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      RFK Jr could lead US health and food safety in a second Trump term

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      Robert F Kennedy Jr could assume some control over US health and food safety in a second Trump administration, according to reports on Saturday, alarming Democrats who believe the former environmental lawyer and independent presidential candidate could be empowered to act on his vaccine-sceptical views.According to the Washington Post, Kennedy has met with Trump transition officials to help draw up an agenda for a new administration and could take a broad “health tsar” position that would not require confirmation by the Senate.Kennedy, who ended his White House bid and endorsed Trump, and his advisers have also been drafting 30-, 60- and 90-day plans for a second Trump term, the outlet reported, citing a source “familiar” with the planning process.Kamala Harris slammed the idea, saying Friday that Kennedy is “the exact last person in America who should be setting healthcare policy for America’s families and children”.The Democratic candidate further described Kennedy as “someone who has routinely promoted junk science and crazy conspiracy theories”.Last week, Kennedy warned in a post on X that the “FDA’s war on public health is about to end. This includes its aggressive suppression of psychedelics, peptides, stem cells, raw milk, hyperbaric therapies, chelating compounds, ivermectin, hydroxychloroquine, vitamins, clean foods, sunshine, exercise, nutraceuticals and anything else that advances human health and can’t be patented by Pharma.”He added: “If you work for the FDA and are part of this corrupt system, I have two messages for you: 1 Preserve your records, and 2 Pack your bags.”Ted Kennedy Jr, a cousin of RFK Jr and a healthcare lawyer, said he was “deeply concerned” about Trump’s choice.“We can’t put anyone in charge of healthcare who doesn’t understand how doctors and scientists develop best practices and keep us safe, and has no medical background and no knowledge about how health care is organized, delivered and paid for,” he told Stat.But Trump seems determined. He told rightwing figure Tucker Carlson last week that Kennedy was “going to work on health and women’s health”.“He really wants to with the pesticides and the, you know, all the different things. I said, he can do it,” Trump said. “He can do anything he wants. He wants to look at the vaccines. He wants – everything. I think it’s great. I think it’s great.”“He’s a great guy. I’ve known him a long time. And all he wants to do – it’s very simple – he wants to make people healthy,” Trump told NBC News on Friday. Campaign officials previously told the outlet that Kennedy might spearhead an “Operation Warp Speed for childhood chronic disease”, a reference to the Trump administration’s $20bn Covid vaccine development program.But the discussion over a potential role for Kennedy in a new Trump administration has also raised the topic of the response to the 2020-21 Covid-19 pandemic that has been largely absent from the campaign trail.JD Vance, Trump’s vice-presidential pick, expressed scepticism about the Covid vaccine during a sit-down with podcaster Joe Rogan released on Thursday.“I took the vax, and you know, I haven’t been boosted or anything, but the moment where I really started to get red-pilled on the whole vax thing was the sickest that I have been in the last 15 years by far was when I took the vaccine,” the Ohio senator told Rogan.Kennedy, who has also expressed doubts about Covid vaccines, told a rally last week that Trump had promised him “control” of public health agencies like the Department of Health and Human Services and the Department of Agriculture.Howard Lutnick, the Trump transition team co-chair, confirmed to CNN this week that he’d spent two-and-a-half hours with Kennedy “and it was the most extraordinary thing”.“I said: ‘So, tell me. How’s it going to go?’ And he said: ‘Why don’t you just listen to me explain things,’” Lutnick said. He did not deny that Kennedy was correct to say he would lead public health agencies in a Trump administration.“I think it’ll be pretty cool to give him the data. Let’s see what he comes up with,” Lutnick added.In a statement, Trump campaign spokesperson Karoline Leavitt said there were “no formal decisions” about potential Trump administration appointments. But she added that the former president “has said he will work alongside passionate voices like RFK Jr to make America healthy again by providing families with safe food and ending the chronic disease epidemic plaguing our children”, referring to type 2 diabetes. More

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      Contested state supreme court seats are site of hidden battle for abortion access

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      Abortion will be on the ballot in 10 states on Tuesday, and it’s one of the top issues in the presidential contest between Kamala Harris and Donald Trump. But it is also key to less publicized but increasingly contested races for seats on state supreme courts, which often have the last word on whether a state will ban or protect access to the procedure.This year, voters in 33 states have the chance to decide who sits on their state supreme courts. Judges will be on the ballot in Arizona and Florida, where supreme courts have recently ruled to uphold abortion bans. They are also up for election in Montana, where the supreme court has backed abortion rights in the face of a deeply abortion-hostile state legislature.In addition, supreme court judges are on the ballot in Maryland, Nebraska and Nevada – all of which are holding votes on measures that could enshrine access to abortion in their state constitutions. Should those measures pass, state supreme courts will almost certainly determine how to interpret them.Indeed, anti-abortion groups are already gearing up for lawsuits.“We’re all going to end up in court, because they’re going to take vague language from these ballot initiatives to ask for specific things like funding for all abortions, abortion for minors without parental consent,” said Kristi Hamrick, chief media and policy strategist for the powerful anti-abortion group Students for Life of America, which is currently campaigning around state supreme court races in Arizona and Oklahoma. “Judges have become a very big, important step in how abortion law is actually realized.”In Michigan and Ohio, which voted in 2022 and 2023 respectively to amend their state constitution to include abortion rights, advocates are still fighting in court over whether those amendments can be used to strike down abortion restrictions. Come November, however, the ideological makeup of both courts may flip.Spending in state supreme court races has surged since Roe fell. In the 2021-2022 election cycle, candidates, interest groups and political parties spent more than $100m, according to the Brennan Center for Justice. After adjusting for inflation, that’s almost double the amount spent in any previous midterm cycle.View image in fullscreenIn 2023, a race for a single seat on the Wisconsin supreme court alone cost $51m – and hinged on abortion rights, as the liberal-leaning candidate talked up her support for the procedure. (As in many other – but not all – state supreme court races, the candidates in Wisconsin were technically non-partisan.) After that election, liberals assumed a 4-3 majority on the Wisconsin supreme court. The court is now set to hear a case involving the state’s 19th-century abortion ban, which is not currently being enforced but is still on the books.It’s too early to tally up the money that has been dumped into these races this year, especially because much of it is usually spent in the final days of the election. But the spending is all but guaranteed to shatter records.In May, the National Democratic Redistricting Committee and Planned Parenthood Votes announced that they were teaming up this cycle to devote $5m to ads, canvassing and get-out-the-vote efforts in supreme court races in Arizona, Michigan, Montana, North Carolina, Ohio and Texas. Meanwhile, the ACLU and its Pac, the ACLU Voter Education Fund, has this year spent $5.4m on non-partisan advertising and door-knocking efforts in supreme court races in Michigan, Montana, North Carolina and Ohio. The scale of these investments was unprecedented for both Planned Parenthood and the ACLU, according to Douglas Keith, a senior counsel in the Brennan Center for Justice’s Judiciary Program who tracks supreme court races.

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      “For a long time, judicial campaign ads often were just judges saying that they were fair and independent and had family values, and that was about it. Now, you’re seeing judges talk about abortion rights or voting rights or environmental rights in their campaign ads,” Keith said. By contrast, rightwing judicial candidates are largely avoiding talk of abortion, Keith said, as the issue has become ballot box poison for Republicans in the years since Roe fell. Still, the Judicial Fairness Initiative, the court-focused arm of the Republican State Leadership Committee, announced in August that it would make a “seven-figure investment” in judicial races in Arizona, Michigan, Montana, North Carolina, Ohio and Texas.Balancing the federal benchAbortion is far from the only issue over which state courts hold enormous sway. They also play a key role in redistricting, LGBTQ+ rights, voting rights and more. And with the US Congress so gridlocked, state-level legislation and its legality has only grown in importance.For years, conservative operatives have focused on remaking the federal judiciary in their ideological image – an effort that culminated in Donald Trump’s appointments of three US supreme court justices and has made federal courts generally more hostile to progressive causes. Now, the ACLU hopes to make state supreme courts into what Deirdre Schifeling, its chief political and advocacy officer, calls a “counterbalance” to this federal bench.“We have a plan through 2030 to work to build a more representative court,” said Schifeling, who has a spreadsheet of the supreme court races that will take place across eight states for years to come. (As a non-partisan organization, the ACLU focuses on voter education and candidates’ “civil rights and civil liberties” records.) This cycle, the organization’s messaging has centered on abortion.“Nationally, you’re seeing polling that shows the top thing that voters are voting on is the economy. But these judges don’t really influence the economy,” Schifeling said. “Of the issues that they can actually influence and have power over, reproductive rights is by far the most important to voters.”Abortion rights supporters are testing out this strategy even in some of the United States’ most anti-abortion states. In Texas, where ProPublica this week reported two women died after being denied emergency care due to the state’s abortion ban, former US air force undersecretary Gina Ortiz Jones has launched the Find Out Pac, which aims to unseat three state supreme court justices.Justices Jane Bland, Jimmy Blacklock and John Devine, the Pac has declared, “fucked around with our reproductive freedom” in cases upholding Texas’s abortion restrictions. Now, Jones wants them out.“Why would we not try to hold some folks accountable?” Jones said. “This is the most direct way in which Texas voters can have their voices heard on this issue.” (There is no way for citizens to initiate a ballot measure in Texas.) The Pac has been running digital ads statewide on how the Texas ban has imperiled access to medically necessary care.However, since state supreme court races have long languished in relative obscurity, voters don’t always know much about them and may very well default to voting on party lines in the seven states where the ballots list the affiliations of nominees for the bench. Although the majority of Texans believe abortions should be legal in all or some cases, nearly half of Texans don’t recall seeing or hearing anything about their supreme court in the last year, according to Find Out Pac’s own polling.“This conversation that we’re having in Texas, around the importance of judicial races, is new for us as Democrats,” Jones said. “It’s not for the Republicans.” More

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      US lawmakers call on EPA to ban pesticide linked to Parkinson’s disease

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      More than 50 US lawmakers are calling on the Environmental Protection Agency (EPA) to join dozens of other countries in banning a widely used weedkiller linked to Parkinson’s disease and other health dangers.In a 31 October letter to the agency, seven US senators said that paraquat, a weedkiller commonly applied on US farms, was a “highly toxic pesticide whose continued use cannot be justified given its harms to farmworkers and rural communities”. The call for a ban from the senators came after 47 members of the US House of Representatives sent a similar letter to the EPA calling for a ban earlier in October.The lawmakers cite scientific links between paraquat use and development of Parkinson’s and other “life threatening diseases” as well as “grave impacts on the environment”. “Health risks include a higher risk of Parkinson’s disease, with some studies finding a 64% increase in the likelihood of developing Parkinson’s, non-Hodgkin’s Lymphoma, thyroid cancer, and other thyroid issues,” they wrote.The New Jersey senator Cory Booker, organizer of the Senate letter, said the risks of paraquat exposure were “well documented” and that it was “irresponsible” for the EPA to continue to allow its use. “I hope the EPA will follow the science and ban paraquat,” Booker said.The EPA has long maintained that there is no “clear link” between paraquat exposure and Parkinson’s disease, though the agency does have a number of restrictions on use of the chemical due to its acute toxicity. The agency issued a draft report earlier this year affirming its position.Still, the agency said at that time that it would be reviewing more scientific studies and would issue a final report by 17 January 2025.When asked about the congressional call for a ban, an EPA spokesperson said only that the agency “will respond to the letter appropriately”.Several California lawmakers pushed for a ban in the most recent state legislative session, also citing the risks of Parkinson’s. A compromise measure signed by the governor last month requires an expedited regulatory review of paraquat.The push to ban paraquat in the US was “long overdue”, said Ray Dorsey, a professor of neurology at the University of Rochester who studies the causes of Parkinson’s disease.“For 60 years, paraquat has been helping fuel the rise of Parkinson’s disease,” Dorsey said. “The evidence from human, laboratory and apparently even the company’s own research is overwhelming. When paraquat is banned, more lives will be spared the consequences of Parkinson’s.”Chinese-owned Syngenta, the longtime maker and marketer of paraquat products did not respond to a request for comment about the congressional letters. The company has denied there is any valid connection between Parkinson’s and paraquat. In response to previous reporting, it asserted that no “peer-reviewed scientific publication has established a causal connection between paraquat and Parkinson’s disease”.Internal Syngenta documents revealed by the Guardian show the company was aware many years ago of scientific evidence that paraquat could affect the brain in ways that cause Parkinson’s, and that it secretly sought to influence scientific research to counter the evidence of harm.Syngenta was allegedly aided in suppressing the risks of paraquat by a “reputation management” firm called v-Fluence, the Guardian reported in September.Thousands of US paraquat users who suffer from Parkinson’s are currently suing Syngenta, alleging the company should have warned them of the risk of developing the incurable brain disease, but instead worked to hide the evidence of risk.This story is co-published with the New Lede, a journalism project of the Environmental Working Group More

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      in UK Politics

      Unemployed to be given weight-loss jab to help them back into work

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      Your support helps us to tell the storyThis election is still a dead heat, according to most polls. In a fight with such wafer-thin margins, we need reporters on the ground talking to the people Trump and Harris are courting. Your support allows us to keep sending journalists to the story.The Independent is trusted by 27 million Americans from across the entire political spectrum every month. Unlike many other quality news outlets, we choose not to lock you out of our reporting and analysis with paywalls. But quality journalism must still be paid for.Help us keep bring these critical stories to light. Your support makes all the difference.CloseRead moreCloseUnemployed people will be given weight-loss jabs to assist them back into work in a trial. The UK’s life sciences sector will receive £279 million from drugs giant Eli Lilly, to invest in developing new medicines and ways to deliver treatment. Amanda Pritchard, Chief Executive of the NHS praised weight-loss drugs as “game-changers” in supporting people to reduce their risk of life-threatening conditions. The plans with Lily, announced at the UK’s International Investment Summit, will include the first trial of the jab’s effect on unemployment, productivity and NHS reliance.Obesity is the second-biggest preventable cause of cancer and a major contributor to ill-health that prevents people from participating fully in work, the government said. “The long-term benefits of these drugs could be monumental in our approach to tackling obesity. For many people, these jabs will be life-changing, help them get back to work and ease the demands on our NHS,” health secretary Wes Streeting wrote in The Telegraph. The latest Health Survey for England found that rates of obesity have not fallen since 2019. In 2022, some 29 per cent of adults in England were obese while 64 per cent were deemed to be overweight or living with obesity.It currently costs the NHS more than £11billion a year – more than smoking. Excess weight is linked to deadly conditions such as diabetes, heart attack and stroke. “Backing the UK life sciences sector to understand obesity further, alongside introducing measures to prevent obesity in the first place such as restrictions on junk food advertising, will help ease pressure on the NHS,” the government said. Ms Pritchard praised weight-loss drugs as ‘game-changers’ in supporting people to reduce their risk of life-threatening conditions More

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      in US Politics

      Harris calls for end to Senate filibuster to restore US abortion rights

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      Kamala Harris has called for an end to the Senate filibuster to make good on her pledge to restore the right to abortion through legislation.The US vice-president, herself a former senator, told a radio station in Wisconsin that eliminating the filibuster – which sets a 60-vote threshold in the 100-seat upper chamber of the US Congress – would be necessary to codify the rights that were enshrined in Roe v Wade, the 1973 supreme court ruling that upheld the right to legal abortion throughout the US until it was overturned by a ruling two years ago.“I think we should eliminate the filibuster for Roe and get us to the point where 51 votes would be what we need to actually put back in law the protections for reproductive freedom, and for the ability of every person and every woman to make decisions about their own body – and not have their government tell them what to do,” Harris told WPR, an affiliate of National Public Radio, on a campaign trip to Wisconsin, a key midwestern swing state where she has a wafer-thin lead over Donald Trump, according to recent polls.Her remarks accentuated her determination to put abortion rights at the heart of her campaign message amid polling evidence that it is a priority for many women voters.However, it cost her the support of the outgoing West Virginia senator, Joe Manchin – a former Democrat who left the party this year to become an independent – who said he would not endorse her candidacy because of her pledge.“Shame on her,” Manchin, who is retiring from the Senate at the end of the year, told CNN. “She knows the filibuster is the holy grail of democracy. It’s the only thing that keeps us talking and working together. If she gets rid of that, then this would be the House on steroids.”Trump has been on the defensive on abortion because the 2022 supreme court ruling was achieved with the votes of three conservative justices he appointed to the bench when he was president. Harris has claimed that Trump would sign a nationwide ban if he re-captured the White House, although he insists he would leave it to individual states.Harris’s use of a radio interview to underline her commitment follows criticism that she was deliberately avoiding high-profile interviews – a charge Harris has sought to counter by making herself available to selected media in battleground states.Trump told a rally in Pennsylvania on Monday that he would be women’s “protectors” and that they would not “be thinking about abortion” if he won a second term.Harris’s filibuster remarks echoed a similar comment by Joe Biden immediately after Roe v Wade was struck down, when he said an exception to the time-honoured Senate rule had to be made to guarantee abortion rights.“I believe we have to codify Roe v Wade in the law,” he said. “And the way to do that is to make sure the Congress votes to do that. And if the filibuster gets in the way, it’s like voting rights – it should be (that) we provide an exception to this … requiring an exception to the filibuster for this action to deal with the supreme court decision.”Harris has previously advocated overriding the filibuster to pass additional voting rights laws and Green New Deal legislation.In 2020, Barack Obama described the filibuster as a “Jim Crow relic” from America’s racially segregated past and argued that it should be eliminated if used to block voting reform.The filibuster describes the use of prolonged debate to delay or prevent a vote on a bill. It can be invoked by any senator objecting to a bill and has been used with increasing regularity in recent decades.It can only be overridden by triggering “cloture”, which requires a three-fifths majority vote – or 60 of the 100 senators. If cloture passes, it enables a vote on the original measure the filibuster was designed to block.The longest filibuster in Senate history was achieved by Strom Thurmond, the pro-segregationist South Carolina senator, when he spoke for 24 hours and 18 minutes in an effort to block civil rights legislation in 1957.Thurmond’s speech – described by his biographer as a “urological mystery” – was reportedly achieved with help of prior steam baths to dehydrate his body and preclude the need for regular bathroom breaks. He was also reported by a staffer to have had himself fitted with a catheter to relieve himself while he spoke. More

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      Thanks to Donald Trump, Apple’s new AirPods will make America hear again | John Naughton

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      Like many professional scribblers, I sometimes have to write not in a hushed study or library, but in noisy environments. So years ago I bought a set of Apple AirPods Pro, neat little gadgets that have a limited degree of noise-cancelling ability. They’re not as effective as the clunky (and pricey) headphones that seasoned transcontinental airline passengers need, but they’re much lighter and less obtrusive. And they have a button that enables you to switch off the noise cancellation and hear what’s going on around you.I remember wondering once if a version of them could also function as hearing aids, given the right software. But then dismissed the thought: after all, hearing aids are expensive, specialised devices that are often prescribed by audiologists – and also signal to the world at large that you are hard of hearing.But guess what? On 12 September, I open my laptop, click on the Verge website and find the headline: “Apple gets FDA authorisation to turn the AirPods Pro into hearing aids.” The new generation of the headphones will be able to serve as clinical-grade hearing aids later this autumn. More importantly, they can be bought over the counter (OTC in the lingo of the healthcare industry) and they will sell for $249 in the US (and £229 in the UK). Compare that with the prices of hearing aids sold by, say, Specsavers, which start at £495 and go all the way to £2,995 for the Phonak Infinio Sphere 90.Now of course price comparisons can be misleading. Vendors of conventional hearing aids will stress that customers get the undivided attention of an audiologist etc. And for customers with severe hearing difficulties, that’s fine. But for people with “mild to moderate hearing impairment”, even the US FDA (Food and Drug Administration) has concluded that the customisation software provided by Apple will be adequate.It works like this. You take an on-demand hearing test on your iPhone’s health app, which causes the earbuds to ping each ear with different frequencies at varying volumes. You tap the phone screen if you hear the sound. After a few minutes, the app will generate an audiogram that graphs your hearing deficits and this audiogram can then be used to program the AirPods Pro as hearing aids. Alternatively, you can upload an existing audiogram if you’ve had one generated by an audiologist.Neat, eh? And also a nice example of engineering ingenuity. But, as with most things, the technology is only part of the story. The healthcare industry in the US is tightly controlled by the FDA, which insisted for years that any device that goes into a human ear needs a prescription. As Matt Stoller, an antitrust expert and campaigner, points out, since 1993, campaigners have been calling for the FDA to loosen its stance on these devices and the calls got louder over the years. In 2015, the president’s council of advisers on science and technology issued a report seeking to make these devices more widely available. The next year, the National Academies of Sciences, Engineering and Medicine issued a similar report.But eventually, in 2017, Congress passed the Over-the-Counter Hearing Aid Act, proposed by senators Elizabeth Warren and Chuck Grassley and requiring the FDA to allow hearing aids without a prescription – and Donald Trump signed it! The act imposed a deadline of 2020 on the FDA, but the agency continually prevaricated until 2022, after the Biden administration compelled it to act with an executive order. Only then did the dam that had been building up since 1993 break.The moral of this story, in Stoller’s words, is simple: “How we deploy technology is not a function of engineering and science as much as it is how those interplay with law, in this case a law that fostered a hearing aid cartel and then a different law that broke it apart. So it’s not outlandish to say that Joe Biden designed Apple’s new hearing aid AirPods, with an assist from Elizabeth Warren, Chuck Grassley and Donald Trump. It’s just what happened.”This is perhaps a bit hyperbolic, but it captures an essential truth that Silicon Valley would prefer to ignore: technology does not exist in a vacuum, and the ways it is deployed and developed are shaped by social and political forces. Social media companies escape liability because of a 26-word clause in a 1996 law, for example. And millions of people in the US suffering from hearing impairment could have had hearing aids at affordable prices at least a decade ago. The problem was not that the technology didn’t exist, but that it wasn’t in the interest of the healthcare-regulatory establishment to make it available.skip past newsletter promotionafter newsletter promotionWhat I’ve been readingBad pressJeff Jarvis, the veteran journalist and City University of New York emeritus professor, has an insightful analysis on his blog titled What’s become of The Times & Co? about why US mainstream media has gone wrong.Top MarxThe Enduring Influence of Marx’s Masterpiece is a marvellous introduction by Wendy Brown to a new translation of Das Kapital.Head case A lovely essay by Erik J Larson is The Left Brain Delusion, which argues that we’re too governed by one side of our grey matter. More

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      in UK Politics

      Darzi NHS report: Key points from landmark review of the health service

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      Your support helps us to tell the storyFind out moreCloseAs your White House correspondent, I ask the tough questions and seek the answers that matter.Your support enables me to be in the room, pressing for transparency and accountability. Without your contributions, we wouldn’t have the resources to challenge those in power.Your donation makes it possible for us to keep doing this important work, keeping you informed every step of the way to the November electionAndrew FeinbergWhite House CorrespondentA landmark report into the NHS has described the health service as “in serious trouble” as Labour vows to act on its findings. The review by Lord Darzi says honesty is needed if healthcare in the UK is to be improved, highlighting many issues.The rapid review, completed in nine weeks, diagnoses the problems in the NHS in England and sets out themes for the government to incorporate into a 10-year plan for reforming the health service.The study argues the NHS is facing rising demand for care as people live longer in ill health, coupled with low productivity in hospitals and poor staff morale.Prime minister Keir Starmer and health secretary Wes Streeting More

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      Tory austerity and shake-ups have left NHS in ‘critical condition’, major review finds

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      Your support helps us to tell the storyFind out moreCloseAs your White House correspondent, I ask the tough questions and seek the answers that matter.Your support enables me to be in the room, pressing for transparency and accountability. Without your contributions, we wouldn’t have the resources to challenge those in power.Your donation makes it possible for us to keep doing this important work, keeping you informed every step of the way to the November electionAndrew FeinbergWhite House CorrespondentA decade of Tory austerity has left the NHS in “critical condition” with some of the worst cancer survival rates in the Western world, according to a damning independent report.A rapid review of the health service, completed in nine weeks, has found that many of its staff are “disengaged” and that there are “distressingly high levels of sickness absence”.The author of the report, Ara Darzi, a surgeon and an independent peer, blamed choices made by the last government for the damage to the health service, and said it would take more than five years to fix.Sir Keir Starmer is expected to respond to the findings on Thursday by blaming the Tories while also making clear that the NHS must “reform or die”.He will say: “People have every right to be angry. It’s not just because the NHS is so personal to all of us – it’s because some of these failings are life and death.”In his report, Lord Darzi described a “disastrous” 2012 shake-up by Conservative health secretary Andrew Lansley as “a calamity without international precedent”.“In the last 15 years,” he continued, “the NHS was hit by three shocks – austerity and starvation of investment, confusion caused by top-down reorganisation, and then the pandemic, which came with resilience at an all-time low. Two out of three of those shocks were choices made in Westminster.”Lord Darzi said Britain “cannot afford not to have the NHS, so it is imperative that we turn the situation around”, adding that the health service “is in critical condition, but its vital signs are strong”.Other key findings from the report include the following: Comparisons of cancer survival rates reveal that Britain is “substantially” worse than its European neighbours as well as the USA, Australia and Canada The NHS has made “no progress whatsoever” on improving early cancer diagnosis for nearly 10 yearsThe programme to build 40 new hospitals would not have been needed if investment in healthcare had matched that of other nations since 2001In almost all NHS services, access to care has declined and long waits for care have become normalisedChildren are being let down by services and are waiting too long for mental health treatment and physical healthcare Despite there being enough dentists in Britain, not enough want to do NHS workToo much cash has been allocated to hospitals instead of community care servicesPatients are struggling to see their GP despite doctors seeing more patients than everSir Keir is expected to point the finger of blame at the Tories, saying that the situation is “unforgivable”.Prime minister Keir Starmer will pledge to reform the NHS More