Tag - Major and chronic diseases
PARIS — France took a major step toward legalizing assisted dying on Tuesday as
a majority of members of parliament voted in favor of landmark legislation.
In the French lower house — the National Assembly — 305 MPs voted to pass a bill
granting “a right to assistance in dying for adult patients afflicted with a
serious illness who have requested it,” while 199 voted against.
France joins a growing list of Western European countries that are moving toward
enabling people to end their lives under strict conditions. Those who oppose
assisted dying warn such laws can endanger vulnerable people, especially young
people and those with mental health conditions.
The French bill includes several safeguards to prevent such outcomes. To be
eligible, patients must be over 18 and either French nationals or permanent
residents. They must also have a “serious and incurable” illness that is both
life-threatening and has reached an “advanced” or “terminal” stage.
Meanwhile, their suffering — whether physical or psychological — must be
considered “unbearable” or “resistant to treatment.” Patients must be capable of
giving informed consent, and must self-administer the lethal medication, unless
unable to do so.
The final call is to be made by each patient’s doctor. The legislation requires
that doctors consult with at least one other medical professional who
specializes in the patient’s pathology, as well as with a health care worker who
was involved in the person’s care.
Assisted dying is already legal in various forms in Austria, Belgium,
Luxembourg, the Netherlands, Spain and Switzerland. In the U.K., British MPs
voted in favor of legalization in November, and the legislation is currently
nearing its final phase.
The French bill will now be debated in the Senate, which is controlled by a
conservative majority that could seek to amend or remove several provisions.
If the parliamentary process fails to produce an agreement between the two
chambers, President Emmanuel Macron — who promised the legislation during his
2022 campaign — has suggested the issue could be put to the public via a
referendum, although constitutional experts have questioned the legality of such
a move.
French lawmakers also unanimously green-lit a separate bill to improve
palliative care in France.
LONDON — Oh to be a fly on the wall.
Prime Minister Keir Starmer will meet Donald Trump on Thursday for the first
time since the U.S. president returned to the White House. Neither of them will
forget the meeting — for the right or wrong reasons.
Although Starmer wasn’t the first European leader to bag time with Trump, the
U.K. has prided itself on its so-called special relationship with its ally on
the other side of the Atlantic.
But the feeling hasn’t always been entirely mutual. On numerous occasions the
duo haven’t seen eye to eye, leading to some, well, awkward encounters.
The PM has engaged in a vigorous charm offensive since Trump’s Nov. 5 victory,
speedily congratulating him after meeting him for the first time in September
for dinner at Trump Tower. Since then, the unlikely pairing — the buttoned-up
British PM and the flamboyant U.S. real estate tycoon-turned-politician — have
spoken regularly, with Trump stating Starmer was doing a “very good job.”
Conversation will be dominated by the war in Ukraine as Starmer tries to
convince the president that U.S. security guarantees are essential for any peace
deal to work — and that Kyiv and Europe must be part of those negotiations.
But keeping the relationship on track is easier said than done. POLITICO takes
you through five occasions that both nations would rather forget and that,
temporarily at least, sent the special relationship into a spiral.
TRUMP AND MAY GO DOWNHILL
It would be difficult to find two more different characters than Trump and
Theresa May (apart from, say, Trump and Starmer). In any other walk of life,
their paths would never have crossed.
They were brought together in January 2017 when May became the first foreign
leader to meet the U.S. president after his inauguration. While they talked
tough on NATO, the visit was best remembered for the duo linking arms as Trump
navigated a White House slope. Despite their close proximity, the relationship
never recovered.
When Trump visited this side of the pond, he slammed May’s strategy on Brexit,
leading to revelations he’d told her to sue the EU (yes, really). Upon learning
May got paid more than £100,000 to deliver speeches after being PM, Trump
fulminated: “I’d pay £100,000 not to hear her talk!” Charming.
OBAMA AND BROWN EXCHANGE GIFTS
Exchanging presents with a friend is never a bad idea — unless the gifts differ
dramatically in value. Barack Obama and Gordon Brown experienced that very
plight in 2009 when the Labour prime minister got the brand-new U.S. president
an ornamental pen holder made from the timbers of a Victorian anti-slave ship, a
framed commission for HMS Resolute, and a first edition of the seven-volume
biography of Winston Churchill by historian Martin Gilbert.
By contrast, the Obamas got the Browns a box set of 25 American DVDs including
“Raging Bull,” “Psycho” and “The Grapes of Wrath” — after which the metaphors
for Brown’s political predicament wrote themselves.
Barack Obama and Gordon Brown experienced that very plight in 2009 when the
Labour prime minister got the brand-new U.S. president an ornamental pen holder.
| Anthony Devlin/Getty Images
Their previous encounter wasn’t much better: After a brief press conference,
Brown wasn’t invited to Camp David, and the traditional side-by-side photo op in
front of the two nations’ flags was skipped altogether. Later that year Obama
turned down no fewer than five requests from Downing Street for a bilateral
meeting at the U.N. in New York. Eek.
BUSH AND BROWN GO ROUND IN CIRCLES
When Tony Blair was in Downing Street he pledged to stand shoulder to shoulder
with George W. Bush. Brown, Blair’s successor, didn’t have quite the same flair.
His opening line on meeting Bush at Camp David was: “Do you come here quite a
bit?” followed by a playful spin on Golf Cart One, where the PM didn’t appear to
be living his best life.
After Brown left office, reports emerged that Bush’s White House had had “grave
doubts” about Brown’s suitability to become PM after a difficult meeting with
Secretary of State Condoleezza Rice about U.S. policy on aid and development in
Africa.
Still, at least at their joint press conference in 2007, Bush called Brown “the
humorous Scotsman” rather than “dour” or “awkward.” Take the compliments where
you can get them.
CLINTON AND MAJOR TRADE FIRE OVER CONTROVERSIAL VISA
When your BFF leaves office, working with the new kid on the block is always a
challenge. Prime Minister John Major’s close allegiance to George H. W. Bush was
mothballed after the latter lost the 1992 presidential election to Bill Clinton.
Things were never quite the same.
The duo fell out badly when Clinton granted then-Sinn Féin President Gerry Adams
a 48-hour visa to speak at a Northern Ireland conference in New York. At the
time, Sinn Féin was regarded as the political wing of the Provisional Irish
Republican Army, with “the Troubles” over Northern Ireland’s future having
killed thousands.
Major also apologized to Clinton personally after the Home Office checked
immigration files to see if he’d applied for U.K. citizenship while studying at
the University of Oxford to avoid being drafted during the Vietnam War. While
the story had no substance, the fact the Home Office did so without Clinton’s
knowledge or approval was deeply embarrassing.
No wonder Clinton and Blair looked like a match made in heaven when the latter
entered Downing Street in 1997.
THATCHER AND CARTER FAIL TO GEL
Margaret Thatcher first came across Jimmy Carter as leader of the opposition in
1977 at Winfield House, the U.S. ambassador’s residence in Regent’s Park, though
no record was kept of their conversation.
Their second meeting, later that year in Washington, D.C., went badly wrong.
Papers show that Carter took very badly to Thatcher, finding her hectoring and
dogmatic, and instructed staff never again to schedule a meeting with an
opposition leader.
On the plus side, relations thawed slightly after Thatcher entered No. 10 as the
pair supported each other over the Soviet Union’s invasion of Afghanistan and
Iran’s taking dozens of American diplomats and citizens hostage at the U.S.
Embassy in Tehran — a common enemy clearly helping ties a great deal.
However, their relationship never matched Thatcher’s dealings with Carter’s
successor Ronald Reagan. United on the Cold War and economic policy, it was
perhaps the best embodiment of the special relationship — and a nearly
impossible act to follow.
Europe’s capitals have supported Brussels’ plan to extend smoking bans for
cigarettes and vapes to outdoor areas — days after members of the European
Parliament opposed it.
Only two countries — Germany and Greece — abstained during a vote on the measure
during a meeting of health ministers in Brussels on Tuesday. Other countries
expressed their dissatisfaction with the plan, before nonetheless passing it.
The move, which is nonbinding, encourages national governments to prohibit
vaping and smoking in outdoor areas such as transport hubs, bar and café
terraces, beaches and playgrounds.
And while there was significant opposition to the plan among lawmakers last week
in Europe’s now more polarized Parliament, the capitals were able to largely
align with Brussels’ intention.
To some who opposed it in the Parliament, the capitals’ vote is merely symbolic.
“I regret the voting outcome in the Health Council regarding the smoke-free
environment topic,” said German lawmaker and doctor Peter Liese, “but I also
believe it is a Pyrrhic victory for the opponents of e-cigarettes.” Liese, the
health spokesperson for the European People’s Party, argues that vapes and
cigarettes should not be treated equally, and that vapes can help smokers to
quit.
In the Parliament, left-leaning MEPs had argued that a watered-down compromise
steered by the center-right EPP and the European Conservatives and Reformists
was too weak on vapes, while right-wing parliamentarians said that the European
Union shouldn’t be legislating in this area.
UNLIKELY DEFENSE
Some national media reports on the move led to an unlikely defender of the EU
process in Tuesday’s health ministers’ meeting — Hungary.
Its Health Minister Péter Takács, who chaired the meeting while Hungary holds
the Council of the EU’s rotating presidency, said: “In many member states’ press
we see some misunderstandings. This is a Council recommendation which means that
there is no binding effect for member states.”
Countries can “pick and choose” if they want to implement the recommendation, he
said, adding: “There is no obligatory ban,” in this instance — unlike binding
tobacco legislation which the European Commission is supposed to be introducing
during this new mandate.
Hungary’s Olivér Várhelyi, also toed the Commission’s line in his first
ministers’ meeting as the EU’s health commissioner. He said the revision was
needed “in order to better protect people in the EU from exposure to secondhand
smoke and aerosols in indoor and specific outdoor spaces.”
“The World Health Organization clearly states that there is no safe or
acceptable level of exposure to secondhand smoke,” he said. “Secondhand
emissions from electronic cigarettes also put people nearby at risk, whether
they contain nicotine or not.”
But that’s not the position in Germany.
Thomas Steffen, Germany’s state secretary at the Federal Ministry of Health,
pointed to a decision made last week by the country’s Bundesrat, the legislative
body representing its federal states.
It questioned the “scientific basis” for outdoor bans and that the Commission’s
recommendation could “lead to a loss of sales in the catering industry and poses
further challenges for businesses in enforcing the bans.”
Greece’s Health Minister Spyridon-Adonis Georgiadis also abstained, saying the
Commission should have done an impact assessment before putting forward the
recommendation. He said that in Greece — which has the highest rates of smoking
in Europe at 42 percent of those over 15 — the “climate and geographical
location” would carry a “particular weight” in terms of implementing any new
prohibitions.
Health ministers from Romania and Czechia called for more studies to demonstrate
the risks of vapes — but they went on to back the recommendation.
ALIGNING NATIONAL BANS
Many of the countries supporting the plan have already introduced similar
legislation nationally — and want to see the rest of Europe aligned.
France’s Health Minister Geneviève Darrieussecq said new measures being
introduced in the coming weeks meant that vapes — which “lead to addictions and
poor health” — will no longer be sold in the country, and called for similar
preventative action to be “reflected at European level.”
Slovenia has banned all flavored vapes — except for tobacco flavor — while the
Netherlands has also outlawed certain flavors. But with neighboring countries
still selling them, the Dutch Health Minister Fleur Agema said the country is
still seeing illegal products on the market and therefore called for more EU
action.
Belgium’s Health Minister Frank Vandenbroucke said countries are currently
playing “cat and mouse” with the tobacco industry, which is “flooding” EU
markets with “ever so creative new tobacco, nicotine or smoking products,
cleverly attracting and addicting young generations.”
While Estonia echoed calls for EU-wide restrictions, arguing that its own ban on
flavored vapes is undermined by different legislation in neighboring countries.
With the nonbinding measures passed, many countries — including Finland, Latvia
and Belgium — now want the Commission to move ahead with its revision of
harder-hitting tobacco rules, which will include updated laws on taxation, as
well as a refresh of its overarching tobacco framework.
But that means getting MEPs on side, which might not be so easy.
Passing smoking legislation will be no easy feat for the new European
Commission, if Thursday is anything to go by.
Members of the European Parliament failed to agree a position on even a
nonbinding decision on smoking and vaping restrictions in a surprise move in the
Parliament’s plenary.
The Commission recommended earlier this year that European countries extend
smoking bans to cover outdoor areas like restaurants, bars, cafés and transport
hubs, and this included vapes and nicotine-free products.
The first of a series of measures expected to come out from the European Union
executive on the topic, the so-called smoke free environments plan is the
softest of the lot, since it’s up to national governments if they want to follow
the recommendations.
The Parliament’s position is symbolic rather than political, but, nevertheless,
lawmakers in Strasbourg failed to reach an agreement.
A watered-down version of the Commission’s vision had been negotiated among some
political groups, but failed to win enough support from lawmakers with 378 votes
against, 152 in favour and 26 abstentions.
That’s because new amendments supported by the center-right European People’s
Party (EPP) members and European Conservative and Reformists, which removed
references to e-cigarettes and outdoor cafés and bars, went too far for groups
on the left.
The Socialists and Democrats (S&D) rejected the plan, arguing that it was now
too soft on vapes, while the far-right groups, and some EPP members, rejected it
because they considered it too harsh, or because they don’t see it as an EU
competence.
DIVISIVE TOPIC
Amendments to tweak the position also failed to gain enough support.
Peter Liese, a German lawmaker from the EPP, voted against the proposal, arguing
that it’s still too strong on vapes, which he argues can be a legitimate
alternative for smokers trying to quit.
“I find it troubling that the Commission completely equates e-cigarettes with
traditional cigarettes,” he said. “This is definitely wrong … a heavy smoker who
switches from traditional cigarettes to e-cigarettes is doing something good for
their health. Imposing restrictions, such as when visiting the outdoor areas of
a café, might be counterproductive.”
The World Health Organization’s position is that in countries that allow
e-cigarettes, governments should ensure “strong regulations” to reduce their
appeal and their harm to the population, including banning all flavors, limiting
the concentration and quality of nicotine, and taxing them.
Another EPP lawmaker, granted anonymity to speak freely, said: “It’s a divisive
topic. We had a big discussion in the EPP and a big majority was in favor of
being less restrictive than the original resolution, in that prohibiting
electronic cigarettes in outdoor terraces was too much.”
But the MEP said the watered-down proposal was still too strong for German and
Austrian lawmakers in the group.
The center-left S&D group took a different view.
It said in a statement after the vote that Parliament “failed to protect
children and young people today,” and blamed the EPP and far-right groups for
blocking “critical recommendations” to extend public bans against e-cigarettes
and heated tobacco products.
As a result, the S&D group was “forced to vote against the watered-down
resolution to preserve the integrity of smoke-free policies,” it said.
Tiemo Wölken, S&D coordinator for the environment, public health and food safety
committee said: “It is cynical and scandalous that the EPP does not want to
combat the number one cause of cancer and instead falls for the tobacco lobby’s
rhetoric that e-cigarettes and heated tobacco products are harmless.”
Michael Landl, director of the World Vapers’ Alliance, celebrated the vote,
saying it “demonstrates that facts and consumer choice can prevail over
fearmongering and overregulation, dealing a blow to the creeping nanny state
mentality that has too often characterized EU regulations.”
It raises questions for next week’s meeting of health ministers, who were
expected to sign off on an agreement on the recommendation.
So far, Italy and Romania have raised some concerns about the measure, according
to a report from a pro-vaping outlet, but one Council health official had said
before the Parliament vote that it was expected countries would find agreement
when they meet on Dec. 3.
The official said the vote wouldn’t affect the Council’s position next week on
the plan but it does “raise concerns” on the revision of the tobacco products
directive, upcoming legislation which will require support from all EU
institutions when it’s ultimately released by the Commission.
The Parliament’s outcome “is bad news,” the official added.
LONDON — MPs have voted by 330 to 275 in favor of a bill to legalize assisted
dying in England and Wales for the first time.
MPs backed the Terminally Ill Adults (End of Life) Bill, introduced by backbench
Labour MP Kim Leadbeater, at second reading, meaning it will now continue
through parliament for further scrutiny.
The decision followed a packed five-hour debate in the House of Commons, where
MPs made their choice in a free vote, meaning they did not have to vote on party
lines.
Introducing the bill, Leadbeater urged her colleagues to reflect on “the
heartbreaking reality and human suffering which far too many people are
experiencing as a result of the status quo.”
She argued the legislation would give dying people choice, autonomy and dignity
at the end of their lives.
Danny Kruger, a Conservative MP and one of the most prominent critics of the
bill, said MPs should not opt for “a vote for despair but the start of a proper
debate about dying well in which we do better than a state suicide service.”
At present, laws throughout the U.K. prevent people from receiving medical help
to die.
This is a live story which is being updated.
LONDON — Will Benjamin Netanyahu be arrested if he sets foot in the U.K.? The
British government can’t quite say.
The International Criminal Court warrant for the Israeli PM’s apprehension has
thrown a fresh headache at Labour Prime Minister Keir Starmer — and is just the
latest example of the tightrope he’s walking on the Middle East.
When it came to office in a July landslide, Starmer’s government — which had
faced pressure in the election from pro-Gaza independent candidates — swiftly
dropped objections from his Tory predecessors to the ICC’s move. It banned some
arms exports to Israel. And it restored funding to the UNRWA, the U.N. refugee
agency heavily criticised by Israel in the wake of the Oct. 7 attacks by Hamas.
Yet in his stance on those issues, some pro-Palestinian critics on the left of
Labour say Starmer has only revealed the sharp limits of British influence over
Israel.
At the same time, pro-Israel figures in the Labour tribe are concerned at what
looks like wavering from a key ally at a time of pain.
“We’ve taken the wrong direction,” said Leslie Turnberg, a member of the House
of Lords and the Labour Friends of Israel group. “I fear that the signals that
have been given do not sound very helpful. I think they’re perverse.”
‘PROPER PROCESS’
In its response to the ICC’s warrant, issued Thursday and already dividing
Western governments, Starmer’s administration tried to walk a fine line.
The prime minister’s spokesperson said Thursday that the ICC is the “primary
international institution for investigating and prosecuting the most serious
crimes of international concern,” and confirmed Britain would “comply with its
legal obligations.”
But there is, the spokesperson added, “no moral equivalence between Israel, a
democracy, and Hamas and Hezbollah, which are terrorist organizations.”
No. 10 Downing Street has stressed that it would be down to a domestic court to
approve the warrant and then up to police to arrest Netanyahu if Britain is to
comply with its international treaty obligations.
On Friday morning, Starmer’s top interior minister, Home Secretary Yvette
Cooper, refused to get into the details. Asked directly if the Israeli leader
would be arrested if he set foot in Britain, the Home Secretary told Times
Radio: “International criminal court investigations rarely become a matter for
the British legal or law enforcement processes or for the British government.”
She added: “If they ever do, there are proper processes that need to be followed
and it wouldn’t be appropriate for me to comment in advance on any of those as
home secretary.”
A Palestinian man carries the bodies of two young victims inside the Kamal Adwan
hospital following an Israeli strike that hit an area near the medical
establishment in Beit Layia in the northern Gaza Strip early on November 21,
2024. | AFP via Getty Images
Starmer’s critics on the left already want him to go much further. Jeremy
Corbyn, the former Labour leader who was booted out of the party and now sits as
an independent MP, said ministers must “immediately endorse” the ICC’s decision
as a “bare minimum.” He fired off a letter to the government Friday asking
whether Starmer is “on the side of Israeli impunity or international law?”
CRITICAL FRIEND
It’s a familiar challenge to Starmer, who has tried to keep a party which has
sharply divided views on the war in Gaza on side — and see off the electoral
threat of independent, pro-Palestinian election candidates. In the background,
Labour remains deeply sensitive to accusations of antisemitism that came to the
fore during Corbyn’s time as leader.
In its most notable Middle East move since Labour took office, 30 arms export
licenses between the U.K. and Israel were suspended amid concerns such weapons
could be used to break international humanitarian law in Gaza.
Though the U.K. supplies comparatively few arms when put against the United
States, the decision had instant diplomatic consequences. Netanyahu went public
to claim Britain had sent a “horrible message to Hamas” and “undermined”
Israel’s security.
Some in the Labour tribe, who have longed for Britain to flex its muscles as a
grinding war with a huge civilian toll continues in Gaza, were pleased with the
change in tone from the top.
“There has been a good shift in the right direction,” said one Labour MP,
granted anonymity to speak candidly. “They have been able to demonstrate that
shift: that actually the Conservative government’s position and … Labour’s
positions are not the same.”
In opposition, Starmer felt fury from his own side after slowly coming out in
favor of an Israel-Gaza cease-fire. Just days after Oct. 7, Starmer enraged some
Labour activists with an interview in which he said Israel “has the right” to
withhold water and aid from Gaza.
“The starting position of the party was in the wrong place,” the Labour MP
quoted above said. “Giving this particular Israeli government a blank check was
the wrong thing to do, and we’ve seen how that has been abused.”
ELECTORAL THREAT
Labour’s stance on the war in Gaza also animated voters in July’s election. On
an otherwise highly successful night, the party lost five seats to independent
candidates who made support for the Palestinian people a bedrock of their
campaign.
Among the high-profile defeats of the night was Jonathan Ashworth, who was being
lined up for a Cabinet job by Starmer. Incoming Health Secretary Wes Streeting,
facing a pro-Gaza challenge, clung on by fewer than 1,000 votes.
“There’s no doubt that there was a reaction,” said the Labour MP. “There are
many people who did not like our position and it wasn’t just Muslims. I myself
had that experience from non-Muslims telling me to get off their property.”
Richard Johnson, a politics professor at Queen Mary University of London, said
Labour is “aware that it has been perceived in opposition, at least, to be
neglectful of the concerns of Muslim voters.”
In opposition, Starmer felt fury from his own side after slowly coming out in
favor of an Israel-Gaza cease-fire. | POOL photo by Benjamin Cremel/Getty Images
“They have a desire to try and win back those seats and the countervailing
influence of a pro-Israel position in the Labour Party is not nearly as strong
as it once was,” he argued.
Four of the five seats — Blackburn, Dewsbury and Batley, Birmingham Perry Barr
and Leicester South — that now have pro-Gaza independent candidates are in the
top 20 U.K. constituencies with the highest proportion of Muslims, according to
the 2021 census.
ICC IS ‘EXTREME’
For their part, the opposition Conservatives have been quick to frame Labour’s
policy changes as a cowardly response to election losses. Boris Johnson, the
former Conservative prime minister, accused Labour of “abandoning Israel.”
On Thursday the Conservatives, who originally objected to the ICC’s move earlier
this year, called on Labour to “condemn and challenge” a “deeply concerning and
provocative” decision by the top court.
In the Labour tribe itself, the new government’s changing tone on Israel has
fuelled disagreement from supporters of the country. Turnberg, of Labour Friends
of Israel, said the ICC’s position on Netanyahu is “extreme and quite outside
the balance of reasonableness.”
He said Labour’s “distasteful and unhelpful” policy shifts since the election
could have been affected by the new caucus of pro-Gaza independent MPs, which
includes Corbyn, and Labour’s hopes of neutralizing a further electoral threat.
For others, Starmer has still not gone far enough — and there could be pain to
come on the issue at local elections. More than 100 Muslim Labour councilors
wrote to Starmer last month calling for a complete halt in arms sales to Israel.
“Council elections will be used as regular referendums on the government,”
Johnson, of Queen Mary University, predicts.
Some observers point to the couched, legalistic language the U.K. government has
used to justify its Israel shifts so far — pointing to process rather than
directly criticising Israel.
Christopher Phillips, an associate fellow at the Chatham House think tank, said
this is unsurprising given Starmer and his Foreign Secretary David Lammy’s
backgrounds as lawyers. “They have repeatedly said they are supporters of
maintaining and upholding the standards of international law,” he said.
But there’s a political convenience to it as well. “It allows them to take
action that’s critical of Israel while simultaneously trying to limit the
fallout and the diplomatic relationship with Israel,” Phillips said.
Matt Honeycombe-Foster contributed to this report
European health groups could be facing an existential threat as the European
Commission plans to cut grants by 50 percent next year, people familiar with the
plan are warning.
The EU executive is expected to halve the amount it will provide health
non-governmental organizations (NGOs) for running costs such as staff salaries,
rent, conferences and travel, according to two people briefed on the plan and a
memo circulated among civil society groups and seen by POLITICO.
Currently, the Commission dishes out around €9 million per year to the NGOs. But
one NGO staffer with knowledge of the plan said that while the Commission is
expected to increase the number of NGOs eligible to receive the cash to 33, the
sum itself will be slashed.
That could lead to NGOs needing to cut staff numbers or even having to “close
shop,” the person said.
While larger NGOs have several sources of funding, some smaller organizations
rely heavily on EU grants.
“This could affect us (if it does, it will in a big way) but could be worse or
catastrophic for smaller NGOs,” the second staffer said.
It’s causing “fatigue and frustration” the second staffer said, “and
discouragement that this is how the new mandate might start.”
The Commission hasn’t formally told NGOs yet how much they’ll each receive next
year, but health policymakers in Brussels are already concerned about how much
funding the sector is likely to receive this mandate.
EU leaders decided in February to slash 20 percent of the EU4Health budget — the
blockbuster €5.3 billion funding that the executive introduced in 2021 — and
reallocate it to support Ukraine.
The European Commission said that preparatory work for the 2025 EU4Health work
program “is on-going with a current focus on its strategic orientations and
priorities.” It is expected to be adopted under the incoming Commission. “We
cannot share further details at this stage.”
This article has been updated with the European Commission’s response.
ABOARD THE PRIME MINISTER’S PLANE TO SAMOA — As a symbol of the decline of
British power, it could hardly be more stark.
This week King Charles III and his prime minister, Keir Starmer, will host 56
nations in Samoa for the Commonwealth Heads of Government Meeting (CHOGM), a
biennial gathering of state leaders associated with the fraying ends of the
British empire.
But a glance at this year’s guest list highlights how the British monarch’s
convening power is not what it was.
Indian PM Narendra Modi and South Africa’s President Cyril Ramaphosa, two of the
most powerful Commonwealth heads of government who would normally be in
attendance, both plan to skip this year’s summit in favor of BRICS — a separate
gathering of major developing nations hosted by the Russian president, Vladimir
Putin, in Kazan, where Chinese President Xi Jinping is also in attendance.
Sri Lanka, which is applying to join BRICS this week, is sending neither its
prime minister nor foreign minister to Samoa, an official at the High Commission
in London said.
Not even Canada, a close ally of the U.K. and fellow member of the powerful
“Five Eyes” intelligence-sharing network, will send its prime minister or
foreign minister to CHOGM. The head of its delegation will be Ottawa’s high
commissioner to the U.K, a Canadian official confirmed.
Even Starmer’s own trip — his first to Britain’s former colonies in the southern
hemisphere — has been cut short. A U.K. government official confirmed the PM had
scrapped plans to add in a stop in Australia, as aides feared it would keep him
abroad for too long ahead of a pivotal government spending package being
unveiled in London next week.
Speaking to journalists on board his 28-hour flight to Samoa Tuesday evening,
Starmer appeared in good spirits. But he has brought up the summit’s grueling
flight time in conversations with fellow MPs, two of them told POLITICO. The
9,400-mile journey each way is by far his longest since taking office in July.
‘NOT MY KING’
Also struggling with the epic flight time is 75-year-old King Charles, who —
while still recovering from cancer — did at least make it to Australia ahead of
this week’s summit.
Charles, officially the head of the Commonwealth, remains the king of 14 nations
aside from the U.K.
But here too the direction of travel appears less than promising for Britain’s
soft power. Barbados became a republic in 2021; Jamaica plans to follow suit
next year.
The debate erupted again Monday when an indigenous senator heckled Charles in
Australia, repeatedly shouting “not my king” and demanding: “Give us what you
stole from us — our bones, our skulls, our babies, our people.”
King Charles III and prime minister, Keir Starmer will host 56 nations in Samoa
for the Commonwealth Heads of Government Meeting. | Pool Photo by Yui Mok/Getty
Images
For now, most realms’ ambitions to become a republic are “often discussed but
seldom actioned,” said Harshan Kumarasingham, a senior research fellow at the
Institute of Commonwealth Studies.
Australia shelved a vote earlier this year, despite much chatter during the
king’s visit and republicans selling merchandise branding the trip Charles’s
“farewell tour.” A recent NewsCorp poll found only 33 percent of Australians
wanted to live in a republic.
Australia’s written constitution requires a double majority at national and
state level in a referendum to activate change. George Brandis, Australia’s
former high commissioner to the U.K. and a monarchist, argues the appetite was
quelled last year, when a referendum failed to change the constitution around
indigenous people’s rights despite “yes” initially having a large lead in the
polls.
“When the queen [Elizabeth II] died, I think naturally the question was asked
‘is this now time for Australia to become a republic?’ That discussion basically
fell away within a few months,” added Brandis. “The wind has really gone out of
the sails of Australian republicanism.”
REPARATIONS LOOM OVER SUMMIT
The Commonwealth itself, formed 75 years ago, shows no sign of breaking up. It
remains, in theory, a supreme networking club for small states to meet regularly
with Britain, Canada, Australia, New Zealand and India.
Strikingly, Barbados stayed in the club in 2021 despite ditching its monarch,
and two nations which joined in 2022 — Gabon and Togo — have no historic links
to the U.K.
And this year the Commonwealth’s smaller members are demanding more than just
goodwill from their hosts.
Multiple Caribbean nations have used the run-up to the summit to call for
reparations from Britain for the legacy of slavery, with Bahamas Prime Minister
Philip Davis calling CHOGM the ideal forum to “make progress.” Nations have been
in talks about whether to reflect reparative justice in their communique, to be
finalized by leaders Saturday.
All three African leaders vying to be the Commonwealth’s new secretary-general —
a choice leaders will make Saturday — said last month the issue should broadly
be on the table. It is part of a “long history of using Commonwealth summits as
a forum to air broader grievances which often have Britain involved,” said
Harshan Kumarasingham.
No one really believes the U.K. will hand over reparations worth alternatively
£200 billion (according to one leading academic) or £18 trillion (per a United
Nations judge). In truth the conversation is moving away from calls for “pure”
reparations and toward help combating wider issues like climate change, which
hits developing, small and island states hardest. The issue is firmly on the
agenda at CHOGM, alongside a declaration for a “sustainable and resilient
ocean.”
One of the three candidates for secretary-general, Ghana’s Foreign Minister
Shirley Botchwey, said last month: “We’ve all moved from financial reparations …
to what we can get out of in terms of our development, in terms of our
resilience building.”
U.K. Development Minister Anneliese Dodds pledged last week to “accelerate”
reform of development banks to help vulnerable states. | Leon Neal/Getty Images
A No. 10 spokesperson insisted the U.K. does not pay reparations and that the
issue is simply “not on the agenda.” They said there would be no apology for
Britain’s role in slavery at CHOGM.
THE FIGHT FOR RELEVANCE
The rows over reparations at least give the Commonwealth some sort of relevance
in the modern age.
Outcomes from these grand gatherings are otherwise notoriously hard to pin down.
The vague-sounding theme of this year’s event, “One Resilient Common Future:
Transforming our Common Wealth,” will do little to dissuade critics who paint
CHOGM as a platitudinous talking shop of increasingly disinterested members.
Indeed, the next iteration of the Commonwealth Games, a kind of post-colonial
Olympics, has already been dismissed as an albatross by the Australian state of
Victoria, which scrapped plans to host the sporting championship in 2026.
(Glasgow eventually picked up the baton.)
But some back in the U.K. still maintain a more positive vision for the
Commonwealth.
The grouping contains almost a third of the world’s population, and aside from
the United Nations is arguably the most diverse of any group of states — by
wealth, size, geography and religious make-up.
This diversity can help Britain “revive” ties with smaller economies after
Brexit, argued Kumarasingham. He added: “It is unquestionably a product of
empire, but at the same time, it is not another version of it.”
The Commonwealth is not a mere “talking shop,” said Samir Puri, an associate
fellow at the British foreign affairs think tank Chatham House — but its
strengths such as education programs are “niche” and “it never fulfilled its
promise of being a hard power bloc.”
The argument that the Commonwealth could become a focus for future trade and
investment once Britain left the EU was made repeatedly by Brexiteers in 2016,
and has now been adopted by the newish Labour government in London. Starmer’s
official spokesperson noted the delegations from 56 countries represent “a
combined market for British business that is worth $19.5 trillion by 2027.”
CHINA’S MIGHT
But it’s hard to avoid a sense of the sun setting on the remains of the British
empire.
Earlier this month the U.K. announced a deal to return sovereignty of the Chagos
Islands, an Indian Ocean archipelago with a U.K. and U.S. military base, to
Commonwealth member Mauritius. While the Diego Garcia base will remain under
U.S./U.K. jurisdiction for at least 99 years, the decision prompted Tory fury
over China’s trade ties with Mauritius and military muscle.
It’s not just Mauritius. Last year the Solomon Islands, another Commonwealth
member, signed a police cooperation deal with China. “The Solomon Islands very
obviously flipped to China and it caused massive panic for the Australians and
the Americans,” said Puri.
U.K. officials are aware of the need to keep smaller states, many in Africa,
from being too reliant on China. U.K. Development Minister Anneliese Dodds
pledged last week to “accelerate” reform of development banks to help vulnerable
states “escape the trap of unsustainable debt.” Puri added: “That concern is
really at the forefront of why the Commonwealth is a valuable network for the
U.K.”
The U.K. announced a deal to return sovereignty of the Chagos Islands, an Indian
Ocean archipelago with a U.K. and U.S. military base, to Commonwealth member
Mauritius. | Adrian Dennis/Getty Images
Britain should seize the summit as a chance to shore up relations with these
nations — giving them alternatives to Chinese investment, said former U.K. Trade
Secretary Penny Mordaunt, who attended CHOGM in 2018. She told POLITICO: “There
are massive opportunities for all: for trade and prosperity, for the climate
challenges we all face, for security against and autocratic regimes, including
China. Vision and common cause is needed to protect our collective interest over
the long term.”
Yet all the candidates for secretary-general have said firmly it is not the
Commonwealth Secretariat’s job to help “contain” China. Botchwey told a recent
Chatham House debate: “It would be violating sovereignty and poking its nose
where it’s not needed.”
Starmer, arriving at this week’s Commonwealth summit with several of his
opposite numbers already lured away by Xi and Putin, will have got the message.
Esther Webber contributed reporting.
Germany has reported its first case of the new type of mpox behind the major
outbreak in the Democratic Republic of Congo (DRC) and neighboring countries.
The case, which was detected on Oct. 18, was acquired abroad and the risk to the
general population remains low, Germany’s disease control agency Robert Koch
Institute (RKI) announced Tuesday.
“The RKI continues to monitor the situation closely and adjusts its assessment
to the current state of knowledge if necessary,” the agency said.
The case in Germany is mpox clade Ib, a novel variant that first emerged in the
DRC. It is an offshoot of clade I, a much more dangerous version of the virus
than the one that caused the global outbreak in 2022. It is the second European
case of mpox clade Ib since Sweden reported the first in August.
The World Health Organization and Africa Centres for Disease Control and
Prevention (CDC) declared the mpox outbreak an international public health
emergency in August. Mpox has killed more than 1,000 people in Africa so far
this year.