them. sectionsection

Note to MEDIA, this constitutes official proof of the situation described on this site.

You owe the country a very large apology for carrying the disinformation being disseminated by the mainstream media and failing to carry these facts, inconvenient as they may be.

Public Citizen made a combined PDF some time ago that contained all of the SCs, at that time, but to get the official current version you should compare both that and the documents on the WTO site (I use both whichever is handy and I have never seen any discrepancies, however, new SCs could have been released and you would never know it if you did not check the WTO site)

Because only they are official.


Note that these are only for GATS and there are a great many OTHER US FTAs plus several new ones - like TISA  in the pipeline.

By The Way:
It's very important to NOT have a government that is working to undermine your future behind your back!

It is starting to get hard to remember such times.

Both parties rigged the system to suit corporations, and are cooperating in a huge deception, while telling people what they want to hear.

Media, its your responsibility to call them out on this. You are ignoring the underlying truth! The nation wont forgive you for this, and it will figure it out.


for example, you can see proof there on the WTO site how the US Clinton Administration committed multiple service sectors including health insurance to be bound by the GATS agreement decades ago.

(You can also see there how the Clinton Administration promised in 1998 - on the very last page of the very last supplement (Supplement 3) to the Specific Commitments - to 'reform' the Glass-Steagall Act.

Last page of Specific Commitments Supplement 3 filed in Geneva by the United States of America, February 26, 1998

Indeed they did the very next year, by reforming it out of existence.

That totally contradicts the official story.

The WTO also was given an opportunity to come clean, but they blew it.


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