In a major essay, John Pilger describes a 'Faustian Pact' that allows the suppression of a modern fascism in the West and its reliance on propaganda as news, and the beckoning of a war that rarely speaks its name.

The Dirty War on the NHS was first broadcast in Britain on the ITV Network on 17 December, 2019. It was shown following the general election that saw Boris Johnson become prime minister - even though the future of the NHS was a major issue in the campaign.

The remarkable prescience of the film became clear when the COVID pandemic struck, and the NHS, crippled by bed shortages, the starvation of resources and accelerating privatisation, could not cope. This was the film's warning - a warning also delivered in 2016 when a full 'drill' for a pandemic showed the NHS would barely survive such an emergency. The politicians and managers did nothing; the report of the results of the drill was suppressed.

The ideological assault on the world's first public health service continued at the height of the COVID crisis with inept private firms given lucrative contracts for PPE and mass testing. The Health Secretary, Matt Hancock, an arch privatiser, announced in August 2020 that in future most GP consultations would be be online. Hancock's association with the tech company, Babylon Health, is dealt with in The Dirty War.