Across Africa, the impact of the old and dangerous strategy of privatisation has seen public education and health services gutted. The World Bank and International Monetary Fund-induced structural adjustment programmes of the 1990s required African governments (among other things) to divest from higher education and to privatise health and education, as a condition for getting loans. These programmes are still alive and kicking.
The idea that ‘efficient’ privatised services enhance equitable access has been shown to be false. When key services are priced out of the reach of many, societies lean on the gendered organisation of labour to cushion government failure. From providing education in the home to unpaid domestic care – often alongside formal and informal work – women and girls take on extra labour that widens gender inequality.
In 2021, along with colleagues at Just Associates, we examined feminist movements’ responses to Covid across sections of Africa, finding women and girls took on a disproportionate burden of care. These findings mirror feminist analysis of the 2008 global financial crisis.
The third contradiction is a claim to a global ‘family’ of interconnected states with mutually beneficial and equitable partnerships. The free-market economy is undergirded by protectionist and hostile trade, migration and intellectual property policies in the Global North. We were reminded of this through vaccine and medical nationalism around Covid, which, as Africans, we were already familiar with due to the Ebola and HIV/AIDS crises.
The extractive nature of the global economic system has been sufficiently analysed by feminist scholars. Action Aid’s 2020 analysis of how mainstream macroeconomic policies miss the mark shows that systemic discrimination is sustained through an emphasis on the individual rather than collective good, privatisation to the detriment of equitable access, and an unspoken reliance on social reproduction.
What next?
Systemic change is needed, which means a political and ideological commitment to equity. This is fundamentally a conversation about transforming and redistributing power. Feminist movements have led the charge in proposing alternatives, while models explored by governments in the Global South have also shown that other worlds are possible.
First, governments must lead from the front. Uruguay’s Integrated National Care System is coordinating policies for all those with care needs, notably young children, the elderly and people living with disabilities. The care system is explicit on the need to redistribute unpaid care and domestic work between women and men.
Second, we must reclaim public goods and services from the clutches of privatisation and austerity. The NHS was founded to ensure equitable healthcare for all in the UK – today, it is in crisis. Stretched to capacity, the health service’s acute workforce shortages make it a walking billboard for the negative impact of cuts to public services and racialised migration policies that limit access to international workers.
Reclaiming public goods and services requires maximising public financing by reforming the global public tax system, with greater corporate accountability – as called for by feminists – as a binding treaty.
Finally, Covid, more than any other pandemic, re-emphasised global responsibility. Our challenges are global; our responses must be based on shared but differentiated global responsibility.
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