15 Oct 2022

IMF report reveals dictatorship of finance capital

Nick Beams


Governments around the world must obey the dictates of finance capital, as transmitted via the bond markets that trade in their debts, and organise an attack on the working class through deep cuts in spending on vital social services.

That is the message delivered in the International Monetary Fund’s Fiscal Monitor Report issued this week at its semi-annual meeting in Washington.

Of course, the directive was not put in such blunt language. It was written in the style characteristic of such reports and aimed at trying to obscure their essential class content. But it is clear nonetheless, as was recognised by the financial press.

The Financial Times summarised the report as follows: “Governments must place greater weight on keeping their finances in shape, or risk undermining the confidence of the bond market investors that buy their debt, the IMF has cautioned.”

It noted the decision was a reversal of the IMF’s previous position when it called on governments to spend more in response to the economic devastation wrought by the COVID-19 pandemic. The switch is the result of the high interest rate regime being imposed by the US Fed and other central banks.

It was not so much a “caution” as a directive as the foreword to the report, written by Vitor Gaspar, IMF head of fiscal policy, spelled out.

Vitor Gaspar, director of the Fiscal Affairs Department at the International Monetary Fund, addresses Washington press conference, Wednesday, Oct. 12, 2022. [AP Photo/Patrick Semansky]

“In the context of high inflation, high debt, rising interest rates, and elevated uncertainty, consistency between monetary and fiscal policy is paramount. In most countries, this means keeping the budget on its tightening course,” he said.

In other words, the government cannot be providing a stimulus when central banks are raising interest rates aimed at inducing an economic contraction, and even a recession, to crush the growing wages movement of the working class in response to inflation. In this class war, the two arms of the capitalist state must pursue a unified strategy.

If they deviate, there will be major consequences as Gaspar made clear.

“With inflation elevated and financing conditions tightening, policymakers should prioritize macroeconomic and financial stability above all else,” he wrote.

“This is especially relevant as recent developments in bond markets show increased market sensitivity to deteriorating (or bad) fundamentals. That raised the prospect of more disruptive fiscal crises across the world.”

While Gaspar was not specific, he was referring to the financial crisis in Britain in response to the Truss Tory government’s mini-budget of September 23 which pledged £45 billion in tax cuts for the corporations and the super-rich.

Sterling was sent down to record lows against the US dollar, falling to near parity at one point, and the price of long-term Treasury bonds, so-called gilts, plunged, rapidly pushing up their yields. (The two move in opposite directions.) The crisis, which is by no means resolved, threatened to push pension funds into insolvency.

The violent reaction of the financial markets was not because they objected to still more money being showered on the corporations and the wealthy but that the tax cuts were unfunded. That is, they were not financed by sweeping cuts in government spending, aimed at further impoverishing working class.

The crisis was a directive by finance capital to the UK government and to governments around the world, as alluded to in Gaspar’s remarks about bond market “sensitivity”—proceed with attacks on the working class or financial mayhem will result.

The message has been received and understood. In Britain, the Truss government has drawn up a hit list of spending cuts to vital services that have already been slashed to the bone.

Those attacks will now proceed under whatever government comes to power, whether it is a rejigged Tory government, following yesterday’s sacking of the chancellor, Kwasi Kwarteng, with Truss set to fall on her sword or be axed in another inner-party coup, or by a Labour government under Keir Starmer.

In Australia, where the Labor government is preparing a budget to be brought down on October 25, Treasurer Jim Chalmers has continually spoken of the worsening global economic and financial situation and the lessons of the British experience. He has cited three key areas where government spending has supposedly blown out, health care, aged care, and the disability insurance scheme.

In both the UK and Australian cases, as with other governments, military spending will be increased in line with the drive to World War III.

The IMF’s report made clear that job support measures, introduced to a limited degree because of the pandemic, cannot be continued in response to economic contraction and recession.

“Public guarantees and job support schemes lead to market distortions that, if left unchecked, could hamper economic growth,” it said.

Gaspar was more explicit in his foreword.

“Facing a shifting landscape,” he wrote, “policymakers must stay agile to be able to respond to the unexpected. Long commitments are not more than a pretence of certainty and can quickly become unaffordable.”

Staying “agile” means governments must be prepared to respond immediately to the dictates of the financial markets and take the axe to basic services that have come to be regarded as part of be necessary social infrastructure. In the new economic and financial environment such “long commitments” are a thing of the past.

While the task of governments is to meet the demands of their financial masters, this also involves ensuring that the class struggle is suppressed because there is no greater danger than that posed by an independent movement of the working class.

The first paragraph of the report’s executive summary pointed to this issue noting that “households are struggling with elevated food and energy prices, raising the risk of social unrest.”

It then set out how this should be dealt with. While governments seek to blame inflation on Russia, analysis, for example in the recent report by the United Nations Conference on Trade and Development, makes clear that a major factor is speculation in commodities by hedge funds and the profit gouging by major corporations. However, not a hair on their head should be touched.

“Faced with long-lasting supply shocks and broad-based inflation,” the IMF report said, “attempts to limit price increases through price control, subsidies, or tax cuts will be costly to the budget and ultimately ineffective.”

Governments, it said, should “allow prices to adjust and provide temporary targeted cash transfers to the most vulnerable.”

In other words, just as the policy on COVID-19 was “let it rip,” this same doctrine must be applied to inflation. The food and energy giants, among others, must be allowed to continue to make super-profits, while totally inadequate and temporary amounts of cash are doled out to try to prevent a social explosion.

As the working class engages in the battles now unfolding, it necessary to delve into the political economy of what is involved.

In the world of finance, it appears that money is simply able to beget more money. But ultimately the vast profits accumulated in this sphere are extracted from the working class. Finance capital is not an independent source of wealth. It is fictitious capital, that is a claim on the total mass of the surplus value extracted from the working class under capitalist production, which it appropriates.

Finance capital has two fundamental interests: increasing the flow of surplus value by forcing down wages and increasing exploitation; and reducing social spending which, in the final analysis, is a deduction from the pool of surplus available for appropriation. Both these processes are now at work.

The first was made visible with the onset of the pandemic. The fear in ruling financial circles was that meaningful public health measures to eliminate the virus would adversely impact on the flow of surplus value on which they rest.

This was the basis for the “opening up” and “let it rip” agenda. Nothing—certainly not measures to prevent death and disease—must be allowed to halt the flow of surplus value into the coffers of finance capital.

This drive to increase exploitation has been intensified as central banks seek to crush the wages struggles of the working class. These were set off by the inflation resulting from the refusal of capitalist governments to act to eliminate the virus even though that was eminently possible.

Now, to sustain the increased mass of fictitious capital created by the injection of trillions of dollars into the financial system by the central banks over the course of the pandemic, not only must wages be further suppressed but an all-out assault undertaken against social spending.

In the field of finance, the ruling class and its mouthpieces spin a web of illusions. And so it is in politics. The great illusion is that through the vote and parliamentary democracy the working class, the mass of the people, exercise control over the running of society.

But the value of every crisis, as has been remarked on many occasions, is that it lays bare the real social and political relations. The bond market and financial crisis have revealed, as the IMF’s report laid out, where real power resides. Parliamentary democracy is a screen for the dictatorship of finance capital.

Russian government cuts expenditures as it struggles to finance mobilization

Andrea Peters


The Russian government is facing a budgetary crunch as it struggles to shoulder the cost of the war in Ukraine. Its just-released financial plan for 2023 will reduce federal spending to 17 percent of GDP compared to 20 percent this year. It projects that number will decline to 15 percent by 2025. While nominally expenditures will remain the same, the corrosive impact of an inflation rate that is running at over 13 percent and of the economic sanctions imposed by NATO are constraining Moscow’s purse.

National defense, national security, and law enforcement will collectively make up the largest share of the 2023 budget, coming in at 9.127 trillion rubles ($147 billion), an increase over this year. However, spending specifically devoted to the armed forces is slated to be axed by nearly 30 percent. News of the cut provoked stunned commentary from lawmakers and others close to the military.

Duma Deputy Mikhail Delyagin stated, “Reading the budget of the Russian Federation for 2023, I feel in a parallel dimension,” and went on to imply that there was disarray within the Kremlin, which had prepared a budget “in new conditions that are little familiar and poorly understood.” “The financial wing of the government does not know what is happening in the country,” stated parliamentary representative Oksana Dmitrieva. “They believe that oil and gas revenues should be stored up, and this is their only idea, and no more have appeared.”

The apparent inability of the government to substantially increase allotments for national defense reflects on the one hand the crisis facing the country’s economy and on the other, the military and political miscalculations of the Kremlin, which appears to have thought that it would be able to force a settlement with NATO over Ukraine much earlier in the conflict. In an indication of the Putin government’s lack of preparation for the present state of affairs, no money is specifically set aside in the 2023 budget to finance the provisioning and payment of the 300,000 reservists just called up.

The “partial mobilization” that began in later September already appears to be in a state of semi-disorder. Responsibility for equipping troops—222,000 have already been draft and 16,000 of them sent to the front—has largely fallen on regional governments, which are scrambling to find everything from uniforms to first-aid packs for soldiers. There are shortages of military supplies and prices are rising.

Families are given list of things their sons are permitted to bring with them that bear little resemblance to what anyone is likely to have sitting around their attic. Newspaper Nezavisimaya Gazeta reported, “The ‘Explain.rf’ website, which was created to inform the population about the partial mobilization, has a list of items that conscripts can take with them. Among them: personal hygiene items, thermal underwear, a chemical heating pad, a flashlight, a balaclava, tactical gloves, a camping seat, batteries. Separately, it is noted that as personal belongings, you can also take with you a quadrocopter, binoculars, an optical sight and a night vision device.”

Payments to draftees and their relatives beyond the federal government’s base rate have also been made the responsibility of regional authorities, whose budgets are actually slated to be reduced next year. As a result, compensation for draftees varies from one place to the next. In Vladimir, those mobilized will receive 40,000 rubles a month (about $638). In Moscow, an extraordinarily expensive city, they get 50,000 rubles. In Novosibirsk, those in the lowest ranks will get one-time payments of 200,242 rubles, a number that rises to just over 490,000 for lieutenants. In Saint Petersburg, draftees are paid 100,000 rubles, 200,000 less than volunteers.

Furthermore, no money has yet changed hands. Some regions have said payments will be sent out by the end of October, others not till November. In the meantime, inflation continues to erode household incomes. The price of tomatoes rose 7 percent last week alone, according to state statistical agency Rosstat.

Aware that the sums promised are inadequate and anxieties are rising among ordinary people over the departure of their sons and husbands and the loss of their wages, officials are scrambling to make other services available to conscripts’ families. These include things such as free daycare, free school meals, vouchers for camps and retreats, discounts on housing, utilities, and transportation, and special services for the disabled and elderly left behind.

In an expression of the general poverty that exists in Russia, in Sakhalin, the ruling party United Russia promised to give draftees’ relatives frozen fish. Elsewhere, according to the website Yarnovosti.ru, people will get a sheep; in Buryatiya—free firewood, although only for the needy; and in the Tuva Republic, each family will be given “one ram” and “50 kilograms of flour, two bags of potatoes and cabbage, and farmers will receive an additional ton of oats.”

Speaking to Yarnovosti.ru, Ilya Grashchenkov, the head of the Center for Regional Policy Development, noted, “Governors are interested not so much in the mobilized as in the families left behind, who may give voice to social discontent…In one place they placate them with money, in another they give sheep, and still elsewhere they will subdue them with force, if necessary. But people are not happy with what is happening. The myth of a strong army could be seriously damaged if the clashes with reality continue in the same vein.”

In an expression of the ruling elite’s nervousness over the impact that the war in Ukraine is having on the Russian economy and political moods in the country, one area of the federal budget will see a relatively substantial increase next year. Expenditures on some social programs, namely pensions, welfare benefits, and other efforts aimed at helping families and children are slated to rise by about 1.58 trillion rubles.

This amount is to be offset by significant cuts to the ministries of culture and sports, special direct and indirect forms of financial support for cities, and some national development projects long on the books but unrealized for over a decade. In addition, businesses’ tax and payroll obligations will be increased, a fact that provoked Alexander Shokhin, head of the Russian Union of Industrialists and Entrepreneurs (RSPP), to complain to the press about the content, opaqueness, and short-sightedness of a federal budget that does not even take into account the possibility of future large-scale economic shocks, such as major price increases.

In short, the Kremlin is attempting to put the Russian population on a “guns and butter” budget, straining every nerve in order to do so. It will ultimately fail to do so. The allocation of large amounts of money to internal policing is part of the ruling elite’s preparations to crush social discontent when it can no longer finance the war.

While its treasury has been buoyed by profits generated from and gas oil sales, Russia has had to sell its products at a “geopolitical discount” for months. Countries still willing to buy the resources are unwilling to pay global-market prices. The price of Russian oil has been falling for three months, with the Ministry of Finance recently reporting that the country can now fetch just $68.25 per barrel. The government, however, had not expected prices to dip so low until the end of the year. According to financial daily Kommersant, “The situation with non-oil and gas, i.e., with other budget revenues looks worse: minus 4.3% for the first nine months and minus 4.1% for September alone.”

There are other indicators of a faltering economy. With a federal moratorium on bankruptcies having just been ended, Russia is witnessing a sharp spike in the number of companies going officially broke. According to the Russian Association of Jurists, restaurants, fitness centers, movie theaters, wholesale traders, and companies whose earnings are tied to the rental of real estate are among the hardest hit. Moscow and the surrounding region, Krasnodar, St. Petersburg and Bashkortostan have the highest concentration of newly bankrupt firms.

Between just October 2 and 11, 307 corporate bankruptcy cases were registered in Russia for a total of 5.3 billion rubles. One of the primary creditors against which companies are seeking relief is Russia’s Federal Tax Service. Thus, if it does not wish to see its tax base hammered by a wave of bankruptcies, the government has to figure out some way to bailout the very corporations that cannot pay to the federal government itself what they owe.

The rapid withdrawal of 300,000 men from the workforce is also destabilizing the economy. Many of their jobs cannot be rapidly filled, absent an appropriately trained workforce. The transportation and logistical sectors are especially vulnerable. The head of Gruzovtrans, an organization which speaks on behalf of trucking companies, said that there are some smaller operations which have seen more than half of their workers drafted, threatening the industry’s ability to move goods around the country. According to the business press Delovoy Peterburg, between 50 and 80 percent of aviation employees are draft eligible. Business associations representing the airline and rail industries have issued special appeals to the government to exempt their essential employees from the call-up. 

14 Oct 2022

Google Internship Program 2023

Application Deadline:

Varies according to program

What is the Award?

Know the user. Know the magic. Connect the two. At its core, marketing at Google starts with technology and ends with the user, bringing both together in unconventional ways. Our job is to demonstrate how Google’s products solve problems. And we approach marketing in a way that only Google can changing the game, redefining the medium, making the user the priority, and ultimately, letting the technology speak for itself.

Which Fields is/are Eligible?

Currently pursuing a Bachelor’s, Master’s, or PhD degree in Electrical Engineering, Computer Engineering, Business or related field.

Which Countries are Eligible?

Any

Where will Award Take Place?

There are numerous remote opportunities available

What Type of Award is This?

Scholarship Entrepreneurship Fellowship Workshop Internship

Who is Eligible?

Responsibilities and detailed projects will be determined based on your educational background, interest and skills.

We welcome and encourage people who are expecting and/or parents-to-be to apply to this or any other role at Google.

What is the Benefit of Award?

From Google Ads to Chrome, Android to YouTube, Social to Local, be part of changing the world one technological achievement after another.

How to Apply:

Apply below.

Visit Award Webpage for Details

Food and Agricultural Organisation (FAO) Fellowship Programme 2023

Application Deadline: 31st December 2022 9:59:00 PM

Eligible Countries: FAO Member countries.

To Be Taken At (Country): FAO Regional, Sub-regional, Country Offices Liaison Offices and headquarters.

About the Award: The Food and Agriculture Organization of the United Nations (FAO) leads international efforts to defeat hunger and to support development in member countries in the areas of agriculture, fisheries and forestry. FAO’s mandate is to raise levels of nutrition, improve agricultural productivity, better the lives of rural populations and contribute to the growth of the world economy.

The Fellowship Programme is designed to attract fellows, typically PhD students, researchers and professors, who have an advanced level of relevant technical knowledge and experience in any field of the Organization. They are willing to fulfil their specialized learning objectives and at the same time, contribute their technical expertise and knowledge through time-bound arrangements with FAO. Assignments should be in line with FAO Strategic Objectives and UN Sustainable Development Goals.

Type: Fellowship

Eligibility:

  • Graduate or post-graduate degree (Master’s or PhD) or be enrolled in a PhD programme.
  • Working knowledge of at least one FAO language (Arabic, Chinese, English, French, Russian or Spanish). Knowledge of a second FAO language will be considered an asset. Only language proficiency certificates from UN accredited external providers and/or FAO language official examinations (LPE, ILE and LRT) will be accepted as proof of the level of knowledge of languages indicated in the online applications.
  • Be nationals of FAO Member Nations
  • Age: no age limits.
  • Candidates should be able to adapt to an international multicultural environment and have good communication skills.
  • Candidates with family members (defined as brother, sister, mother, father, son or daughter) employed by FAO under any type of contractual arrangement are not be eligible for the Fellows Programme.
  • Candidates should have appropriate residence or immigration status in the country of assignment.

Selection Criteria: Candidates may be assigned in a field relevant to the mission and work of FAO.

Number of Awards: Numerous

Duration of Program: According to time bound agreement with hiring office

How to Apply: 

•    To apply, visit the recruitment website at Jobs at FAO and complete your online profile. We strongly recommend that your profile is accurate, complete and includes your employment records, academic qualifications and language skills.
•    You are requested to attach a research proposal, the evidence of attendance in a recognized university or copy of your academic qualifications to the online profile.
•    Once your profile is completed, please apply and submit your application through the FAO recruitment portal. Only applications received through the FAO recruitment portal will be considered.
•    Your application will be screened based on the information provided on your online profile.
•    Please note that FAO will only consider academic credentials or degrees obtained from an educational institution recognized in the IAU/UNESCO list.
•    Incomplete applications will not be considered.
•    Candidates who are not selected before the closing date and wish to be continuously considered for an assignment are requested to re-apply to the new Calls.
•    We encourage applicants to submit the application well before the deadline date.
If you need help, or have queries, please contact: Careers@fao.org

Visit Program Webpage for Details

Important Notes: 

  • Qualified female applicants and qualified nationals of non- and under-represented member countries are encouraged to apply.
  • Persons with disabilities are equally encouraged to apply.
  • All applications will be treated with the strictest confidence.
  • FAO strongly encourages candidates from the Global South and Indigenous Peoples to apply to this Call for Expression of Interest

Report: One-third of US counties are “maternity care deserts”

Kate Randall


Nearly 7 million women of childbearing age and 500,000 babies live in areas that have no obstetric hospitals or birth centers, and no obstetric providers. That is the sobering news from the 2022 March of Dimes report “Nowhere to go: Maternity care deserts across the US.”

A pregnant woman waits in line for groceries with hundreds during a food pantry, sponsored by Healthy Waltham for those in need due to the COVID-19 virus outbreak, at St. Mary's Church in Waltham, Mass. (AP Photo/Charles Krupa)

The report by the maternal and infant health nonprofit found that over 2.8 million women of childbearing age and nearly 160,000 babies were impacted by reduced access to maternity care.
Five percent of US counties shifted to lower access in maternity care, while 3 percent of counties moved to higher access. Shifts in the number of obstetric providers was the primary driver for decreases in access, with 56 counties shifting to a lower level of access to maternity care due to a loss of obstetric providers.

March of Dimes describes quality maternal care as “providing safe, effective, timely, efficient, equitable and person-centered care.”

The report found that one in four Native American women (24.2 percent) and one in five black women (20.1 percent) did not receive adequate prenatal care in 2020, while the rate for white women was one in ten (9.9 percent).

Hispanic and Asian/Pacific Islander women were less likely to receive adequate prenatal care when compared to white women (17.3 and 11.3 percent less likely, respectively). In 2020, the maternal mortality rate for non-Hispanic black women was 55.3 deaths per 100,000 live births, nearly three times the rate for non-Hispanic white women.

Severe maternal morbidity (SMM), or unexpected outcomes of labor and delivery that result in significant short- or long-term health consequences affects approximately 50,000 women in the US each year.

A JAMA Network Open research letter published in June found a staggering 18.4 percent increase in US maternal mortality between 2019 and 2020. These figures include deaths during pregnancy or within 42 days of pregnancy.

The leading causes of death in pregnancy, the day of delivery and a year postpartum are hypertensive disorders of pregnancy, cardiovascular conditions, hemorrhage, amniotic fluid embolism, infection and cardiomyopathy. 

The March of Dimes report paints a slightly grimmer picture than the organization’s last report in 2020. It finds that 36 percent of counties nationwide, largely in the Midwest and South, are “maternity care deserts.” The latest report finds that nearly 16,000 women of childbearing age in more than 1,000 counties have no access to maternity hospitals, centers and providers.

In maternity deserts, the proportion of women living in counties below the national median household income is twice as high as it is in full access counties (90.1 percent versus 45.2 percent). Women with no access to maternity care are more likely to have asthma, hypertension and smoke tobacco. 

The bleak maternity care outlook for the nearly 7 million women in areas without birth centers, obstetric hospitals and providers is largely attributable to the diminishing profitability of hospitals and providers in mostly rural areas, along with the financial fallout from the COVID-19 pandemic and burnout of hospital staff.

Since 2005, 181 hospitals in rural areas have closed across the US, with 138 closing in the last 12 years and 19 closing in 2020. “With hospital closures, inflation and COVID-19 limiting access to care, the compounding issues of our time are bearing down on families, forcing them to extend themselves in new ways to find the care they need and ways to afford it,” Stewart said.

Maternal care in the pandemic has seen significant deterioration during the pandemic. The report notes: “Staff shortages, restructuring of where and how care was delivered, shortage of personal protective equipment, caring for COVID-positive pregnant people and restriction of support during childbirth were all reported as challenges during pandemic care.”

In 2019, 48 percent of US counties did not have a single obstetrician (OB) and 55 percent did not have a certified nurse-midwife (CNM). OBs are far more likely to work in metropolitan areas, with fewer than 10 percent of obstetric providers practicing in rural areas. One is eight US babies is born in a county that has zero obstetric hospitals, centers or providers.

Infant mortality is defined as the death of an infant before his or her first birthday. CDC figures show the infant mortality rate in the US was 5.4 deaths per 1,000 live births in 2020. 

According to worldpopulationreview.com, the 10 countries with the lowest infant mortality rates are 29 to 40 percent of that in the US. These are Iceland (1.54 per 100,000), San Marino (1.56), Estonia (1.65), Slovenia (1.76), Norway (1.79), Japan (1.82), Singapore (1.85), Finland (1.88), Montenegro (1.95) and Sweden (2.150).

Eight US states—South Dakota, Kansas, Arkansas, Louisiana, Mississippi, Alabama, West Virginia, and North Carolina—had infant mortality rates ranging from 6.62 to more than 8 deaths per 100,000 babies born. In Mississippi, 288 infants born in 2020 died before their first birthday, for an infant mortality rate of 8.12 per 100,000—the worst of any US state.

In a country that spends more per capita on health care than any other industrialized nation, about 900 women died of pregnancy related causes in the US in 2020. The deaths of nearly two-thirds of these women were preventable and would not have taken place if they had access to quality maternity care.

With the delivery of health care subordinated to profit in the US, over 55 percent of all US counties had a greater than 10 percent proportion of women without health insurance. The March of Dimes notes: “Uninsured women often do not have adequate access, receive a lower quality of care and use fewer preventative services.” In the 12 states that have not adopted Medicaid expansion under the Affordable Care Act, many women lose coverage 60 days after childbirth.

The period studied predates the US Supreme Court’s overturning of the right to abortion established by Roe v. Wade. Anti-abortion legislation in mostly Southern and Midwestern states will exacerbate a deplorable situation in which access to maternity care is already virtually nonexistent, as clinics that provide abortion services as well as prenatal and other women’s health care shutter. One-third of US women now live in areas that lack access to abortion services.
The March of Dimes report follows an analysis of maternal death data released last month by the Centers for Disease Control and Prevention (CDC) showing that four out of five maternal deaths in the US are preventable.

“With an average of two women dying every day from complications of pregnancy and childbirth and two babies dying every hour, our country is facing a unique and critical moment as the infant and maternal health crisis continues intensifying,” March of Dimes President and CEO Stacey D. Stewart said in a statement announcing the report.

March of Dimes. Source: U.S. Health Resources and Services Administration (HRSA), Area Health Resources Files, 2021.

Five percent of US counties shifted to lower access in maternity care, while 3 percent of counties moved to higher access. Shifts in the number of obstetric providers was the primary driver for decreases in access, with 56 counties shifting to a lower level of access to maternity care due to a loss of obstetric providers.

March of Dimes describes quality maternal care as “providing safe, effective, timely, efficient, equitable and person-centered care.”

The report found that one in four Native American women (24.2 percent) and one in five black women (20.1 percent) did not receive adequate prenatal care in 2020, while the rate for white women was one in ten (9.9 percent).

Hispanic and Asian/Pacific Islander women were less likely to receive adequate prenatal care when compared to white women (17.3 and 11.3 percent less likely, respectively). In 2020, the maternal mortality rate for non-Hispanic black women was 55.3 deaths per 100,000 live births, nearly three times the rate for non-Hispanic white women.

Severe maternal morbidity (SMM), or unexpected outcomes of labor and delivery that result in significant short- or long-term health consequences affects approximately 50,000 women in the US each year.

A JAMA Network Open research letter published in June found a staggering 18.4 percent increase in US maternal mortality between 2019 and 2020. These figures include deaths during pregnancy or within 42 days of pregnancy.

The leading causes of death in pregnancy, the day of delivery and a year postpartum are hypertensive disorders of pregnancy, cardiovascular conditions, hemorrhage, amniotic fluid embolism, infection and cardiomyopathy. 

The March of Dimes report paints a slightly grimmer picture than the organization’s last report in 2020. It finds that 36 percent of counties nationwide, largely in the Midwest and South, are “maternity care deserts.” The latest report finds that nearly 16,000 women of childbearing age in more than 1,000 counties have no access to maternity hospitals, centers and providers.

In maternity deserts, the proportion of women living in counties below the national median household income is twice as high as it is in full access counties (90.1 percent versus 45.2 percent). Women with no access to maternity care are more likely to have asthma, hypertension and smoke tobacco. 

The bleak maternity care outlook for the nearly 7 million women in areas without birth centers, obstetric hospitals and providers is largely attributable to the diminishing profitability of hospitals and providers in mostly rural areas, along with the financial fallout from the COVID-19 pandemic and burnout of hospital staff.

Since 2005, 181 hospitals in rural areas have closed across the US, with 138 closing in the last 12 years and 19 closing in 2020. “With hospital closures, inflation and COVID-19 limiting access to care, the compounding issues of our time are bearing down on families, forcing them to extend themselves in new ways to find the care they need and ways to afford it,” Stewart said.

Maternal care in the pandemic has seen significant deterioration during the pandemic. The report notes: “Staff shortages, restructuring of where and how care was delivered, shortage of personal protective equipment, caring for COVID-positive pregnant people and restriction of support during childbirth were all reported as challenges during pandemic care.”

In 2019, 48 percent of US counties did not have a single obstetrician (OB) and 55 percent did not have a certified nurse-midwife (CNM). OBs are far more likely to work in metropolitan areas, with fewer than 10 percent of obstetric providers practicing in rural areas. One is eight US babies is born in a county that has zero obstetric hospitals, centers or providers.

Infant mortality is defined as the death of an infant before his or her first birthday. CDC figures show the infant mortality rate in the US was 5.4 deaths per 1,000 live births in 2020. 

According to worldpopulationreview.com, the 10 countries with the lowest infant mortality rates are 29 to 40 percent of that in the US. These are Iceland (1.54 per 100,000), San Marino (1.56), Estonia (1.65), Slovenia (1.76), Norway (1.79), Japan (1.82), Singapore (1.85), Finland (1.88), Montenegro (1.95) and Sweden (2.150.

Eight US states—South Dakota, Kansas, Arkansas, Louisiana, Mississippi, Alabama, West Virginia and North Carolina—had infant mortality rates ranging from 6.62 to more than 8 deaths per 100,000 babies born. In Mississippi, 288 infants born in 2020 died before their first birthday, for an infant mortality rate of 8.12 per 100,000—the worst of any US state.

In a country that spends more per capita on health care than any other industrialized nation, about 900 women died of pregnancy related causes in the US in 2020. The deaths of nearly two-thirds of these women were preventable and would not have taken place if they had access to quality maternity care.

With the delivery of health care subordinated to profit in the US, over 55 percent of all US counties had a greater than 10 percent proportion of women without health insurance. The March of Dimes notes: “Uninsured women often do not have adequate access, receive a lower quality of care and use fewer preventative services.” In the 12 states that have not adopted Medicaid expansion under the Affordable Care Act, many women lose coverage 60 days after childbirth.

The period studied predates the US Supreme Court’s overturning of the right to abortion established by Roe v. Wade. Anti-abortion legislation in mostly Southern and Midwestern states will exacerbate a deplorable situation in which access to maternity care is already virtually nonexistent, as clinics that provide abortion services as well as prenatal and other women’s health care shutter. One-third of US women now live in areas that lack access to abortion services.

Spain’s Podemos adopts massive military budget amid war with Russia

Alice Summers


Last week, Spain’s Socialist Party (PSOE)-Podemos government approved its 2023 Budget. Hailed by the bourgeois press for “historic” social spending measures, the Budget in fact contains Spain’s largest increase in military spending in history. The budget is another devastating exposure of the imperialist militarism of the pseudo-left Podemos party.

Prime Minister of Spain Pedro Sanchez speaks to Spanish troops during his visit to Adazi Military base in Kadaga, Latvia, Tuesday, March. 8, 2022. (AP Photo/Roman Koksarov)

US President Joe Biden has admitted in discussions to private donors that the NATO war on Russia in Ukraine threatens to unleash a nuclear apocalypse, but Podemos is using the war to implement longstanding rearmament plans of the Spanish military.

Podemos’ budget offers workers minor hikes in social spending on items such as unemployment benefits, childcare grants, train travel and health care, for example—with €266.7 billion allotted to “social” issues. These rises are, however, largely overtaken by the over 10 percent surge of inflation in Spain and across Europe. By far the most significant measure in the 2023 budget is the increase in military spending, by a staggering 25.8 percent.

Military spending will total over €12.8 billion next year, up from around €10 billion in 2022. This plan is in line with Madrid’s commitment to NATO to increase its defence budget to 2 percent of GDP by 2029. Military expenditure will reach 1.2 percent of GDP next year under this Budget. The rest of the increase comes from €4.9 billion of investment in “special modernisation programmes,” most of which will go to Spanish armament companies. This represents a 72 percent increase on the roughly €2.9 billion allotted to these plans in 2022.

In an attempt to render these reactionary and dangerous measures palatable to the Spanish working class, which holds deep-seated anti-war sentiments, the PSOE-Podemos government has championed the “special modernisation programmes” as positive developments for job creation. According to a statement from the Ministry of Defence, these schemes “will contribute to creating 22,667 new jobs either directly or indirectly.”

According to data from the pacifist institute Delàs Center for Peace Studies, Madrid’s real military spending—which includes, besides the Ministry of Defense budget, the rest of the items of a military nature distributed in other portfolios—will be 27 billion euros, the equivalent of 75.7 million euros per day. In its report posted on Tuesday, it stated that 'If these budgets are approved, Spain will already exceed NATO’s spending target by 2023, dedicating 2.17% of its GDP to military spending.” According to this calculation, “for every ten euros that the state invests in 2023, three will be for weapons.”

The massive hike in military expenditure comes amidst NATO’s war against Russia in Ukraine, to which the Spanish government has already allocated millions of euros in arms, ammunition and training for Ukrainian troops. With this new Budget, the PSOE-Podemos coalition government is doubling down on its commitment to the warmongering of the NATO alliance in Ukraine, even as this conflict threatens to escalate into a nuclear confrontation.

In addition to the military expenditure increases, the Budget also includes increases in social spending, that will be eaten by inflation. Year-on-year inflation reached 10.5 percent in August, dropping only slightly to 9 percent in September. The Budget includes:

  • An increase of the IPREM rate—a measure used to determine the level of various welfare benefits—from its current €579 to €600 a month. This equates to an uptick of only 3.6 percent.

  • A monthly €100 tax rebate given to working mothers with children up to three years of age. This tiny sum will do little to help either working or non-working mothers, many of whom are already struggling to feed, clothe and house their children as the cost of living soars. As of August this year, the prices of core food items had risen 13.8 percent as compared to the same time in 2021; clothing costs had increased by 5.6 percent; and housing expenses had grown by an enormous 24.8 percent.

  • Minor increase in unemployment benefits. Currently, an unemployed worker receives 70 percent of their salary (what they were earning in the 180 days before losing their job) in benefits for the first six months of their unemployment, a sum which drops to 50 percent from the seventh month. Under the new budget, this will rise to 60 percent, affecting around 300,000 people.

  • Pensions and the minimum wage will remain stagnant, as they will be pegged to the inflation rate, leading to no improvement in real terms for millions of workers.

  • The health care budget will also go up by 6.7 percent, a rise which is well below the current inflation rate and will leave already struggling health systems starved of funds. The same as with Education, increasing by 6.6 percent.

The fact that this year’s Budget includes “record” social spending measures is not due to any genuine commitment by the PSOE-Podemos government to ensuring decent living conditions for the Spanish working class. Instead, the budget effectively slashes the real, inflation-adjusted value of social benefits while funneling massive resources into the military.

Podemos, the PSOE’s junior partner in government, has responded to the Budget by celebrating the social spending measures, all while falsely attempting to present itself as an opponent of the military spending increase. In a statement on Twitter last Tuesday, Podemos spokesperson Pablo Echenique claimed that his party had somehow been tricked into passing the Budget, without knowing that defence expenditure had been raised.

Echenique stated: “We are not going to break apart the government because of the PSOE’s disloyalty, because it would be very irresponsible when we have [right-wing PP leader Alberto Núñez] Feijóo and [far-right Vox party leader Santiago] Abascal sharpening the knives. But I want to say clearly that they [the PSOE] have hidden this unilateral increase in defence spending from us and that it is a disgrace.”

Similarly, Podemos party leader and Minister for Social Rights Ione Belarra claimed that her party had “opposed head-on in this negotiation any increase in military spending.” But as Podemos does not constitute the “majority in government,” she asserted, it is difficult to turn this “stubbornness” into a “reality.”

The narrative that military spending increases had somehow been snuck into the Budget behind the backs of innocent Podemos ministers quickly imploded, however. On Wednesday, it was revealed that Yolanda Díaz, Podemos Minister of Labour and Spain’s Second Deputy Prime Minister, had agreed with PSOE Prime Minister Pedro Sánchez that Podemos would not oppose the increase in military spending. Podemos sources involved in negotiations with the PSOE also told El Diario that they had informed the party’s leadership about the Budget’s defence spending increases.

In reality, Podemos’ protestations are nothing more than empty words, seeking to obscure the party’s real role as a member of an imperialist government committed to policies of war abroad and austerity and repression at home. Terrified at mounting social opposition, Podemos is forced to put forward political stunts, while reassuring its commitments to Spanish imperialism.

Huge rise in UK COVID infections amid threat of flu “twindemic” and new immune-evading variants

Paul Bond


As winter approaches, and with new immune-evasive variants emerging around the world, Britain is already facing a surge in COVID infections and hospitalisations.

Official figures from the Office for National Statistics (ONS) showed a 25 percent rise in infection rate over one week, with 1.7 million people testing positive in the week ending October 3, a huge rise from the 1.3 million the previous week. 

Clinical staff care for a patient with coronavirus in the intensive care unit at the Royal Papworth Hospital in Cambridge, England, May 5, 2020 [AP Photo/Neil Hall Pool via AP]

Scientists are warning of a potentially “devastating” new wave of the pandemic over the autumn, combining with a massive rise in flu cases in a “twindemic” that will wreak havoc in an already overloaded National Health Service (NHS).

The situation exposes again the criminal indifference of the ruling class to the threat posed by the pandemic to public health and lives. Government policies and downscaling of testing have created a lethal situation, described by virologist Professor Lawrence Young of Warwick University as “a perfect storm… of inadequate surveillance, people not coming forward for vaccination and the economic situation.”

COVID infections have significantly increased to one in 35 people in England (2.8 percent of the population), one in 40 in Wales and Northern Ireland, and one in 50 in Scotland. Data from the ZOE Symptom Tracker app show a 34 percent rise in the last two weeks alone. The data currently show an estimated 235,829 new daily symptomatic cases, up from 176,090 two weeks ago.

Hospitalisations are also on the rise. On October 12, NHS England reported a total of 10,608 hospital beds occupied by confirmed COVID-19 patients. This was 10 percent up on the previous week’s 9,631, and roughly double the total a month ago. It is the highest figure since July 29. Hospitals around the country are reporting their highest level of COVID patients in months.

Increasing infections are resulting in a surge of deaths. In the week to October 8, there were 793 deaths recorded, a nearly 39 percent increase on the previous seven days. Even with revisions of the criteria for recording deaths aimed at restricting the numbers, the official figures record a total of more than 190,000 (191,681) dead with COVID. The more accurate fatality figure (recording the number of people who died with COVID mentioned on the birth certificate) is 207,948.

Dr Mary Ramsay, Director of Public Health Programmes at the UK Health Security Agency, downplayed the impact, saying that “deaths with Covid-19 have also started to rise. Whilst this is concerning, it is too early to say whether these are deaths due to Covid-19…” 

The longer-term effects of the virus are becoming ever more apparent. ONS figures from early September report 2.3 million people in the UK living with Long COVID, up 300,000 on the previous reporting period. This is around 3.5 percent of the population, one in every 28 people. Of these, nearly half (1.1 million) say they were first infected more than a year ago, while 514,000 say they were first infected at least two years ago. 

The COVID surge is exacerbating the crisis in the systematically underfunded NHS. This can be seen acutely in a small hospital, St Mary’s on the Isle of Wight, which has just declared its fourth critical incident in as many months. A major contributory factor has been the sharp rise in COVID hospitalisations, up from 12 at the end of September to 41. 

Professor Tim Spector, co-founder of the ZOE app, said that the UK is already at the start of its next wave of coronavirus, which is affecting older people earlier than the last wave. He told the Independent that one problem was out-of-date official information. “Many people are still using the government guidelines about symptoms which are wrong. At the moment, COVID starts in two-thirds of people with a sore throat. Fever and loss of smell are really rare now—so many old people may not think they’ve got COVID. They’d say it’s a cold and not be tested.”

These are the results of the government’s policy of malign neglect in pursuit of profit. Their determination to downplay or disregard the health implications of the pandemic in order to keep the economy open has led to continued resurgences of the virus.

The ditching of all testing and surveillance has not only led to under-reporting of infection, it has prevented the elimination of the virus which was both medically possible and socially necessary. Instead, the policy of “living with the virus” has resulted in the government welcoming the supposed “mild” character of new variants, with more cold or flu-like symptoms. 

The virus has been allowed to develop and mutate, resulting in more variations that will resist or evade vaccines and immunity. Scientists are now reporting convergent mutations, where variants are different but share the same mutations, making them more effective at evading immune responses. 

Yunlong Cao, whose co-authored research paper on this is in pre-print, told New Atlas, “Seeing this convergent evolution pattern would mean that SARS-CoV-2 would evolve immune-evasive mutations much more frequently than before, and the resulting new variants would be much more immune-evasive.”

This means patients are less able to fight off the infection. Virologist Marc Johnson said the result is that “the virus, because there’s no bottlenecks from spreading from person to person, it just hits the evolutionary fast forward button.”

This is the direct result of the “let it rip” policies adopted by the ruling class internationally. While the British government continues to boast of its vaccination programme, the effect of such policies is to threaten the vaccination immunity achieved so far.

The variant Omicron BA.2.75.2, which was gaining ground in the UK, was described by scientist Eric Topol as “the most immune evasive variant to date,” although at present it does not yet account for a majority of cases. It emerged from the BA.2.75 variant, which is responsible for 88 percent of infections in India.

However, Topol warned, even this has been surpassed by the XBB variant, first detected in Cyprus. Some have called this a “super strain,” emerging from a combination of two forms of Omicron. Although not relatively widespread yet, there is concern that if XBB is as transmissible as other forms of Omicron, it will sweep through health systems like wildfire. 

Lawrence Young noted the convergent mutations of BA.2.75.2 and BQ1.1: “although they’re slightly different in how they’ve come about they’ve come up with the same changes to get around the body’s immune system. 

“What we’re finding is the virus is evolving around the immunity that’s been built up through vaccines and countless infections people have had.” 

Discontinuing comprehensive testing and surveillance—including ending free testing, closing research labs and ending funding to the ZOE Health Study in March—has meant an under-reporting of infection rates and a corresponding inability to respond to new variants.

Young pointed to the downscaling of testing following the government’s “Living with Covid” plan. “We’ve really taken our eye off the ball with Covid tests. We can only detect variants or know what’s coming by doing sequencing from PCR testing, and it’s not going on anywhere near the extent it was a year ago. People are going to get various infections over the winter but won’t know what they are because free tests aren’t available—it’s going to be a problem.” 

He pointed too to the economic situation, where “if people do feel poorly they’re not likely to take time off work.” This will only encourage further the spread and mutation of the virus.

UK: Truss sacks chancellor, U-turns on corporation tax as Tories prepare another palace coup

Thomas Scripps


UK Prime Minister Liz Truss has U-turned on a flagship policy of her mini-budget, abandoning plans to scrap the scheduled increase in corporation tax from 19 to 25 percent from April 2023, which will now go ahead. Her chancellor, Kwasi Kwarteng, has been sacked.

With Truss’s government less than 40 days old, Kwarteng becomes the second shortest-serving chancellor in UK history, narrowly outstripping Iain Macleod who died in office in 1970.

UK Prime Minister Liz Truss holds a press conference at No. 9 Downing Street announcing Jeremy Hunt as her new Chancellor of the Exchequer. [Photo by Andrew Parsons/No 10 Downing Street / CC BY-NC-ND 2.0]

Truss’s government is collapsing amid a raging crisis threatening world capitalism, with interest rates rising sharply around the world to suppress wages amid the economic fallout of the pandemic and NATO’s war and sanctions against Russia.

Truss’s hand was forced by an open rebellion in her ruling Conservative Party. Political journalist John Sopel tweeted yesterday, “A cabinet minister until a few weeks ago has just told me [Liz Truss] ‘has unleashed hell on this country.’ The language being used by senior Conservatives, the incredulity, the cold fury is like nothing I’ve seen in decades of covering UK politics.”

A meeting between Truss and backbench Tory MPs Wednesdaywas described as “sulphurous”, “funereal”, “bleak” and “horrendous,” with one MP commenting, “I was shocked at how brutal it was.” Another called Truss’s cabinet, “libertarian Jihadists who are wrecking the party.” Robert Halfon, chair of the education select committee, accused her of “trashing” the last ten years of Conservative government.

This came in response to a crash in market confidence in the UK after Truss and Kwarteng’s September 23 mini-budget of unfunded tax giveaways to the corporations and the highest earners, with the value of the pound and UK government bonds tanking. Truss’s announcement today was timed to pre-empt the Bank of England’s planned cut-off for billions of pounds’ worth of emergency support begun in the wake of the budget.

Investors feared the limping British economy could not possibly underwrite a £60 billion hit to public debt. They were making clear that public spending must be cut even if this means provoking a broader social explosion and declaring no confidence not only in the economy but directly in her.

The sell-off of British bonds and fall in the pound prompted the Bank of England to raise interest rates more quickly than planned, with a broad expectation that they would reach 6 percent by early next year. This sent mortgages soaring. Meanwhile, discussions began in government over how to find tens of billions of pounds of cuts in just three weeks.

The fallout has left the Tories facing an unprecedented electoral rout. Analysis by Electoral Calculus shows the party reduced to just 85 seats—down from 356 and their worst ever result by far—if current polling figures were reflected at the ballot box.

There have been calls for a U-turn for weeks to avert a Tory catastrophe. Former chancellor George Osborne tweeted Wednesday, “Given the pain being caused to the real economy by the financial turbulence, it’s not clear why it is in anyone’s interests to wait 18 more days before the inevitable U-turn on the mini budget.”

By sacking Kwarteng, Truss hopes to save herself. But there is little chance this will succeed. Appointing Jeremy Hunt as replacement chancellor is an attempt to reach out to other sections of the party, but her government is dead in the water. Hunt, a prominent Rishi Sunak supporter who was at the centre of plans to stop Truss becoming Tory leader, will be as keen as anyone for the axe to fall on her neck—whatever he says in public.

UK Prime Minister Liz Truss appoints Jeremy Hunt as her new Chancellor of the Exchequer in the Cabinet Room of No10 Downing Street. October 14, 2022 [Photo by Andrew Parsons/No 10 Downing Street / CC BY-NC-ND 2.0]

A group of senior party MPs told BBC Newsnight’s Nicholas Watt that Kwarteng’s sacking will “prompt them to come out publicly next week and call on Liz Truss to resign.” One said, “These are serious people. The PM will find it difficult to survive.”

Influential editor of the ConservativeHome website Tim Montgomerie tweeted pointedly, “If I was Liz Truss I wouldn’t wait to be thrown out of office by my party. I hope I’d resign. The country and markets have resoundingly rejected my signature agenda.”

Plans are far-advanced for yet another palace coup, delivering the fifth Tory prime minister in six years. The Times reports, “Senior Conservatives are holding talks about replacing Liz Truss with a joint ticket of Rishi Sunak and Penny Mordaunt as part of a ‘coronation’ by MPs.”

There are, the newspaper writes, “Around ‘20 to 30’ former ministers and senior backbenchers are attempting to find a way for a ‘council of elders’ to tell Truss to quit.”

One MP told its reporters, “It’s either Rishi as prime minister with Penny as his deputy and foreign secretary, or Penny as prime minister with Rishi as chancellor. They would promise to lead a government of all the talents and most MPs would fall in behind that.”

The Tory Party’s latest planned palace coup is being determined directly by the world’s banks and asset managers. Krishna Guha, an economist at Investec, commented to the Financial Times that this was the first time in decades “that the financial markets have forced the government of a big, developed economy with its own central bank to capitulate on core fiscal ambitions”.

Truss’s replacement will be expected to restore confidence in the UK economy by savaging the working class. And if the Tories cannot fix their mess to the satisfaction of the financial oligarchy, the Labour Party promises to step in.

After months of refusing to do so during the crisis wracking the Tory Party, Labour leader Sir Keir Starmer finally called for a general election “for the good of the country” in the Guardian. This was “regardless of whether Liz Truss is ousted by the Conservatives, saying the government is ‘completely at the end of the road’ and Labour is preparing for power.” Truss had driven the economy “into a wall” while “trashing our institutions”, he said, and changing the prime minister again without allowing the country to vote would not be acceptable.

Starmer has made absolutely clear that he will continue the Tory party’s offensive against the working class, relying on the trade union apparatus to do so. Workers must be able to assert their political voice and to decide what must be done to resolve this crisis on their terms and their interest, not on those of the global speculators and corporate boardrooms.