Category Archives: Politics

From my point of view, this is big “P” politics of Nation States or Provinces within Nation States.

Donald Trump standing on a podium holding a board showing the new tariffs against different countries around the world.

The Great Trade Experiment

Last month I wrote about The Great Foreign Aid Experiment of the Trump administration. Foreign aid has not been without its critics because it is inefficient, promotes corruption, or is a part of an insidious program of neo-colonialism. The decision, however, by the US Government to put foreign aid “through the wood chipper” sets up a natural experiment to test whether aid save lives—more precisely, whether the sudden removal of aid ends lives. Most people in global health believe that it will result in significant suffering, although some see a silver lining: deaths among the poor and vulnerable will mark the emergence of independent health systems in low-income countries that are more resilient and finally free of external interference.

Not content with one natural experiment at the expense of the global poor, on the 2nd of April 2025, Donald Trump announced the imposition of the highest rate of tariffs on US imports in almost 100 years. In effect, the government is dismantling the free-trade mechanism that has been operating since the mid-1990s, and adopting a more isolationist market posture. Under this new theory of trade, wealth is not created, it is finite and accrued by one country to dominate another.

The evidence has been pretty clear about the effects of poverty on health. Poor people are more likely to die than rich ones. Infant, child, and maternal mortality rates are significantly higher among the poor. Preventable and treatable diseases such as HIV, tuberculosis, and malaria also disproportionately infect and kill the poor. These poverty effects occur both within and between countries. Furthermore, they are not just biological outcomes—they are deeply social, economic, and political in nature. The conditions of poverty limit access to healthcare, nutrition, education, and safe living environments.

Over the last 75 years, in parallel with increasing life expectancy across the globe, wealth has also increased. The proportion of people living in extreme poverty today is much lower than it was 50, 20, or even 10 years ago. In fact, historically the sharpest global decline in extreme poverty occurred between 1995 and 2019—2020 was, of course the COVID pandemic, which reversed a wide rage of health and economic indicators.

Bill Clinton assumed the presidency of the United States in January 1993. He was supportive of free trade and the Uruguay Round of of the General Agreement on Tariffs and Trade (GATT), which was completed in 1994. The successful conclusion of GATT led to the creation of the World Trade Organization (WTO) in January 1995.

Following the liberalisation of trade, global extreme poverty rates fell from 36% to 10% between 1995 and 2018. In South and South-East Asia the extreme poverty rates fell from 41% to 10%. In Sub-Saharan Africa, the extreme poverty rates fell substantially, but without the same speed or depth as elsewhere: 60% to 37%. The gains of trade liberalisation were also more advantageous to some markets than others, and it particularly benefited countries with cheap manufacturing capacity such as Bangladesh and Cambodia.

The sudden US reversal on tariffs will be punishing for those poor countries that have developed a manufacturing sector—particularly in shoes and garments—to provide cheap, volume goods based on low labour costs. Of course, the goods in the US need not be cheap, because there is considerable profit in branding.

If exports drop significantly, factories will want to cut staff numbers swiftly to retain their commercial viability. Poor households, particularly those reliant on a single income manufacturing jobs, will likely be thrown backwards into extreme poverty. The global economic gains of the last 30 years could begin to reverse. A major drop in exports will have an immediate impact on the factories’ labour force but there will be flow on effects to the entire economy of poor countries. In Bangladesh, for example, garment manufacturing is the single biggest source of export revenue, and reductions here will mean reductions in national tax revenue which supports health, education and welfare services.

In other LMICs that are less reliant on a global export market, shifts in tariffs will have a concomitantly smaller impact. Thus, the two natural experiments will intersect. The impact of foreign aid on health and the impact of foreign trade on health will play out with interacting effects.

Needless to say, none of this was ever framed as an experiment. Cutting aid and raising tariffs was all to “Make America Great Again”. It is a cruel, indifferent approach to trade and foreign policy. There will be no one in the Situation Room plotting a Kaplan-Meier survival curve. No policymaker will announce that the hypothesis has been confirmed/rejected: that wealth, when withdrawn or walled off, leaves people dead. Nonetheless, the data will tell its own story.

And when it does, it won’t speak in dollars or trade deficits. It will speak in the numbers of anaemic mothers, closed clinics, empty pharmacies, and missed meals. It will speak in children pulled from school to help at home. It will speak in lives shortened not by biology, but by policy

The Great Trade Experiment, like the Great Aid Experiment, won’t just test theories in global health and economics. It will test people—millions of them. And the results, while statistically significant, will not be ethically neutral. Some experiments happen by accident. Others, by design.

This one was designed—by the President of the United States.

 

A surreal political illustration of a female government official standing stiffly like a marionette puppet, with visible strings attached to her limbs and head. The strings are controlled by a faceless figure in a suit, symbolizing hidden power or authoritarian control. The woman’s face appears calm, even smiling, with a speech bubble saying ‘empowerment’, but her shadow on the wall behind her shows her kneeling in chains, labeled ‘vessel’. The background features a muted map of the world, with certain countries glowing faintly and connected by dark, vein-like tendrils. The overall mood is unsettling and dystopian, in a clean, editorial illustration style. DALL.E generated

Parasitising Human Rights

A snail glides slowly from the shelter of the underbrush into the sunlight. One of its eye stalks (ommataphore) pulses with an unnatural rhythm, swollen, brightly coloured and weirdly attractive. A thrush spots the movement and swoops down, drawn to the flickering lure, pecks off the stalks and flies away.

The thrush was fooled. What it mistook for a juicy caterpillar was a parasite seeking a new host. The parasite, Leucochloridium paradoxum, is a trematode that infects a snail and turns it into a self-destructive zombie. The life cycle is simple: bird eats parasitised snail, parasite reproduces in bird’s gut, bird defecates, snail eats infected droppings. Once the parasite has been eaten by the snail, it hijacks the snail’s behaviour. It migrates to the snail’s eye stalks and drives it out of the safety of the underbrush and into the sunlight, where it will lure a bird to eat it. Rinse and repeat.

It was only very recently that I realised that the Christian far-right groups had adopted an analogous strategy to attack the international human rights framework and women’s rights in particular.

The Geneva Consensus Declaration (GCD) and its companion, the Women’s Optimal Health Framework (WOHF), function with unnerving similarity to the apparently tasty snail. They are each packaged in the shiny and appealing language of “optimal health”, “human dignity”, and “family”. They infiltrate the human rights system—not to strengthen it, but to hijack it, disguising regressive aims as a legitimate rights discourse. Once absorbed by a State-host, the State is zombified to re-present the regressive framework in shiny, deceptively appealing language waiting to parasitise the next State.

The GCD was first presented to the United Nations as a letter under Donald Trump’s 45th Presidency of the United States. It was an initiative of the Secretary of State, Mike Pompeo, a fundamentalist Christian. Borrowing the name of the City of Geneva, made famous by its association with refugees, human rights and the Geneva Conventions, the GCD is neither supported nor endorsed by Switzerland nor the the Republic and Canton of Geneva, nor is it adopted by the UN.

The GCD document opens with lofty and appealing commitments to universal human rights and gender equality—pulling deceptively and disingenuously on the Universal Declaration of Human Rights. It declares that “all are equal before the law” and that the “human rights of women are an inalienable, integral, and indivisible part of all human rights and fundamental freedoms”.

Once consumed, there is a parasitic turn. The GCD reverts to a framework that reduces women to vessels and vassals in service to cells and states. The foetus is elevated. It is endowed with rights that eclipse those of the woman herself. She becomes a fleshy bag—nutrients in, baby out—stripped of the autonomy to define her own purpose or direction. The role of the State shifts. It is no longer the guarantor of individual freedom but the authority that dictates what a woman may or may not be allowed to do. “The family”—a surprisingly labile cultural concept—is suddenly reified, declared “the fundamental group unit of society,” as if its meaning were fixed and universal. The document commits fully to a vision of a society where the population serves the State, and women serve the population—with the least autonomy.

Health is a human right as is the right to healthcare. The GCD and the WOHF want to parse this, playing a game of reductio ad absurdum. You might have a right to healthcare, they argue, but you do not have a right to an abortion. As if it makes sense to say you have a right to healthcare, but not if you have scabies, rabies, HIV, or malaria. Pregnancy is not a disease, but it does require healthcare and that care may include the termination of the pregnancy. A woman’s purpose is not reproduction—servitude to a foetus.

Men, too, are caught in the parasitic zombification. They should not mistake their apparent elevation in these structures for freedom. They lose something fundamental. Choice. Authoritarian gender orders assign roles to everyone. Power is not granted—it is rationed and always conditional. The State grants status for obedience and identity in exchange for submission. Those assigned dominance are especially bound by its terms. This constraint brooks no dissent. In a society of freedom, you can find your own place. In a society of roles, your place determines you.

These zombified States do not act alone. The US-backed Institute for Women’s Health promotes the destruction of women’s rights, replacing evidence with sleek visuals and rhetorically based policy tools. The materials are presented as neutral frameworks but embed deeply conservative ideologies—valorising motherhood, framing women’s worth through familial roles, and avoiding any substantive discussion of sexual rights.

States that adopt these frameworks serve as megaphones, amplifying anti-abortion and anti-diversity policies in UN negotiations and global fora. This is not a grassroots movement for gender justice. It is a top-down project of moral, political, and social control, disguised as health policy.

The GCD and WOHF are not neutral initiatives. They are a parasitic ideological vehicle that masquerades as progressive while advancing regressive policies. Their true function is to infiltrate human rights systems, hijack the language of empowerment, and turn States into agents of restriction.

We must name this strategy for what it is: a parasitic ideology—designed to deceive, manipulate, and replicate. Human rights advocates must remain alert, resist co-option, and expose these frameworks not just for their content, but for the insidious strategies they deploy.

The only antidote to such parasitism is clarity, resistance, and the refusal to surrender universal human rights to the State.

US Aid: Strategic Transactionalism

The US Government is showing all the compassion of a loan shark, where the Rubio Rule rules—”What’s in it for me?” Tragically, any international social capital the U.S. built over the past 80 years has been torched in a bonfire of pointless cruelty.

Yesterday, Politico published a draft document obtained from a government aide describing a revamped USAID. It is entirely about the U.S.—safer, stronger, more prosperous—with the benefits to others only arising en passant, if at all.

According to the document, international assistance will focus on investments that deliver “first-order benefits back home [in the U.S.]”. That is, there must be an immediate, directly attributable gain to the U.S. from it’s humanitarian “investment”. This is in marked contrast to the successful decades of soft power developed by the U.S. after World War II.

Global Health would sit in a new agency for International Humanitarian Assistance (IHA).

“By responding rapidly to natural disasters, preventing famines, containing disease outbreaks, and securing peace, IHA would demonstrate American values, prevent instability that could threaten our interests, distinguish ourselves from our geo-political adversaries (such as China), enhance U.S. leadership on the global stage, and increase safety at home.”

That sounds great! I wonder what those Amercian values are? They are not the values of compassion or empathy, nor the values established by the U.S. in the international human rights instrument. Those international values established by the U.S. are the ones that the Trump Administration has “put through the wood chipper”.

The values must be those of “strategic transactionalism”. This is my newly minted term that refers to the idea that no agreement with the U.S. can be trusted because it has shown itself to have no regard for such things. Agreements, contracts, and treaties exist only to the extent that the administration chooses to honour them. Here today, gone tomorrow.

What’s in it for me?

According to the document, “in all cases, countries would have to demonstrate high levels of “commitment” to be eligible for any U.S. assistance engagement”.

“High levels of ‘commitment’” is code in the world of crime bosses and authoritarian leaders for absolute subjugation. A country will do what it is told, when it is told—without question. Give up resources. Cede Territory. Treat some people as less worthy than others.

“Success would be measured by concrete metrics: lives saved, outbreaks of infectious diseases contained, pandemic prevented, famines averted, and measurable increases in in positive perception of the United States in emerging markets.”

The irony of this is that things like “lives saved” is exactly what was being measured before the conflagration. The new metric appears to be “measurable increases in positive perception of the United States in emerging markets”.

Rest assured, any positive perception of the U.S. is now only a form of “strategic transactionalism”. It is performative because money is still money, but anything else from the US risks bully, bluster, and betrayal.

The Star Trek Captain, Jean-Luc Picard as the Borg character Locutus

Resistance is necessary

I complain. A lot. I am not a happy person. But you will never die wondering what I thought or where I stood. Still, complaining isn’t enough, and whinging can feel futile.

The Borg and the rising authoritarian states of the 21st century want you to believe that “resistance is futile.” It isn’t. Resistance is not only necessary; resistance is an obligation.

Small acts of everyday resistance can raise the costs of authoritarianism so high the system collapses. In the late Soviet Union, acts of passive resistance—from workers deliberately slowing down production to citizens openly defying censorship laws—contributed to the erosion of state control. These acts of everyday resistance helped to chip away at the crumbling foundations. Authoritarian regimes rely on compliance to function. When enough people withdraw their cooperation, inefficiency turns into paralysis, and paralysis into collapse. It becomes so grindingly inefficient and ineffective that it fails. The unwillingness of the people to work in the interests of an illegitimate state is that state’s undoing.

Small acts of everyday resistance need not rise to criminality. There are ways of resisting that work, that keep the pressure up, and that allow you to control your level of exposure.

The power of the authoritarian state does not lie in compliance alone. It also lies in isolation—your sense of being alone in your unhappiness. Why do you think the Chinese state is so quick to remove online complaints and hide protests? The protest is not the problem. The protest’s effect is letting others know they are not alone in their unhappiness. And if you do not feel alone, you are also more likely to engage in small acts of everyday resistance.

Work to rule is a classic form of everyday resistance. This tactic has been historically effective in labour movements, such as the bureaucratic slowdowns under oppressive regimes, where workers deliberately followed every regulation to the letter to hinder authoritarian efficiency. Do your job. To the letter. No more. No less. When only one person works to rule, they are a miserable, unhelpful arse. When large numbers of people work to rule, unhappiness shows. It is palpable. In a government department that is engaging in immoral and cruel behaviour (“within the law”), you can slow it down, throw sand in the gearbox, and make it less cruel by being less effective and less efficient.

In the U.S., ICE agents could do their jobs—badly. Administrative staff supporting ICE agents can slow things down by moving paper at an excruciatingly necessary pace. The word “expedite” should be struck from the vocabulary.

Singapore in the late ’80s and ’90s was a highly (overly) regulated society. Many would say it has persisted. But in the ’90s, chewing gum became a tool of everyday resistance. People would stick it over the door sensors on the MRT trains. The doors couldn’t close, and it would bring the system to a grinding halt. The act was small, non-specific in its target, and (back then) unidentifiable.

Posters, protests, badges, public art, and internet memes have all been used to demonstrate everyday resistance. Remembering when the state wants to forget or reimagine a truth is a powerful corrective. Archive the truth on the internet.

In a digital age, careful choices about how and when to use devices, credit cards, and online accounts can disrupt data collection and tracking. Using burner phones where you can get them, paying with cash instead of cards, and setting up anonymous online accounts are small but effective ways to limit surveillance and maintain privacy. Resistance is not about criminality; it is about the right to privacy, the freedom to think, and the quiet power of refusing to comply—to engage in cruelty. Even small acts of everyday resistance remind others they are not alone.

It is possible to resist and chew gum at the same time.

Resources:

If you want some ideas, have a look at these two.