BOOK
Global Health Watch 5
(2017)
Additional Information
Book Details
Abstract
For over a decade, Global Health Watch has been the definitive source for alternative analysis on health.
This new edition addresses the key challenges facing governments and health practitioners today, within the context of rapid shifts in global governance mechanisms and the UN’s Sustainable Development Goals. Like its predecessors, it challenges conventional wisdom while pioneering innovative new approaches to the field.
Collaboratively written by academics and activists drawn from a variety of movements, research institutions and civil society groups, it covers some of the most pressing issues in world health, from the resurgence of epidemic diseases such as Ebola to the crisis in the WHO, climate change and the ‘war on drugs’. Combining rigorous analysis with practical policy suggestions, Global Health Watch 5 offers an accessible and compelling case for a radical new approach to health and healthcare across the world.
The Global Health Watch is a broad collaboration of public health experts, non-governmental organizations, civil society activists, community groups, health workers and academics. It was initiated by the People’s Health Movement, Global Equity Gauge Alliance and Medact as a platform of resistance to neoliberal dominance in health.
‘Offers a courageous and serious assessment, making it compulsory health policy reading.’
Michael Moore, President, World Federation of Public Health Associations
‘Addresses the increasingly complex problems affecting the health of populations. It draws attention to the destructive impact of corporate power and to the abuse of technological and scientific developments.’
Nila Heredia Miranda, former Minister of Health for Bolivia, and Executive Director of the Andean Health Organisation
‘This encyclopaedic work offers a thorough discussion of the state of human health worldwide, a deep analysis of the social causes of persistent health deficits, and constructive ideas for reform. An indispensable second opinion to government propaganda.’
Thomas Pogge, Yale University
‘A consistent source of critical information and analysis of health around the world. Terrific for researchers, teachers, students and health activists. The current edition will help the fight for better social, economic and environmental conditions.’
Paulo Buss, Director, FIOCRUZ Center for Global Health
‘Brings together vision, critique, solidarity, and the promise of a collective path towards health equity for the world’s peoples. GHW5 makes vivid the connections between social justice and public health.’
Nancy Krieger, Harvard T.H. Chan School of Public Health
‘Global Health Watch again meets our expectations for a critical analysis of the two great challenges of our time: the ecological crisis, and continuing economic disparities. It holds us accountable, and moves us toward an alternate vision.’
Vic Neufeld, Special Advisor, Canadian Coalition for Global Health Research
'A highly informative book – an extremely useful contribution offering an indeed alternative understanding of current global responses to probably the world’s greatest challenge.'
Medicine, Conflict and Survival
'An invaluable alternative health report to the mainstream consensus that privatized health insurance (known as Universal Health Coverage) is the answer to the world’s health problems.'
Social Medicine Portal
‘Provides us with compelling evidence about all that is wrong with the governance of health care systems across the world. At the same time it also provides us with hope, in the many stories about what can be done and what is being done.’
Halfdan Mahler, former director general of the World Health Organization
‘An incisive socio-political critique of contemporary global health issues’
K. Srinath Reddy, president, Public Health Foundation of India
‘Reading Global Health Watch is a necessary step in understanding how challenging and urgent change is, but that it is increasingly necessary for the survival of our planet Earth.’
Eduardo Espinoza, vice-minister for health of El Salvador
‘Global Health Watch confirms the failure of the UN, capitalism and liberal democracy. It also convinces us that we shall need a radically new manner of thinking if mankind is to survive.’
Suwit Wibulpolprasert, former senior adviser on disease control, Ministry of Public Health, Thailand
'Challenges us to look at health and health care from a critical perspective. Essential reading for the movers and shakers in health policy the world over.'
Gill Walt, London School of Hygiene and Tropical Medicine
Table of Contents
Section Title | Page | Action | Price |
---|---|---|---|
Cover | Cover | ||
Title Page | iii | ||
Copyright | iv | ||
Contents | v | ||
List of Abbreviations | vii | ||
List of Tables and Figures | xi | ||
Acknowledgements | xiii | ||
Introduction | 1 | ||
Section A: The Global Political and Economic Architecture | 11 | ||
A1: Sustainable Development Goals in the Age of Neoliberalism | 13 | ||
Introduction | 13 | ||
The SDGs: Plus ça Change, Plus C’est La Même Chose? | 15 | ||
The Myth of Poverty Reduction | 17 | ||
The Contradictory Hearts of the SDGs | 19 | ||
The Indivisibility of the SDGs | 25 | ||
The Long List of SDG Priorities | 26 | ||
The (Very) Short List of Priority SDGs | 32 | ||
Governance for the SDGs | 33 | ||
A2: ‘Leave No One Behind’ – Are SDGs the Way Forward? | 39 | ||
Fundamental Flaws and Contradictions in the Pledge That No One Will Be Left Behind | 40 | ||
What Is Sustainable? The Elephant in the Room | 44 | ||
The Search for a Comprehensive Approach | 45 | ||
The Future Starts Today | 47 | ||
A3: Advances and Setbacks Towards a Single Public Health System in Latin America | 49 | ||
The Neoliberal Response | 50 | ||
Challenges in Transformation of the Health System | 51 | ||
The New Neoliberal Governments and Setbacks to the Right to Health | 56 | ||
A4: Structural Roots of Migration | 60 | ||
The Dimensions of Global Migration | 60 | ||
Globalization and Migration | 62 | ||
The Discourse on Migration: Omissions, Double Standards and Exclusions | 64 | ||
Conclusions | 68 | ||
Section B: Health Systems: Current Issues and Debates | 71 | ||
B1: Universal Health Coverage: Only About Financial Protection? | 73 | ||
‘Universal Health Coverage’ – Slogan de Jour | 74 | ||
The Emergence of UHC | 75 | ||
The Economistic Mindset | 86 | ||
The Macroeconomic Imperative | 87 | ||
The Pragmatics of Global Health Governance | 91 | ||
How Health Systems Develop | 92 | ||
B2: Revitalizing Community Control in Primary Healthcare | 96 | ||
Evidence for the Benefits of Community Control in ACCHOs | 98 | ||
Evidence for the Benefits of Community Control in Community Health Centres | 101 | ||
Conclusion | 102 | ||
B3: Healthcare in the USA: Understanding the Medical–Industrial Complex | 106 | ||
Introduction | 106 | ||
The Medical–Industrial Complex | 106 | ||
Meet the MIC: Major Players | 108 | ||
Conclusions | 115 | ||
B4: Contextualizing the Struggle of Health Workers in South Africa | 118 | ||
Public Health in South Africa in the 1930s and 1940s | 118 | ||
Health Civil Society during Apartheid and in the 1990s | 119 | ||
The Current South African Health Crisis | 120 | ||
The HIV Epidemic and Developments in Health Civil Society | 121 | ||
The National Health Insurance Project | 124 | ||
A Critical Perspective on South Africa’s Health Reforms | 126 | ||
B5: The ‘New’ Karolinska Hospital: How PPPs Undermine Public Services | 129 | ||
Vision of a New Karolinska | 129 | ||
Hidden Costs and Secrecy | 130 | ||
B6: Access to Healthcare of Migrants in the EU | 136 | ||
Introduction | 136 | ||
Migrants’ Health in Times of Crisis | 140 | ||
Barriers and Challenges for Migrants Seeking Healthcare | 145 | ||
Conclusion | 148 | ||
B7: Informalization of Employment in Public Health Services in South Asia | 151 | ||
Introduction: Global Context of ‘Informal’ Employment in the Health Sector | 151 | ||
Informalization of Hospital Workers in South Asia: Case Studies | 153 | ||
Community Health Workers | 157 | ||
Conclusion | 164 | ||
Section C: Beyond Healthcare | 169 | ||
C1: Climate Change, Environmental Degradation and Health: Confronting the Realities | 171 | ||
Introduction | 171 | ||
Underlying Forces (and Consequences) of Environmental Degradation | 172 | ||
Leading Environmental and Health Problems | 174 | ||
Spaces and Places of Inequity and Injustice | 178 | ||
What Is to Be Done? | 179 | ||
Conclusion | 184 | ||
C2: Gendered Approach to Reproductive and Sexual Health and Rights | 188 | ||
Queering the Right to Health and Healthcare | 189 | ||
Sex Workers’ Health: An Agenda for Public Health | 191 | ||
Whither the Right to Safe Abortion? | 193 | ||
Towards a Conclusion | 195 | ||
C3: Health Reforms in Chile: Lack of Progress in Women’s Sexual and Reproductive Health and Rights | 199 | ||
Introduction | 199 | ||
The Marginalization of SRHR in Health Reform Debates | 202 | ||
The Role of the Catholic Church and Other Conservative Vested Interest Groups | 203 | ||
The Role of Medical Professionals | 204 | ||
Conclusion | 205 | ||
C4: Trade Agreements and Health of Workers | 207 | ||
From WTO to Free Trade Agreements | 207 | ||
Trade Impacts Health in Several Ways | 209 | ||
The Rise of Precarious Employment and Its Impact on Health | 210 | ||
Labour Provisions in Free Trade Agreements: A Solution? | 213 | ||
The Future for Trade Agreements | 217 | ||
C5: Public Health in the Extractive Sector in East and Southern Africa | 219 | ||
Equity and Development in East and Southern Africa | 219 | ||
Health in a Region of Increasing Extractive Activities | 220 | ||
International Norms to Promote Fair Benefit from EI Activities | 223 | ||
Variable Application of International Standards | 224 | ||
The Demand for More Direct Social Voice and Accountability | 228 | ||
Steps to Advance Health Equity in Relation to Extractive Industries | 229 | ||
C6: The War on Drugs: From Law Enforcement to Public Health | 233 | ||
Drug Policies – Public Health Impacts | 234 | ||
A Turning Tide | 238 | ||
What Next? | 240 | ||
Section D: Watching | 243 | ||
D1: Money Talks at the World Health Organization | 245 | ||
Who Finances WHO | 246 | ||
Embracing Philanthropic Foundations and Corporate Engagement | 250 | ||
Partners or Competitors for Health? | 252 | ||
Impact of Voluntary Contributions on Programme Budget Allocations | 253 | ||
Consequences Beyond Global Public Health | 257 | ||
Shift in Governance: Member State-Driven to Multi-Stakeholder | 258 | ||
Concluding Observations | 260 | ||
D2: Private Philanthropic Foundations: What Do They Mean for Global Health? | 263 | ||
An Alternative Notion of Welfare | 264 | ||
Risks and Side-Effects | 266 | ||
Lack of Political Will to Limit Influence of Philanthropic Foundations | 273 | ||
Need for Clear Rules and Criteria for Cooperation with Private Foundations | 274 | ||
D3: Management Consulting Firms in Global Health | 278 | ||
How Management Consulting Firms Became Ubiquitous in Global Health | 278 | ||
Applying a Management Consulting Frame to the Health Field | 283 | ||
Governance Issues That Ought to Be Explored | 287 | ||
Revolving Doors and Conflicts of Interest | 291 | ||
Conclusion | 293 | ||
D4: GAVI and Global Fund: Private Governance Structures Trump Public Oversight in Public Private Partnerships | 298 | ||
GAVI: Publicly Funded with a Private Vision | 298 | ||
Global Fund’s Demand for Immunities and Privileges | 307 | ||
Conclusion | 311 | ||
D5: Investment Treaties: Holding Governments to Ransom | 316 | ||
Introduction | 316 | ||
Understanding Investment Treaties and ISDS | 316 | ||
Philipp Morris Sues Uruguay and Australia | 318 | ||
Pharmaceutical Companies in the Fray | 319 | ||
Energy and Environment Sector | 320 | ||
Limited Victories | 321 | ||
IP Safeguard Proposals | 322 | ||
Not Just Intellectual Property Rights | 322 | ||
Reform, Reject, Repeal | 323 | ||
D6: Framing of Health as a Security Issue | 327 | ||
Introduction | 327 | ||
What Is Securitization? | 327 | ||
Securitizing Health | 328 | ||
Problems with the Securitization of Health | 331 | ||
Conclusions | 333 | ||
D7: Politics of Data, Information and Knowledge | 335 | ||
Introduction | 335 | ||
Creating, Storing and Accessing Data | 335 | ||
Processing Data, Generating and Accessing Information | 336 | ||
Knowledge: Generation, Authorization, Communication and Management | 343 | ||
Conclusion | 344 | ||
D8: Access and Benefit Sharing: The Pandemic Influenza Preparedness Framework | 346 | ||
PIP Framework: The Origins | 346 | ||
Achievements and Challenges of the PIP Framework | 348 | ||
An Access and Benefit-Sharing Model for Other Pathogens | 354 | ||
D9: Total Sanitation Programs at the Cost of Human Dignity | 357 | ||
Toilet Tyranny: Case Studies from Chhattisgarh in India | 357 | ||
‘Victim Blaming’ Is a Constant Feature of CLTS Programs | 363 | ||
Section E: Resistance, Actions and Change | 367 | ||
E1: Social Movements Defend Progressive Health Reforms in El Salvador | 369 | ||
Introduction | 369 | ||
Health Reforms: Key Interventions | 369 | ||
Advances in Health Reform | 370 | ||
Challenges to the Health Reforms | 373 | ||
Economic Landscape and Government Revenues | 375 | ||
Popular Mobilization in Defence of Progressive Reforms | 378 | ||
Conclusion | 381 | ||
E2: Contestations Concerning Management of Severe Acute Malnutrition in India | 385 | ||
Introduction | 385 | ||
Tackling Malnutrition: The Indian Experience | 386 | ||
RUTFs and Conflicting Commercial Interests | 387 | ||
Addressing Malnutrition in the Indian Context | 389 | ||
Conclusion | 392 | ||
E3: People Living with HIV in India: The Struggle for Access | 394 | ||
Changes in India’s Patent Law | 395 | ||
‘Patent Oppositions’ by Phliv Groups | 397 | ||
The Novartis Case | 399 | ||
The Free Trade Agreements | 400 | ||
The Voluntary Licences | 402 | ||
Future Struggles | 403 | ||
E4: Community Engagement in the Struggle for Health in Italy | 407 | ||
Genuino Clandestino: Struggle for Food and Land Sovereignty | 407 | ||
Supporting Community Struggle Against Effects of Asbestos | 411 | ||
List of Contributors | 415 | ||
Index | 417 |