Globalisation and health: the need for a global vision

Ted Schrecker, Ronald Labonté, Roberto De Vogli

Research output: Contribution to journalArticle

43 Scopus citations

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

ASJC Scopus subject areas

  • Medicine(all)

Fingerprint Dive into the research topics of 'Globalisation and health: the need for a global vision'. Together they form a unique fingerprint.

  • 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