Reports

The 62-page report, “In Sheep’s Clothing: United States’ Poorly Regulated Nonprofit Hospitals Undermine Health Care Access,” describes how the US government’s lack of guidance and oversight allows privately operated tax-exempt hospitals to spend far less on making healthcare services accessible for people without the means to pay than the massive public subsidies they receive. In 2020, for example, nonprofit hospitals collectively received about $28 billion in tax benefits but only spent about $16 billion on free or reduced-price “charity care,” according to the Kaiser Family Foundation.

The 82-page report “‘No Internet Means No Work, No Pay, No Food’: Internet Shutdowns Deny Access to Basic Rights in ‘Digital India,’” finds that internet shutdowns impair essential activities and adversely affect economic, social and cultural rights under Indian and international human rights law. Indian authorities, in the name of maintaining public order, have ignored Supreme Court orders setting out procedural safeguards to ensure that internet suspensions are lawful, necessary, proportionate, and limited in scope and territory. Decisions by central and state government authorities to disrupt internet access are often erratic and unlawful, and are used for restricting protests and preventing cheating in examinations.

The 74-page report, “‘Automated Neglect’: How The World Bank’s Push to Allocate Cash Assistance Using Algorithms Threatens Rights,” details how an automated cash transfer program in Jordan known as Takaful (a word similar to solidarity in Arabic) profiles and ranks the income and well-being of Jordanian families to determine who should receive support – an approach known as poverty targeting. This system, which the World Bank has funded in Jordan and seven other countries in the Middle East and North Africa, is depriving many people of their right to social security even as they go hungry, fall behind on rent, and take on crippling debt.

The 127-page report, “‘Cut Off from Life Itself’: Lebanon’s Failure on the Right to Electricity,” argues that electricity is fundamental to nearly every aspect of living and participating in present- day societies, and as such, the internationally protected right to an adequate standard of living includes the right of everyone, without discrimination, to sufficient, reliable, safe, clean, accessible, and affordable electricity. At present, the government provides electricity for only one to three hours a day on average, while people who can afford it supplement that supply with private generators. The public sector and private generator industry rely on polluting climate-intensive fossil fuels. The electricity crisis has exacerbated inequality in the country, severely limited people’s ability to realize their most basic rights, and pushed them further into poverty.

The 97-page report, “Only ‘Instant Noodle’ Unions Survive: Union Busting in Cambodia’s Garment and Tourism Sectors,” documents how the Cambodian government and some employers have used various legal and administrative tactics during the Covid-19 pandemic to weaken Cambodia’s independent union movement and violate workers’ rights. Measures adopted to address the severe economic impacts of the pandemic have punished independent unions while benefitting employer-friendly unions, which could register quickly with the government, like “making instant noodles,” in the words of a prominent union leader.

The 28-page report, “‘Obsessed with Audit Tools, Missing the Goal’: Why Social Audits Can’t Fix Labor Rights Abuses in Global Supply Chains,” highlights the problems with social audits and certifications for suppliers, including in the apparel sector, and is focused on labor rights abuses. Policymakers in the European Union and elsewhere considering legislation to regulate how corporations respect rights and environmental standards in their own operations and global value chains should not rely on such audits or certifications as proof of compliance.

The 63-page report, “‘We Deserve to Have a Place to Live:’ How US Underfunding Public Housing Harms Rights in New York, New Mexico, and Beyond,” examines the impact of a decline in federal funding for public housing, which has been accompanied by a modest increase in investment in affordable housing programs that rely on the private sector, such as voucher and subsidy programs. Human Rights Watch found that budget cuts have led to deteriorating living conditions in public housing in New York City, as well as in northern New Mexico, and have reduced the public housing stock nationwide. It also finds that other affordable housing programs, which rely on the private sector, have often failed to guarantee long-term affordability for people with the lowest incomes.

The 63-page report, “‘We Can’t Live Like This’: Spain’s Failure to Protect Rights Amid Rising Pandemic-Linked Poverty,” documents the enduring weaknesses in Spain’s social security system. Efforts by the authorities to supplement a weak safety net have fallen short, leaving people unable to afford essentials. The violations of people’s rights to food, social security, and an adequate standard of living could worsen as global food and fuel costs spiral. This research is the first in a series of investigations in Europe into people’s right to an adequate standard of living in the context of the impact of the Covid-19 pandemic and rapidly increasing living costs across the globe.

The 92-page report, “‘If I’m Out of Insulin, I’m Going to Die:’ United States’ Lack of Regulation Fuels Crisis of Unaffordable Insulin,” describes the human rights impacts of US government policies that make essential life-saving medication like insulin unaffordable for many people. Human Rights Watch found that exorbitant insulin prices and inadequate health insurance coverage can cause people to pay high out-of-pocket costs for insulin, contributing to dangerous and potentially lethal medicine rationing, forcing people to forgo other basic needs, and disproportionately affecting socially and economically marginalized groups.

The 137-page report, “Underwater: Human Rights Impacts of a China Belt and Road Project in Cambodia,” documents economic, social, and cultural rights violations resulting from the Lower Sesan 2 dam’s displacement of nearly 5,000 people whose families had lived in the area for generations, as well as impacts on the livelihoods of tens of thousands of others upstream and downstream. Cambodian authorities and company officials improperly consulted with affected communities before the project’s start and largely ignored their concerns. Many were coerced into accepting inadequate compensation for lost property and income, provided with poor housing and services at resettlement sites, and given no training or assistance to secure new livelihoods. Other affected communities upstream and downstream of the dam received no compensation or assistance.

The 63-page report, “Aluminum: The Car Industry’s Blind Spot – Why Car Companies Should Address the Human Rights Impact of Aluminum Production,” describes the global supply chains that connect car manufacturers to mines, refineries, and smelters from countries including Guinea, Ghana, Brazil, China, Malaysia, and Australia. Based on meetings and correspondence with nine major car companies – BMW, Daimler, Ford, General Motors, Groupe PSA (now part of Stellantis), Renault, Toyota, Volkswagen, and Volvo – Human Rights Watch and Inclusive Development International assessed how the auto industry addresses the human rights impacts of aluminum production, from the destruction of farmland and damage to water sources caused by mines and refineries to the significant carbon emissions from aluminum smelting. Three other companies – BYD, Hyundai, and Tesla – did not respond to requests for information.

The 84-page report, “Sparkling Jewels, Opaque Supply Chains: Jewelry Companies, Changing Sourcing Practices, and Covid-19,” scrutinizes and gives rankings to 15 jewelry and watch brands in their efforts to prevent and address human rights abuses and environmental harm in their gold and diamond supply chains. Human Rights Watch reviewed the companies’ actions since Human Rights Watch first reported on these issues in 2018. While a majority of the jewelry companies examined have taken some steps to improve their practices, most still fall short of meeting international standards.

The 68-page report, “Automated Hardship: How the Tech-Driven Overhaul of the UK’s Benefits System Worsens Poverty,” details how a poorly designed algorithm is causing people to go hungry, fall into debt and experience psychological distress. Human Rights Watch has also found that the government is failing to address the socio-economic inequalities which prevent people from being able to apply for and manage their benefit online.

This report describes how dozens of brands and retailers are publicly disclosing information about their supplier factories. This has become a widely accepted step toward better identifying and addressing labor abuses in garment supply chains. 

This report documents that investment banks owned by Belgium, Germany, the Netherlands, and the United Kingdom are failing to protect the rights of people working and living on three plantations they finance. Human Rights Watch found that Feronia and its subsidiary in Congo, Plantations et Huileries du Congo, S.A. (PHC), expose workers to dangerous pesticides, dump untreated industrial waste into local waterways, and engage in abusive employment practices that result in extreme poverty wages.