In March 2013, a coalition of digital rights organizations and other groups issued a statement  calling on negotiators to „have TTIP debated in the US Congress, the European Parliament, national parliaments and other transparent for a,” instead of „conducting concluded negotiations that give privileged access to insiders” and abandoning the intellectual property of the agreement. At France`s request, trade in audiovisual services has been excluded from the EU`s negotiating mandate.  The European side insisted that the agreement include a chapter on the regulation of financial services; but this is rejected by the United States, which recently passed the Dodd-Frank Act in this area.  The U.S. Ambassador to the European Union, Anthony L. Gardner, denied any connection between these two issues.  The agreement has been criticised and rejected by some trade unions, charities, NGOs and environmentalists, particularly in Europe.  The Independent describes the frequent criticism of TTIP as „reducing regulatory barriers to large companies, food security, environmental legislation, banking regulation and the sovereignty of individual nations” or more critical as an „attack on European and American companies by transnational groups”.  The Guardian criticized the „undemocratic nature of closed-door talks,” „the influence of powerful lobbyists,” TTIP`s potential ability to „undermine the democratic authority of local authorities” and called it „the most controversial trade agreement the EU has ever negotiated.”  German economist Max Otte argued that TTIP would have a negative impact on European social models if it put European workers in direct competition with the Americans (because of the North American free trade agreement with Mexicans and Canadians.  An EU mechanism for direct democracy, the European Citizens` Initiative, which allows European citizens to directly ask the European Commission to propose a legislative act has garnered more than 3.2 million signatures against TTIP and CETA in the space of a year.   In response to the criticism, the European Commission published negotiating documents months after its revelations by Greenpeace, including all EU proposals in the regulatory and regulatory elements of the agreement.    The Trade Commissioner described the negotiations as „the most transparent trade negotiations ever conducted by the EU”.  The aim is to remove barriers to transatlantic trade and to further open markets on both sides of the Atlantic.
To this end, the EU and the United States are negotiating a Transatlantic Trade and Investment Partnership (TTIP) agreement. With regard to TTIP, a broader „transatlantic free trade area” has been adopted. [By whom?] [Citation required] On the U.S. side, other members of the North American Free Trade Area (Canada and Mexico) could be part of it; and, on the European side, members of the European Free Trade Association (Iceland, Norway, Switzerland and Liechtenstein). Mexico has already concluded a free trade agreement with EFTA and the EU, while Canada has a free trade agreement with EFTA and negotiated a free trade agreement with the EU. These agreements may need to be harmonised with the EU-US agreement and could constitute a wider free trade area. Chapter IV, Articles 24-28, would allow the free movement of business leaders and other employees of a temporary work enterprise between all contracting states.  However, Article 1, paragraph 2, makes it clear that the free movement of workers and citizens is no longer permitted.
This is the most fundamental question of TTIP. The current national law of public procurement and competition rules already allows NHS commissioners in England to open clinical services to competition if they wish.