China
must now gear towards a system that more fairly looks after those who
are not yet wealthy after the early development of the national economy
lifted the country out of poverty and created millionaires, President Xi
Jinping said, laying out his plans by defining “common prosperity” for
the first time.
At a key economic leadership meeting on Tuesday,
Chinese leaders agreed China must pursue a goal of so-called common
prosperity where people share in the opportunity to be wealthy as the
main objective for the next stage of its development, while stressing
the need for an airtight economy which allows for that smoothing out of
wealth.
The thrust of the speech did not go as far as to suggest a
Robin Hood-style rob from the rich to give to the poor plan, but called
for better governance and more balance in the economy, focusing on
grass roots consumption as a key economic multiplier rather than capital-intensive investments, which have been popular in past decades.
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We can allow some people to get rich first and then guide and help others to get rich together
Xi Jinping
“We
can allow some people to get rich first and then guide and help others
to get rich together,” notes released by the Communist Party’s Central
Committee for Financial and Economic Affairs meeting chaired by Xi said.
“We
can support wealthy entrepreneurs who work hard, operate legally, and
have taken risks to start businesses … but we must also do our best to
establish a ‘scientific’ public policy system that allows for fairer
income distribution.
“At the same time, [the government] should
protect and improve livelihoods based on healthy economic development
with a focus on strengthening a universal and inclusive security
scheme.”
The timing of the speech drew interest among
China-watchers both because it was made after Chinese leaders emerged
from a two-week disappearance from public view allegedly to convene at
the seaside retreat of Beidaihe and that it was formally discussed as a
policy for the first time having been discussed loosely in the past.
It
was also delivered at a time when Beijing has mounted unprecedented
crackdowns on various sectors within the economy, including technology, online education and real estate to tackle widening income inequality, rising debt levels and slowing consumption.
During the meeting, plans such as favourable changes in taxes
and social security payments for middle income earners, more policies
which increase earnings for those in low-income groups and crackdowns on
practices and loopholes that may give rise to “illicit income” were
given as examples of how the plan could succeed.
Xi also called for the protection of property and intellectual property rights.
But
common prosperity doesn’t just apply to financial markets – it also
applies to society’s spiritual and cultural lives. It needs to be
extended to rural and urban areas – and in particular, rural
infrastructure and rural living conditions need to be improved, Xi said.
All
levels of government, including local governments, must work together
to formulate plans to achieve the goal of common prosperity,
policymakers at the meeting said.
According
to the meeting notes, common prosperity was described as a means to
“properly deal with the relationship between efficiency and fairness”.
Leaders have asked for better financial supervision, while also taking
steps to punish financial corruption in line with market principles and
the rule of law.
The common prosperity system also encourages “third
distribution”, referring to creating opportunities for high-income
groups and enterprises to give back to society, including through
voluntary gifts and charitable donations.
Follow-up policies, particularly in relation to taxes will be critical, analysts said.
Xiong
Yuan, chief macro analyst at Guosheng Securities, said the government
could move to cut individual income taxes, step up the “rich taxes”
including property, inheritance and capital gains taxes, or introduce
more preferential policies for charitable trusts and public welfare
donations.
Chetan
Ahya, chief Asia economist at Morgan Stanley, said previously any
rebalancing in the economy would come at a price as higher wage sharing
helps households but affects the owners of capital.
But it was
also noted by some that Xi’s move on Tuesday signalled the central
government’s desire to exercise strong regulation in the economy that is
balancing both economic growth and preventing financial risks.
The
idea of common prosperity dates back to the 1980s, when former leader
Deng Xiaoping put forward the vision and said that it was the ultimate
goal in the process of allowing some people and regions to become rich
first to speed up growth.
However, this time around, policymakers warned that achieving common prosperity would be a “long, arduous and complicated task”.
More from South China Morning Post:
This article China’s ‘common prosperity’ goal to evenly distribute wealth as Xi Jinping sets out stall for development first appeared on South China Morning Post
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Rapid Response:
Re: Covid-19: politicisation, “corruption,” and suppression of science
Dear Editor,
First a word of appreciation; it takes true courage in these woke days to speak the truth on undeclared interests among ‘experts’ such as share ownership (ex. Companies being procured for rapid testing kit design and delivery1), expectations of future grant extensions (ex. through the Gates Foundation2) and, anonymous membership in organisations fostering cronyism (ex. Freemasonry3) all rife in 'expert' academia, partially exposed during this pandemic response. I await the day when membership in Freemasonry has to be part of formal declarations of interest in the NHS. Knowing the truth does indeed set one free, and significantly downregulates uncertainty and fear, which is a pandemic of its own, with real consequences as in lockdown morbidity and mortality.4
There has been a lot of interest in the leadership field on the value of good followership5. However, as a leadership sceptic (as bad as being a global warming sceptic which I am not), I wonder if senior professional followers in public service are more dangerous than their political (and transient) leaders tempted to ‘follow the science’. Certainly in Britain (mainly in England) these public servants have made a series of unfortunate decisions due to poor situational awareness, perfunctory (not actuarial) risk assessments, with attempts to obfuscate details of the decision makers subsequent to the consequences being revealed to the public. They have failed to realise that their primary duty is to ordinary people who actually pay for their salaries and will be paying for their pensions for the foreseeable future.
I refer of course to the ‘processing’ of the 24,000 elderly hospitalised patients, who were summarily discharged to any available care home places in April 2020, when testing for SARSCov2 was not readily available at general hospitals 6. This led to 50% of the English care homes to be infected (~15,000 deaths), when a more considered choice of setting up potential Covid floors in some care homes with dedicated staff would have been possible, even considering the need to urgently clear hospital beds.
Then there was the recommendation for GPs to ‘optimise’ DNAR orders, if necessary using a blanket approach for care home residents; which the CQC is currently investigating7. Both of these policies were in breach of article 2 of the European Convention of Human Rights (ECHR): the right to life.8 Furthermore the risk of breaching article 8 of the ECHR (the right to family life) continues, with capacitious older people willing to accept the risk of contracting Covid, being obstructed from hugging their grandchildren after 6 months of enforced.
On drug trials of prophylaxis treatments for pre hospitalised patients with Covid19, the WHO ‘solidarity’ and Oxford’s ‘recovery’ studies both used 4 times the BNF maximum recommended doses of Hydroxychloroquine9. How these researchers managed to get their study protocols through ‘expert’ ethics committees and (perhaps more to the point) what was actually told to patients volunteering in these trials remains a mystery. I understand that the dose of HCL was determined by computer modellers to determine the dose likely to be effective against SARSCov2.
I will not repeat the discussion on the now infamous retractions in Lancet and New England Journal of Medicine linked with the Surgisphere data mining company, apart from emphasising the ever present risk of data fabrication and the related inadequacy of our peer review system; worsened by authors refusing to submit raw data for independent post-hoc analysis. Based on my clinical outcome experience, I suspect that at least 30% of publications (NICE approved) on which I base my clinical practice potentially involve data fabrication or at least selective data presentation10. Statistical methods to pick up data fabrications are being attempted11 as whistleblowing is even more hazardous for one’s career prospects compared to clinical postings.
Finally, as my medical career proceeds to its autumnal stage (36 years as a doctor in the NHS) I have serious reservations about our consultation practices, especially on achieving ‘good enough’ consent from vulnsarable (often elderly) patients, for example having to make decisions on admissions and on accepting potentially toxic treatments. This issue continues despite the events leading to the Montgomery judgement of 201512. Thankfully (albeit late in the day) the GMC has produced good practice guidance on this issue, hopefully which will improve our consultation and consent practices13.
I think we should be unbiased and spell out in simple (non-jargon) english about numbers need to treat and to harm, and what the consequences (or lack of them) if treatment was delayed or not undertaken entirely; yes we do have the facts most of the time. ‘Treatment trials of 1’ should only be undertaken after jointly deciding on the trial duration, success criteria and a guarantee that the same doctor reviews outcomes at the end of the trial, firstly to avoid retrospective bias, but also to avoid unnecessary polypharmacy, as another doctor (especially a junior) conducting follow up would be typically loath to discontinue a drug if there are no side effects.
It is a genuinely interesting time to be in medicine, as I remind my son (age 18) who is applying for medical schools, but interestingly, considering starting with a biomedical year, in order to get a grounding in critical appraisal and to better understand the rapidly evolving basic sciences of immunology, cell biology and gut microbiota. Maybe he will be speared of all these malfeasance (at least I hope so).
References
1. Harcombe, Z. SAGE conflicts of interest. Pub. 9.1.20. https://www.zoeharcombe.com/2020/11/sage-conflicts-of-interest
2. Howley, P. gates Foundation funded both Imperial College and IHME; failed model makers. Pub. 16.5.20. https://nationalfile.com/gates-foundation-funded-both-imperial-college-
3. Pal, R. Freemasonry and Medicine. Pub 19.10.11 https://www.huffingtonpost.co.uk/rita-pal/freemasonry-and-medicine_b...
4. Office for National Statistics. Analysis of death registrations not involving coronavirus (Covid19), England and Wales: 28/12/19 to 1/5/20. www.ons.gov.uk › deaths › articles › technicalannex
5. Gibbons, A., Bryant, D. Followership; the forgotten part of leadership. Last updated on 18.5.20
https://www.medicalprotection.org/uk/articles/followership-the-forgotten......
6. National Audit Office. Readying the NHS and adult social care in England for Covid-19. 2020; ISBN 9781786043191
7. CQC to review use of DNACPR during pandemic. September 2020. www.cqc.org.uk › news › stories › cqc-review-use-dna...
8. Bates, E.S. Covid-19 symposium: Article 2 ECHR’s positive obligations. How can human rights law inform the protection of health care personnel and vulnsarable patients in the Covid-19 pandemic? opiniojuris.org/2020/04/01/covid-19-symposium-article-2-echrs-positive...
9. Wise, J., Coombes, R. Covid-19: The inside story of the Recovery trial. BMJ 2020;370:m2670 https://www.bmj.com/content/370/bmj.m2670
10. Fanelli, D. How many scientists fabricate and falsify research? A systematic review and meta-analysis of survey data. PLOS ONE. Pub 29.5.2009 https://doi.org/10.1371/journal.pone.0005738
11. Hartgerink C, Wicherts J, van Assen M The value of statistical tools to detect data fabrication. Research Ideas and Outcomes. 2016; Vol 2e8860. doi: 10.3897/rio.2.e8860
12. Talukdar, S. Ensuring Risk Awareness of Vulnerable Patients in the Post-Montgomery Era: Treading a Fine Line. Health Care Analysis. 2020
https://doi.org/10.1007/s10728-020-00396-9
13. Sokol, D. New guidance from the GMC: what constitutes meaningful dialogue? BMJ 2020;371:m3933 doi: https://doi.org/10.1136/bmj.m3933
14. Carvour, M. Teaching critical appraisal of medical evidence. AMA Journal of Ethics. 2013; Vol 15 (1): 23 - 27.
Competing interests: No competing interests