Globalisation and health

the need for a global vision

Ted Schrecker, Ronald Labonté, Roberto De Vogli

Research output: Contribution to journalArticle

41 Citations (Scopus)

Abstract

The reduction of health inequities is an ethical imperative, according to the WHO Commission on Social Determinants of Health (CSDH). Drawing on detailed multidisciplinary evidence assembled by the Globalization Knowledge Network that supported the CSDH, we define globalisation in mainly economic terms. We consider and reject the presumption that globalisation will yield health benefits as a result of its contribution to rapid economic growth and associated reductions in poverty. Expanding on this point, we describe four disequalising dynamics by which contemporary globalisation causes divergence: the global reorganisation of production and emergence of a global labour-market; the increasing importance of binding trade agreements and processes to resolve disputes; the rapidly increasing mobility of financial capital; and the persistence of debt crises in developing countries. Generic policies designed to reduce health inequities are described with reference to the three Rs of redistribution, regulation, and rights. We conclude with an examination of the interconnected intellectual and institutional challenges to reduction of health inequities that are created by contemporary globalisation.

Original languageEnglish (US)
Pages (from-to)1670-1676
Number of pages7
JournalThe Lancet
Volume372
Issue number9650
DOIs
StatePublished - 2008
Externally publishedYes

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Internationality
Social Determinants of Health
Health
Economics
Dissent and Disputes
Economic Development
Insurance Benefits
Poverty
Developing Countries

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Schrecker, T., Labonté, R., & De Vogli, R. (2008). Globalisation and health: the need for a global vision. The Lancet, 372(9650), 1670-1676. https://doi.org/10.1016/S0140-6736(08)61691-8

Globalisation and health : the need for a global vision. / Schrecker, Ted; Labonté, Ronald; De Vogli, Roberto.

In: The Lancet, Vol. 372, No. 9650, 2008, p. 1670-1676.

Research output: Contribution to journalArticle

Schrecker, T, Labonté, R & De Vogli, R 2008, 'Globalisation and health: the need for a global vision', The Lancet, vol. 372, no. 9650, pp. 1670-1676. https://doi.org/10.1016/S0140-6736(08)61691-8
Schrecker, Ted ; Labonté, Ronald ; De Vogli, Roberto. / Globalisation and health : the need for a global vision. In: The Lancet. 2008 ; Vol. 372, No. 9650. pp. 1670-1676.
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