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Universal health care: The dream within reach

In September 2017, the House of Representatives passed House Bill 5784, also known as the “Universal Health Coverage Act.” The bill aims to transform our health system to make quality health care accessible to all Filipinos without financial hardship.

Three versions in the Senate have also been passed: Senate Bills 1458, 1673, and 1714, authored by Senators JV Ejercito, Sonny Angara, and Risa Hontiveros, respectively. If all goes well, we could very well see the first steps toward Universal Health Coverage (UHC) by next year, with several key components up and running by the end of the Duterte administration.

But what is UHC, anyway? Why do we need it? Here, we tackle the basic proposals of UHC, the urgency behind instituting them, and what it will take for us to achieve the dream of quality health care for all.

THE STATE OF HEALTH IN THE PHILIPPINES
The impetus for UHC in the Philippines stems primarily from the pivotal role our health plays in determining the overall well-being of every Filipino. In the current health system, staying healthy can make the difference between many families’ economic stability and vicious cycle of intergenerational poverty. The ubiquitous risk of life-threatening illness combined with the stratospheric costs of the services needed to address them makes for a hazardous combination

In 2013, significant steps were taken to respond to this situation. We passed the Sin Tax law, which tripled the health budget from 2012 to 2016 and increased the percentage of the population covered by health insurance to over 90%. Revenues from tobacco and alcohol taxes defrayed the health care costs of many Filipinos, with over P31 billion contributing to the coverage of indigents in 2016. The same year, on average, Philhealth covered 50-60% of the value of health services for processed claims, and the entire cost of 63% of claims made by indigents.

While these gains are undeniable, however, many health care gaps persist. A sizeable portion of the population remains uncovered, many services are excluded from insurance packages, and the level of coverage provided is not always sufficient to alleviate the financial burden of major health care costs. Moreover, many inequities persist which exacerbate these issues, such as the severe mismatch in the number of health workers to the number needed per region, and the inadequate or inappropriate level of services provided by most health care facilities in remote areas.

TRANSFORMING THE SYSTEM WITH UHC
Surmounting these recurring problems will require comprehensive reform of the health system. To repeat, the UHC bills aim to achieve the transformation of the health system to make health care accessible to every Filipino without financial hardship.

First, UHC proposes the automatic inclusion of every Filipino into the National Health Security Program (currently the National Health Insurance Program of PhilHealth). Based on a rigorous process of health technology assessment, services will be available on a negative list — meaning, services are considered covered by default, unless specified otherwise. This greatly widens the safety net for all kinds of health needs. For basic accommodation, Filipinos will no longer have to pay a centavo; a fixed co-pay will be determined for higher levels of accommodation.

Besides vastly expanding the financing of health services, UHC reorients the health system toward primary care and service delivery networks. Every Filipino will be assigned a primary care provider, who serves as the first point of contact in the health system and addresses general health needs. This aligns with the fact that Filipinos do not need to see a specialist for everyday health services. When higher levels of care are required, the primary care provider helps patients and their families navigate the health system, which will be organized by networks of facilities, or service delivery networks. Such networks guarantee a minimum level of service capacity per catchment area, so that every Filipino will certainly receive the care she needs.

Finally, to make sure all these changes will truly materialize, UHC undertakes a strategic plan for developing and distributing health human resources. The bills safeguard the right number of doctors, nurses, midwives, and barangay health workers for every barangay, municipality, city, and province — especially for geographically isolated and disadvantaged areas (GIDAs). To achieve this, UHC expands available scholarships for health professionals and ensures they are all paid well no matter where they work.

WHAT IT WILL TAKE TO GET THERE
Based on the main provisions of the UHC Bills, the proposed legislation is clearly an ambitious one. Such scale and depth, however, are necessary to achieve sustainable changes that make our health system truly equitable and responsive to the needs of all Filipinos.

But even as it is all well and good to dream and make plans, how do we turn UHC into a reality? How do we fund these big changes in our health system?

At current estimates, to implement UHC over a period of five years will cost an average additional amount of P90-100 billion every year. This amount is no small matter, given that it already accounts for the entirety of the health department’s budget and the contributions of all Filipinos counted as part of the contributory group. At their current rates, even the sin taxes will not be able to cover the costs of instituting UHC. Neither will pooling funds from the Philippine Amusement and Gaming Corp. and the Philippine Charity Sweepstakes Office, a suggestion which has already been floated at the Senate. Hence the need to further increase significantly the tax rates for alcohol and tobacco, given that the law on sin tax earmarks the bulk of additional revenues to UHC.

The promise of UHC is an urgent one. It has also been a long time coming. Affirming the right of every Filipino to quality and affordable health care, it is finally within reach. But to get there, a significant and sustainable source of financing needs to be found and fought for very soon. Otherwise, the promise of UHC will remain just that: a promise, a dream finally within our reach but which we did not take.

 

Joshua Uyheng is Action for Economic Reforms’ research associate specializing in public health and health financing.

Azkals seek fans’ support as they shoot for history

By Michael Angelo S. Murillo
Senior Reporter

THE Philippine national men’s football team goes for history next week as it shoots for a spot in the AFC Asian Cup.

And the Azkals are hoping that local fans would throw their support behind them and serve as the “12th man” in their groundbreaking quest.

Happening on March 27 at the Rizal Memorial Football Stadium, the Azkals take on Tajikistan in their final Group F match.

The Philippines currently has a record of two victories and three draws for nine points, putting it on top of the grouping, two points clear of Yemen (1-4-0) and Tajikistan (2-1-2) which each has seven points.

Nepal (0-2-3) is already eliminated in the race with only two points to show for.

The Azkals need to notch a win or a draw against Tajikistan to move on to the next round.

“This is an important match for the country, and the cards are not exactly stacked against us. We are currently on top of the table of Group F with nine points. We win or we draw, we will move forward and the country will be part of the AFC Asian Cup for the first time,” said Azkals team manager Dan Palami as he drummed up support for the country’s footballers.

“We want the ‘12th man’ to be there… This sport deserves all the support it can get, as we have already gone far since 2010…” he added, referring to the “renaissance” of football in the country that has resulted in several headways for the Philippines in international competitions.

In their last game in the AFC Asian Cup qualifiers against Nepal in November in Kathmandu, the Azkals were held to a goalless draw.

That set up the team needing to have a favorable outcome in its home game next week.

Had they won last time around, the Azkals would have already qualified for the main draw of the Asian Cup in the United Arab Emirates in 2019.

As per tournament format, the top two teams in each of the six groups in the third round of qualification advance to the prestigious tournament, joining 12 other teams which have already qualified previously.

Prior to taking on Tajikistan, the Azkals will play Fiji in an international friendly on Thursday, March 22, also at the Rizal Memorial Football Stadium as part of their preparation for their big match.

‘Heroes of Honor’ in Manila takes form

By Michael Angelo S. Murillo
Senior Reporter

ONE Championship’s next live event in Manila, “Heroes of Honor,” set for April took further form last week with the announcement of the fights making up the card.

Happening on April 20 at the Mall of Asia Arena, Heroes of Honor, the 13th event of Asia’s largest sports media property in the Philippines, will feature the ONE return of local fighters Kevin “The Silencer” Belingon, Honorio “The Rock” Banario and Gina “Conviction” Iniong.

Bantamweight Belingon (17-5), a member of Team Lakay in Baguio City, is fighting in the main event against Andrew Leone (8-3) of the United States.

Mr. Belingon, 30, last fought in ONE Championship in November last year, dominating Korean-American opponent Kevin Chung en route to a unanimous decision victory.

The win was the fourth straight for the Filipino bet, pushing him further forward in the mix of fighters of note in the division and a possible shot anew for the title currently held by Brazilian Bibiano “The Flash” Fernandes.

Mr. Banario, meanwhile, makes his comeback after a year’s break, taking on Australian Adrian “The Hunter” Pang (22-11).

He defeated Jaroslav Jartim of the Czech Republic in April 2017 by way of an impressive knockout in the second round.

It was the fourth straight victory for the former ONE featherweight world champion after absorbing five consecutive defeats previously.

Mr. Banario is angling to get the win over Mr. Pang to solidify his footing now as a lightweight fighter in ONE.

The third Filipino seeing action in Heroes of Honor, Ms. Iniong, is one of the top female mixed martial arts fighters in the country, holding a 6-3 record.

A teammate of Messrs. Belingon and Banario in Team Lakay, Ms. Iniong takes on Jenny Huang (5-2) of Chinese-Taipei in a preliminary women’s atomweight clash.

Ms. Iniong lost in her last fight in a short-noticed title eliminator against Mei Yamaguchi in November.

The Filipina plunged into the fight just two weeks after claiming a victory over Priscilla Hertati Lumban Gaol by second-round technical knockout.

Also part of the live event is the launch of ONE Super Series, which the organization said aims to celebrate the world’ most effective striking arts like Muay Thai, kickboxing, karate, taekwondo, wushu and sanda, among others.

The first offering of the Super Series will see kickboxers Giorgio Petrosyan of Italy and “Smokin” Jo Nattawut of Thailand go at it.

“ONE: Heroes of Honor is a historic event for ONE Championship. For the first time ever, we are combining the action and thrill of mixed martial arts with the authenticity of the world’s most elite striking arts in ONE Super Series. I am excited to unveil our brand-new ONE Championship ring where all the action will take place, as well as welcome the world’s greatest martial artists to the most prestigious global stage of competition. It’s going to be an evening filled with excitement as we showcase the best in martial arts, and with ONE Super Series, ONE Championship is now the largest martial arts organization in the world,” said Chatri Sityodtong, chairman and CEO of ONE Championship.

Maharlika League: Bulacan Kuyas, Muntinlupa Cagers secure top four berths to complete quarterfinals cast

MALOLOS, BULACAN — Muntinlupa and Bulacan capped their elimination round campaign with similar hard-fought wins late Saturday night to complete the cast in the MPBL-Anta Rajah Cup at the Bulacan Capitol Gymnasium.

The Angelis Resort-backed Muntinlupa Cagers eliminated the Imus Bandera-GLC Truck and Equipment following an 81-69 win. The victory likewise put Muntinlupa in the no. 3 spot at the end of the elimination round where it will face the Navotas Clutch-Big J Sports.

Bulacan, on the other hand, assumed the no. 2 spot after surviving the Bataan Defenders-BaiShipping, 81-74, in the other game.

The Ligo Sardines-backed Bulacan Kuyas extended their winning streak to five heading to the playoffs, a momentum head coach Chris Baluyot wants to carry over in the quarterfinal round.

“The boys are so determined to go to the playoffs with a win and take the no. 2 spot,” said Mr. Baluyot. “We just want to keep our winning culture and we want to bring it to the playoffs.”

The Kuyas will face the Parañaque Patriots-Gamboa Coffee in the best-of-three quarterfinal round where they carry a home court advantage.

LAST SLOT
Despite losing their last elimination round game, the Defenders will still take the last seat in the playoffs where they will face the Batangas City Athletics-Tanduay starting on Tuesday at the Batangas City Coliseum.

The Defenders ended up in a tie with the Bandera at 2-7, but Bataan will advance by virtue of the win over the other rule.

James Martinez and Stephen Siruma finished with 15 points apiece to lead the Kuyas while JR Taganas went a game away from finishing another double-double performance, tallying 14 points and nine boards.

Muntinlupa was led by Allan Mangahas, who came away with 25 markers, the most he produced in the tournament. — Rey Joble

Del Potro topples Raonic to set up showdown with Federer

INDIAN WELLS — World number eight Juan Martin Del Potro raced past Milos Raonic in straight sets Saturday to book an Indian Wells finals clash with world number one Roger Federer.

Former US Open winner Del Potro improved to 16-3 on the season with his 6-2, 6-3 victory over the hard-serving Canadian Raonic in just 65 minutes.

Del Potro is looking for his 22nd career and second straight ATP title in a row after winning earlier this month in Acapulco where he beat three top eight players in a row.

“I broke his serve quick in both sets and that gave me control of the match,” said Del Potro. “It was an easier match than I expected.”

This is the 29-year-old Argentinian’s second trip to the Indian Wells championship match, where he will face defending champion Federer who had to come from behind to beat Croatian Borna Coric 5-7, 6-4, 6-4.

The last time Del Potro and Federer played was last year in the Basel final where Federer won 6-7 (5/7), 6-4, 6-3. — AFP

ColorManila goes to Clark, Pampanga

FUN-RUN organizer ColorManila (CM) brought its newest franchise — CM Paradise Run to Clark, Pampanga, last March 18.

The event was co-presented by Honda, with Clark Development Corp., as the official venue partner; which served as host to the first CM Paradise Run concept held outside of Manila, to the delight of over 3,000 runners who joined the event.

“It’s the first time that we brought the CM Paradise Run franchise outside of Manila, and it is only fitting to bring it here to Clark, Pampanga. Clark happens to be currently our biggest market outside of Manila, and for the past 18 months alone, we’ve had around 20,000 runners in our various events held here,” ColorManila Vice-President Justine Cordero said.

The CM Paradise Run-Clark leg, co-presented by Honda, gave the runners an early feel of a summer escape to the beach or to paradise, with the various color stations adorned with palm trees, hammocks and garlands, which only served as a perfect backdrop to their selfies with friends and family.

After the race, thousands of runners got to experience the freshest and newest mixes of the DJ’s at ColorManila’s trade mark CM Color Festival, where color powder was thrown in the air as the participants danced and grooved to the music of DJ’s on stage.

After CM Paradise Run Clark, ColorManila will head off to Laoag on March 24 for CM Paradise Run — Laoag leg, and Laguna for the CM Paradise Run — Laguna leg on April 8, which will be held at Greenfield, its official venue partner.

CM Paradise Run for both the Laoag and Laguna leg, have three (3) race distances, 3K, 5K and 10K. As for the kits, runners for both events can choose from the Deluxe Kit, Rockstar Kit and the Superstar Kit.

The Deluxe Kit, which is priced at P750, comes with a dri-fit shirt, sunglasses, race bib, color packet and a finisher’s medal.

While the Rockstar Kit, priced at P1,050, comes with a dri-fit shirt, sunglasses, race bib, color packet, finisher’s medal, drawstring bag and headwear.

Finally, the Superstar Kit, priced at P1,500, comes with a dri-fit shirt, sunglasses, race bib, color packet, finisher’s medal, drawstring bag, headwear and a finisher’s singlet.

Registration is still ongoing for both CM Paradise Run-Laoag leg and CM Paradise Run-Laguna leg. For more information, visit www.colormanila.com.

Positive outlook

Tiger Woods was one happy camper in the aftermath of his round yesterday. Nope, he didn’t take the Arnold Palmer Invitational by storm; by the time he ended his third trek through Bay Hill, he still stood five strokes behind provisional leader Henrik Stenson, with eight other players boasting of lower scores heading into the final 18 today. Nonetheless, he was aware of the big picture; including his second-round 72, he found himself hitting shots using more of his instinct and less of his mind.

It helped, of course, that Woods posted a heady 69, placing him at seven under par after 54 holes, still in position to pull off a comeback. And, considering the state of his body this time in 2017 and his game at the turn of the year, his unlikely-but-possible standing underscores a marked improvement. As he noted, “Maybe a low one tomorrow will give me a chance to kind of steal one from behind.” That’s what a position in the Top Ten does: give cause for hope without stretching the bounds of logic.

No doubt, Woods’ positive outlook is fueled by his love affair with the pride of Orlando. He has won a record eight times in The King’s tournament, and his familiarity certainly helped him shape shots — and roll in lengthy putts — yesterday. His familiarity with the terrain figures to assist him in putting up a sterling red mark early. And then who knows? Those ahead of him may back up a bit with the fairways becoming baked and the greens getting harder, nudging him up the leaderboard.

In any case, Woods will be competing with good vibes, and not just because he moved up seven spots yesterday. “I played well, scored well,” he said in his third-round post-mortem. “It was a good day all around,” punctuated by a morale-boosting birdie on the last hole. “Can’t complain about anything I did today. I really hit the ball solidly. I controlled it, and I hit a lot of beautiful putts.” What a difference half a year makes. And regardless of the number he posts today, he’s clearly moving in the right direction.

 

Anthony L. Cuaycong has been writing Courtside since BusinessWorld introduced a Sports section in 1994.

Shares seen to decline ahead of Fed, BSP reviews

SHARES may move lower this week, with investors focusing on separate policy meetings by the United States Federal Reserve Open Market Committee (FOMC) and the local central bank as the two regulators discuss the effects of inflation on their respective markets.

The Philippine Stock Exchange index (PSEi) closed 0.58% higher at 8,238.15 last Friday, although falling by 1.6% or 134 points on a weekly basis, pulled down by holding firms and industrials which dipped 2% and 1.8% week on week, respectively.

Foreign investors recorded net sales of P6.56 billion last week, which Eagle Equities, Inc. Research Head Christopher John Mangun attributed to window dressing ahead of the holidays.

“We may continue to see the market take a loss, but I think we will see a reversal sometime in the second quarter,” Mr. Mangun said in a research note.

Should the main index continue moving downward, the market could officially record a correction, which is defined as 10% drop. The PSEi has fallen as much as 9.58% from its high of 9,058 last Jan. 29 to 8,190.01 on March 15.

This week, the focus will be on FOMC’s meeting on March 20-21, as well as the Bangko Sentral ng Pilipinas’ (BSP) meeting on March 22.

“It is a known fact that US firms have yet to adjust to the corporate income tax cut in their financial track, while local companies also adjust on the initial phase of the tax reform agenda,” online brokerage firm 2TradeAsia.com said in a weekly report.

The online brokerage noted that should the Fed cut their interest rates by 25 basis points, the focus will then revert to the dollar given the Trump administration’s support for a stronger currency.

“At home, the recent cut in reserve requirement has yet to be fully absorbed in the system and is likely to be offset by an expected kick in borrowing demand. While the market has seen upward adjustment in rates, significant spikes are not yet in the cards as rates have bottomed already,” 2TradeAsia.com said.

The BSP last month lowered the reserve requirement ratio for big banks to 19% from 20%, releasing some P90 billion in extra liquidity into the financial system.

More firms are set to release their 2017 earnings results this week. In the lineup for analysts’ briefings this week are Pilipinas Shell Petroleum Corp. on Monday, Cebu Landmasters, Inc. on Tuesday, and ABS-CBN Corp. on Friday.

Eagle Equities’ Mr. Mangun placed the index support at 8,792 to as low as 8,090, while resistance is from 8,360 to 8,465.

The S&P 500 and the Dow Industrials rose on Friday, boosted by strong industrial output numbers, though all three of Wall Street’s major indexes posted losses for the week.

The Dow Jones Industrial Average rose 72.85 points or 0.29% to 24,946.51; the S&P 500 gained 4.68 points or 0.17% to 2,752.01; and the Nasdaq Composite added 0.25 point to 7,481.99.

For the week, the Dow fell 1.57%; the S&P lost 1.04%; and the Nasdaq dropped 1.27%. — Arra B. Francia with Reuters

Peso to move sideways

THE PESO is seen to move sideways against the dollar this week ahead of the monetary policy meetings of the Bangko Sentral ng Pilipinas (BSP) and the US Federal Reserve.

On Friday, the local currency strengthened to close at P51.93 versus the dollar, 10 centavos stronger than the P52.03 logged the previous day, as the US currency weakened due to continued rhetoric from the White House on the imposition of tariffs.

Week on week, the peso also gained from the P52.03-per-dollar finish on March 9.

Guian Angelo S. Dumalagan, market economist of Land Bank of the Philippines (LANDBANK) said the dollar may strengthen against the peso this week on the back of “widespread expectations of another 25-[basis points] rate hike from the US Federal Reserve on March 22,” adding that the pair might trade sideways prior to the meeting.

The Fed is seen to hike interest rates on Wednesday, the first time for the US central bank this year. Markets are also watching out for statements on the Fed’s policy direction to gauge if the monetary authority will stick to its forecast of three rate hikes this year or raise it to four.

The dollar’s projected appreciation might just be minimal should the Fed opt to keep its monetary stance steady this week, Mr. Dumalagan noted, as investors could remain cautious ahead of the BSP monetary policy meeting.

“Prior to the policy meetings of the BSP and the [Fed], some investors might also refuse to take large bets in order to limit their exposure should there be any unexpected policy moves,” LANDBANK’s Mr. Dumalagan noted, saying that this, together with mixed signals abroad, will prompt the dollar to move sideways with an upward bias.

Meanwhile, Ruben Carlo O. Asuncion, chief economist at UnionBank of the Philippines, said he expects the peso to strengthen this week.

“I see a stronger peso [this] week,” Mr. Asuncion said. “I expect the US Fed and the BSP policy meetings to be major drivers but it seems the market has already factored the expectations in: Fed hikes [its interest rates] and BSP stays.”

For this week, Mr. Asuncion sees the peso trading between P51.70 and P51.90, while LANDBANK’s Mr. Dumalagan gave a wider forecast range of P51.60 to P52.30.

Mr. Dumalagan said this could be reversed by surprises from the Fed and BSP and further escalation of concerns over US tariffs, among others. — K.A.N. Vidal

ASEAN says gravely concerned about North Korea weapons

SYDNEY — The Association of Southeast Asian Nations (ASEAN) and Australia said on Sunday they held “grave concerns” about escalating tensions caused by North Korea’s nuclear and missile programs.

“We strongly urge the DPRK (Democratic People’s Republic of Korea) to immediately and fully comply with its obligations under all relevant United Nations Security Council Resolutions,” the countries said in a joint declaration, using the initials for North Korea’s official name.

The country’s nuclear and ballistic missile development “threaten regional and global security,” the declaration added.

Australia is hosting ASEAN meetings this weekend, despite not being a member of the 10-nation bloc, as it seeks to tighten political and trade ties in the region amid China’s rising influence.

Officially, the ASEAN summit has focused on fostering closer economic ties among the members of ASEAN and Australia, and countering the threat of Islamist militants returning to the region from the Middle East.

SOUTH CHINA SEA
Australia and its ASEAN neighbors vowed to boost defense ties while stressing the importance of non-militarization in the disputed South China Sea Sunday at a summit where the “complex” Rohingya crisis took center stage.

Leaders from the ASEAN, at the three-day meeting in Sydney, also agreed to work more closely to tackle the growing menace of violent extremism and radicalization.

But while a final communique noted a resolve to “protect the human rights of our peoples,” it failed to condemn member state Myanmar’s treatment of the Muslim-minority Rohingya.

Nearly 700,000 Rohingya have fled the troubled Rakhine state for Bangladesh since authorities launched a brutal crackdown six months ago that the UN has called “ethnic cleansing.”

Myanmar, whose de-facto leader Aung San Suu Kyi was in Sydney, has vehemently denied the allegations.

“We discussed the situation in Rakhine state at considerable length today,” Australian Prime Minister Malcolm Turnbull said at a closing press conference.

“Aung San Suu Kyi addressed the matter comprehensively, at some considerable length herself,” he said.

“It’s a very complex problem … Everyone seeks to end the suffering that has been occasioned by the events, the conflict.”

Singapore Prime Minister Lee Hsien Loong, said the crisis was “a concern for all ASEAN countries, and yet ASEAN is not able to intervene to force an outcome.”

Tensions in the South China Sea remain a big worry for regional leaders, as Beijing continues to build artificial islands capable of hosting military installations — much to the chagrin of other claimants to the area.

Vietnam remains the most vocal in the dispute with the Philippines backing off under China-friendly President Rodrigo Duterte. Taiwan, Malaysia and Brunei also have claims.

Canberra and ASEAN reaffirmed “the importance of maintaining and promoting peace, stability, maritime safety and security, freedom of navigation and overflight in the region,” without naming Beijing.

The leaders added they wanted to see an “early conclusion of an effective code of conduct in the South China Sea.”

“We will uphold our commitment to the rules-based order and international law in the region, including the South China Sea,” stressed Mr. Turnbull.

With China flexing its muscle, they also committed to enhancing “the scope and sophistication of defense cooperation,” while expressing “grave concern” about escalating tensions on the Korean peninsula.

Day two of the summit on Saturday was devoted to counter-terrorism, with an agreement to work together to tackle extremism amid growing concern about the use of the “dark web,” or encrypted messaging apps, by terrorists to plan attacks.

Fears have been heightened by jihadists now being forced out of Syria and Iraq with the Islamic State caliphate mostly crushed, and into other countries.

Malaysian Prime Minister Najib Razak cited the flow of the displaced Rohingya as a potential new security threat, with desperate people more susceptible to radicalization.

Human rights issues were a key focus of protests during the summit, with thousands denouncing Aung San Suu Kyi, Cambodian strongman Hun Sen and Vietnam’s Nguyen Xuan Phuc, who are accused of oppression.

ASEAN groups Brunei, Cambodia, Indonesia, Laos, Malaysia, Myanmar, the Philippines, Singapore, Thailand and Vietnam, with Australia, a dialogue partner since 1974. — AFP and Reuters

Incumbent President Putin on track for commanding win as Russians head to polls

ZELENODOLSK — Russians voted in a presidential election on Sunday set to give Vladimir Putin a runaway victory, the only possible blemish for the Kremlin being if large numbers of voters do not bother taking part because the result is so predictable.

Opinion polls give Mr. Putin, the incumbent, support of around 70%, or nearly 10 times the backing of his nearest challenger. Another term will take him to nearly a quarter century in power — a longevity among Kremlin leaders second only to Soviet dictator Josef Stalin.

Mr. Putin’s opponents alleged officials were trying to inflate the turnout.

Many voters credit Mr. Putin, a 65-year-old former KGB spy, with standing up for Russia’s interests in a hostile outside world, even though the cost is confrontation with the West.

A row with Britain over allegations the Kremlin used a nerve toxin to poison a Russian double agent in a sleepy English town — denied by Moscow — has not dented his standing.

The majority of voters see no viable alternative to Mr. Putin: he has total dominance of the political scene and the state-run television, where most people get their news, gives lavish coverage of Mr. Putin and little airtime to his rivals.

Galina Zhukova, a pensioner, came to polling station number 1512 in Zelenodolsk, about 800 km (500 miles) east of Moscow, with her husband, Alexei. They arrived soon after the doors opened.

“We voted for Putin. Things are all right for us,” said Alexei. “And there’s no one else to vote for,” said Galina.

A day of voting across Russia’s 11 time zones began at 2000 GMT on Saturday on Russia’s eastern edge, in the Pacific coast city of Petropavlovsk-Kamchatsky.

There, voters were handed small plastic flags with the slogan: “I love Kamchatka. We are the first.”

Voting will run until polls close at the westernmost point of Russia, the Kaliningrad region on the Baltic Sea, at 1800 GMT on Sunday.

SHOO-IN CONTEST
A March 9 survey by state-run pollster VTsIOM gave Mr. Putin, who was first elected president in 2000, support of 69%. His nearest rival Pavel Grudinin, the Communist Party’s candidate, is on just 7%.

The first politician in years to challenge the Kremlin’s grip on power, Alexei Navalny, is barred from the race because of a corruption conviction he says was fabricated by the Kremlin.

He is calling for a boycott of the election, saying it is an undemocratic farce, and deploying supporters to collect evidence of anyone rigging the ballot to inflate turnout and support for Mr. Putin. The Kremlin and election officials say any fraud will be stamped out.

In an address to the nation broadcast on national television on Friday, Mr. Putin said voters held the fate of the country in their hands and urged them to vote.

A low turnout would diminish Mr. Putin’s authority in his next term, which, under the constitution, has to be his last.

“There is no intrigue. I do not see any point for me in going to the election,” said Alexei Khvorostov, a resident of Krasnodar, in southern Russia.

Yevgeny Roizman, a Kremlin opponent who is mayor of the industrial city of Yekaterinburg, said officials were using bribes and inducements to persuade people to vote.

“They’re herding the whole country to the polling stations,” Mr. Roizman, a rare example of an elected official opposed to the Kremlin, said in a video blog. “It’s degrading… We’re not sheep.”

In the Khabarovsk region, on Russia’s Pacific coast, officials delivered supplies of eggs, tinned peas and frozen pike to polling stations. It will be sold to voters at a discount of between 10% and 30% compared to prices in local shops.

“By doing this we hope to attract voters to the polling stations and we think we can increase turnout,” said Nikolai Kretsu, chairman of the consumer market committee in the regional administration.

“The second objective is to strengthen allegiance towards the authorities.” — Reuters

Russia, UK diplomatic crisis deepens

MOSCOW — Prime Minister Theresa May said the UK may take further action against Russia over the nerve-agent poisoning of a former spy and his daughter after Moscow ordered 23 British diplomats to leave the country in a tit-for-tat retaliation.

“We anticipated a response of this kind and we will consider our next steps in the coming days, alongside our allies and partners,” Ms. May said at a Conservative Party forum in London on Saturday. Russia also ordered the British consulate in St. Petersburg to close and told the British Council to end its work in the country.

The Foreign Ministry in Moscow summoned UK Ambassador Laurie Bristow on Saturday to tell him of the retaliation for Ms. May’s expulsion of 23 Russian diplomats from London. The measures were in response to “the provocative actions of the British side and the unsubstantiated accusations” against Russia, the ministry said. The confrontation escalated after Ms. May accused Moscow on Wednesday of an “unlawful use of force” involving a weapons-grade nerve agent and ordered out the largest number of Russian diplomats from London in 30 years. She also broke off all high-level contacts over the chemical attack that poisoned former Kremlin double-agent Sergei Skripal and his daughter Yulia in the city of Salisbury on March 4. The pair remain in critical condition.

‘APPALLING ATTACK’
The first use of a nerve agent on European soil since World War II is a direct challenge to the Western alliance, days before elections are almost certain to give Vladimir Putin a fourth term as Russia’s president. Tensions heightened further when UK Foreign Secretary Boris Johnson said Friday that it was “overwhelmingly likely” Mr. Putin personally ordered the operation, a comment described as “unpardonable diplomatic misconduct” by the Kremlin.

Mr. Johnson added to his Putin criticism on Saturday, writing in the Washington Post that the nerve-agent incident is “part of a pattern of reckless behavior” by the leader, citing Russia’s annexation of Crimea, cyberattacks in Ukraine, the hacking of Germany’s parliament and Russia’s interference in foreign elections.

“This crisis has arisen as a result of an appalling attack” in the UK involving “a chemical weapon developed in Russia and not declared by Russia at the Organisation for the Prohibition of Chemical Weapons, as Russia was and is obliged to do,” Mr. Bristow told reporters in televised comments as he left the ministry.

Russia gave the British diplomats one week to leave. “If further actions of an unfriendly nature are taken against Russia, the Russian side reserves the right to take other retaliatory measures,” the ministry said.

BACKING MAY
The UK National Security Council will meet early next week to “consider next steps,” the Foreign and Commonwealth Office in London said in a statement on Saturday. “We continue to believe it is not in our national interest to break off all dialogue between our countries but the onus remains on the Russian state to account for their actions.”

US President Donald J. Trump, German Chancellor Angela Merkel and French President Emmanuel Macron backed the UK in a joint statement with Ms. May on Thursday and said there’s “no plausible alternative explanation” to Russian responsibility.

Russia denies involvement and warned for days that it would reply to the UK’s expulsion of 40% of its diplomats in London. Foreign Minister Sergei Lavrov has denounced the British accusations as “absolutely rude, unsubstantiated and baseless.”

Russia’s response is “moderate, expected and appropriate,” said Oleg Morozov, a former senior Kremlin official who now sits on the foreign affairs committee of the upper house of parliament. “It’s impossible not to respond in this situation. Britain is acting too defiantly.”

COUNCIL CLOSING
The order to close the British Council ends nearly 60 years of its work in Russia as the UK’s international organization for culture and education. It opened offices in Moscow under a 1959 agreement with the Soviet Union and expanded to 15 Russian cities after the 1991 collapse of the Communist state.

Its presence gradually reduced amid mounting political confrontation between the UK and Russia, which also disputed the legal basis for the council’s presence in the country. In 2008, Russia ordered the council to close all its offices except the Moscow headquarters as part of retaliation for the UK’s expulsion of diplomats over the radioactive poisoning of former security-service officer Alexander Litvinenko in 2006. A UK public inquiry concluded in 2016 that Putin “probably” approved the killing.

Russia’s attacking the wrong target with its “misguided” decision to close the council, Clementine Cecil, executive director of the Pushkin House center in London, which promotes Russian culture, wrote on Facebook. “Relations have been poor for a long time, and the cultural field is the only arena where we can have positive, two-way reciprocal communication.”

Relations strained further on Friday when London’s Metropolitan Police said that it’s treating as murder the death of Nikolai Glushkov, a close associate of Putin opponent Boris Berezovsky — a one-time billionaire who was himself found hanged in 2013 in his house outside London.

Mr. Glushkov, 68, was found dead at his home in the southwest of the UK capital on March 12. An autopsy showed he died from “compression to the neck,” the police said in a statement, adding that there was no evidence he had been poisoned or to link his death to the attack on the Skripals. — Bloomberg

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