Contents – The forgotten patients: Lost voices in the global healthcare system
Contents
Contents
I have a recurring nightmare: I somehow find myself in China. I’m having a great time until I realise I work at Index, might be on a blacklist, and could get arrested at any moment. When I tell my nightmare to people who work in the China human rights space they always reply with the same reassurance: “It would never come to that – you’d simply be denied a visa to begin with or turned away at the border.” After all, such has been the case for several people in our field, most notably Benedict Rogers of Hong Kong Watch and Aleksandra Bielakowska from Reporters Without Borders (RSF) – both sent back on a plane from Hong Kong airport before setting foot in the territory.
This isn’t a China story; it’s a global one. In the article Be nice, or you’re not coming in, which featured in the Spring 2024 edition of our magazine, Salil Tripathi wrote about how critics of Indian Prime Minister Narendra Modi were being denied entry to the country. Penny Vera-Sanso of Birkbeck University in London, Lindsay Bremner from University of Westminster and University of Sussex’s Filippo Osella – all three were turned away upon arrival. Georgia has also perfected the art of entry denial. Following Russia’s full-scale invasion of Ukraine, scores of independent Russian journalists weren’t allowed in, no reason given. The same happened recently to Lithuanian women’s rights advocate Regina Jegorova-Askerova, who was stopped at the border despite Georgia being her home for the past 15 years and her having family there.
Is the USA joining the club? Last week, a French scientist was denied entry to the country. The French government claims it’s because of his criticism of Donald Trump. The US government says it’s instead because he was carrying confidential information on an electronic device, which violated a non-disclosure agreement. A week before this, several members of the British punk band U.K. Subs were turned back at Los Angeles International Airport (LAX). Bassist Alvin Gibbs wondered whether this was because of his public criticisms of Trump or whether that theory was just paranoia. Perhaps we are all jumping to the worst conclusions, but inciting paranoia can be intentional – and it’s certainly infectious. In the past few days, several people have spoken to me about whether they should delete their messaging apps and social media profiles before travelling to the USA, or, for those already there, whether it’s wise to leave, fearing they won’t be allowed back in.
Hong Kong, Georgia, India, the USA – places once regarded as relatively liberal – are now part of a troubling trend where dissenters are kept out with the stroke of a pen. This is the new reality: autocrats share tactics, and the freedom to travel is becoming a privilege, not a right.
In the blizzard of announcements, statements and threats made by President Donald Trump’s administration over the past few weeks, those concerning public broadcasters should have a particular resonance for readers of Index on Censorship.
On 9 February, Richard Grenell, the U.S. presidential envoy for special missions, wrote on X that Radio Free Europe/Radio Liberty and Voice of America are “state-owned media” and “are a relic of the past.”
The billionaire Elon Musk, appointed by Trump to oversee the new advisory body, the Department of Government Efficiency (DOGE), agreed: “Yes, shut them down. Europe is free now (not counting stifling bureaucracy). Nobody listens to them anymore. It’s just radical left crazy people talking to themselves while torching $1B/year of US taxpayer money.”
These Cold War institutions have been symbolic of American soft power since their inception. Each, in its way, was designed to counter authoritarian propaganda: Voice of America was founded in 1942 to counter Nazi ideology and Radio Free Europe in 1950 as a response to the Soviet equivalent. Radio Liberty had the specific task of broadcasting inside Russia.
These barely-veiled threats to foreign-facing broadcasters mirror similar announcements on the defunding of American broadcasters, including National Public Radio (NPR) and the Public Broadcasting Service (PBS). DOGE subcommittee chair Majorie Taylor Greene has called on executives from the two organisations to give evidence to DOGE, which has accused them of “systemically biased news coverage”.
This may seem like small beer compared to the geopolitical earthquake represented by the US administration’s proclamations on the Ukraine war and the Gaza conflict, or its sabre-rattling on Greenland or Canada. But these moves are part of the same epochal shift in American foreign policy. There is much to criticise about America’s record in the post-war period. But even the worst abuses were driven, at least rhetorically, by an opposition to authoritarianism. It is no exaggeration to say that Trump and Musk are now increasingly aligned with the authoritarian heir to Stalin in the shape of Vladimir Putin, and the heirs of Hitler in the AfD (Alternative for Germany).
The irony of Musk categorising Radio Free Europe/Radio Liberty and Voice of America as the “radical left” will not be lost on those of the European left who traditionally saw these outlets as the ideological wing of the American government or even the CIA. Indeed, they are often credited with playing a key role in providing the propaganda underpinnings that led to the dismantling of the Iron Curtain and the subsequent collapse of the Soviet Union.
Index has always felt a close affinity with Radio Free Europe and Radio Liberty due to its origins fighting for dissidents in the former Soviet Union. The role of these twin broadcasters took on a renewed significance after the Russian invasion of Ukraine, something we covered in summer 2022. At the time Patrick Boehler, head of digital strategy for Radio Free Europe/Radio Liberty told me: “We have 23 news rooms. They are in Afghanistan and Pakistan, up to Hungary… We have fantastic teams serving Russia. And I think it’s really one of those moments where you see our journalists living up to the task and the challenge that they face. And it’s really inspiring.” His words have a sombre resonance today.
An added poignancy to the attacks on Radio Free Europe/Radio Liberty and Voice of America is given by the fact that Musk and other American authoritarians seem to be learning from the so-called “hybrid democracies” of central Europe. As we reported in November, state broadcasters were one of the first targets of the ultra-right governments of Viktor Orbán in Hungary and Robert Fico in Slovakia.
In 2017, my colleague Sally Gimson also looked at attacks on Radio Free Europe from the government in Georgia and asked what role it would have in the future.
She remarked that as a young actor, future US President Ronald Reagan was proud to promote the work of the broadcaster in the early 1950s, fronting up an advertisement for it. “This station daily pierces the Iron Curtain with the truth, answering the lies of the Kremlin and bringing a message of hope to millions trapped behind the Iron Curtain,” he said.
The position the present US government takes towards such a venerated institution is a sign of how far it has drifted from what was once considered patriotic. That old cold warrior Ronald Reagan will be turning in his grave.
Hello, readers. This will be our final newsletter before Index wraps up for the holiday season. It’s been quite the year for freedom of expression, and whilst it’s not easy to summarise in one email, we’ve had a go. We’ve seen severe violations by repressive governments – but we’ve also seen remarkable acts of defiance by political activists, journalists and protesters.
These acts of defiance leave room for hope. In Russia, the year started with the suspicious death of Alexei Navalny whilst in detention, arguably Vladimir Putin’s most vocal critic (you can read an obituary by journalist John Sweeney here). But it was then punctuated with the release of opposition leader Vladimir Kara-Murza in a prisoner swap in August, after relentless campaigning led by his wife, Evgenia, who we ultimately awarded in this year’s Freedom of Expression Awards.
Another huge win for international protest was the release of Iranian political activist Toomaj Salehi in December, following his death sentence being overturned in June. Of course, there are many activists who remain behind bars and Index will continue to campaign for their release. Dozens of pro-democracy campaigners in Hong Kong – the Hong Kong 47 – were given harsh prison sentences of between four and 10 years in November, whilst prominent Chinese #MeToo activist (and previous Index award winner) Sophia Huang Xueqin was sentenced to five years in June. British-Egyptian political activist Alaa Abd el-Fattah was also denied freedom, even after serving his five-year jail term.
Throughout the year, we’ve seen media workers and independent reporting targeted in the most pernicious ways, including through targeted murder, particularly in war zones such as Gaza. Palestine has now become the most dangerous place to be a journalist, and you can read Al Jazeera English journalist Youmna El Sayed’s first-hand account on the risks of covering the conflict here. Meanwhile, media workers in Sudan face similar threats and persecution with seldom international attention, in what has been described as the “forgotten war”.
Alongside the brave pursuits of journalists, regular citizens have also stood up to their governments – with varying degrees of success. Alleged fraudulent elections in Georgia, Mozambique and Venezuela have caused the public to take to the streets in defiance of corruption. Whilst peaceful protests have resulted in violent crackdowns, there is cause for hope: a citizen-led democratic activism project in Venezuela was used to capture accurate voting tallies, and could prove to be a blueprint for fighting election fraud globally in the future, reported Martin Bright. And who could forget South Korea’s “no worries if not!” moment – when president Yoon Suk Yeol’s attempt at enforcing martial law was shut down within six hours thanks to mass assembly.
As we approach 2025, an uncertain future awaits. Repressive laws in Afghanistan have caused it to become the world’s most silenced nation, particularly for women, who under terrifying Taliban morality laws can no longer speak in public. Next year, will the international community stand up for women in the country and rally against what human rights groups are calling “gender apartheid”?
In the USA, a second Trump presidency could also bring with it a chilling impact on free expression, particularly for minority groups. You can read Emma Briant’s fascinating piece on the potential effect on university free thought in the “Land of Liberty” here. Meanwhile, the overthrowing of Syrian president Bashar al-Assad’s repressive regime means thousands of political dissidents have been liberated from the dictator’s inhumane prisons – but what could a future rebel-run regime really mean for the country’s freedoms?
We’ll be back in January. In the meantime, do make sure you read our latest magazine issue, Unsung Heroes: How musicians are raising their voices against oppression. If you’d like to subscribe, we have a special offer running until 3 January – you can enjoy 30% off an annual digital subscription by using the discount code Winter24 at checkout here, meaning it costs just £12.60.
Wishing you all a restful break, and hopefully a brighter 2025.