Myanmar: Health System

Lord Bruce of Bennachie Excerpts

Thursday 29th February 2024 Grand Committee

[Lord Bruce of Bennachie (LD)]

My Lords, I thank the noble Lord, Lord Crisp, very much for initiating this debate. I look forward to hearing the Minister’s answers to those very pertinent and direct questions.

I have been involved with Myanmar, one way or another, for about 15 years. The first time was when the junta were in charge before. Although I was not able to visit the country, the International Development Committee, of which I was chair, went to a camp on the Thai border where we got a very direct insight into the appalling way in which the junta and the generals were treating their own civilians, for whom they seem to have nothing but contempt. The UK Government at that time were supporting the delivery of medicines through a whole variety of routes, obviously by focusing on diseases such as malaria and TB, but also anything and everything else that they could get. It is probably better not to publicise how they managed it, but they did.

I then had the opportunity to return to Myanmar, after the generals had backed off and the reforms towards democracy were in place. Initially, I went with a cross-party group led by John Bercow, the Speaker, who had also been a very active campaigner on the Burma/Myanmar situation. We were part of that group, along with Fiona Bruce MP and Valerie Vaz MP, and we travelled extensively across the country at a time of hope.

Subsequently, as things improved, I was able to engage with committees in the Myanmar Parliament, under the auspices of the Westminster Foundation for Democracy, for which I should obviously declare an interest, having been supported by it to do that. Interestingly enough, my role at the time was in mentoring committees in how they could promote reform and deliver on policy. In particular, I engaged with two of the health committees, which were keenly focused on building up a service which would deliver for people across the country.

What was interesting was that these committees were chaired by medical practitioners who had been in exile and had come back, as they put it, to help the lady. That was how they expressed it. What was shocking was that when they arrived back, they found that the health system was pretty well non-existent. To the extent that there was any healthcare, it was provided only to support the mates of the generals. It was not really going to the people in need.

I have to express a little frustration there was at the time, because very good insights, reports and recommendations were produced by those MPs, but they were frustrated in getting any action from the Government there. I was really disappointed to hear that most of them said they had never met Aung San Suu Kyi, even though they were MPs in her party. They had real difficulty getting action. It is such a pity that things that could perhaps have been done were not done. The point, at the end of the day, was that they were beginning to build back a health service and focusing on how to do that in a fair and objective way. I was in the middle of an inquiry on trying to do just that. Obviously, we reached the situation where all that was swept aside as the generals came back and did what they are now doing.

That previous experience we had as DfID, operating for the UK through both Thailand and where we could within Myanmar, was really effective at reaching people. The situation has changed but there must be experiences there which are valid as to how we can get things through. Also, the junta are not having it all their own way. Unlike the way they were in control previously, it is a civil war now, and parts of the country are clearly not under the generals’ control where we can and should get access. We can support people there, and have to find ways of getting to people in areas where it is more difficult.

It is a matter of experience and ingenuity. We have done it in the past and should do it again. Clearly, it breaks anybody’s heart to see a Government, if you can call them that, who have such little interest in the welfare of their people. It is quite the reverse; they are hostile and the enemy of the people. Their interest in education and health is absolute zero, apart from for themselves, and they are literally destroying that infrastructure. We have got to do everything we can to help people. We can do it and have done it in the past. We could do it again and I hope that the Minister will be able to give us some positive replies.