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11 - Global health ethics: the rationale for mutual caring

Published online by Cambridge University Press:  01 March 2011

Solomon Benatar
Affiliation:
University of Cape Town
Gillian Brock
Affiliation:
University of Auckland
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Summary

Introduction

Despite impressive twentieth century scientific and technological progress, massive expansion of the global economy, enhanced methods of communication and transportation, and deepening insights into the forces that shape the lives and health of people, the world is more inequitable than it was 50 years ago both in terms of access to health care for individuals and in relation to the health of whole populations (Benatar, 1998; Marmot, 2006).

While polarizing economic forces operate in a world of gross imbalances of wealth and power between the rich and poor (within and between countries) and are largely driven by the economic interests of wealthy nations, many political realities within developing countries have also contributed to the suffering of whole populations. These include corruption, ruthless military dictatorships, ostentatious expenditure by the ruling elite, under-investment in basic education and health, excessive military expenditures and ethnic strife and civil wars. Appropriate criticism of such deficiencies should be accompanied by acknowledgment that they are promoted by powerful nations pursuing their own economic and geo-political interests, often through collusion with despots who have much to gain in personal wealth and the maintenance of power at the expense of their citizens.

Nevertheless, it is arguable that the primary responsibility for good governance surely must rest largely within individual nations – even the poorest – as good governance, like democracy, cannot be imposed from outside.

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Publisher: Cambridge University Press
Print publication year: 2011

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References

,Amnesty International. United States of America: Human dignity denied – Torture and accountability in the war on terror. www.amnesty.org/en/library/info/AMR51/146/2004/en (Accessed December 5, 2009).
Benatar, S. R. (1998). Global disparities in health and human rights. American Journal of Public Health 98, 295–300.CrossRefGoogle Scholar
Benatar, S. R. (2001). The coming catastrophe in international health: an analogy with lung cancer. International Journal LV 1(4), 611–31.Google Scholar
Benatar, S. R. (2005a). The HIV/AIDS pandemic: a sign of instability in a complex global system. In A. Van Niekerk & A. Kopelman (Eds.), Ethics and AIDS in Africa: the challenge to our thinking (pp. 71–83). Cape Town: David Philip Press.Google Scholar
Benatar, S. R. (2005b). Moral imagination: the missing component in global health. Public Library of Science Medicine 2 (12), e400. www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.0020400 (Accessed December 5, 2009).Google ScholarPubMed
Benatar, S. R. & Doyal, L. (2009). Human rights abuses: towards balancing two perspectives. International Journal of Health Services 39, 37–59.CrossRefGoogle Scholar
Benatar, S. R., Daar, A. & Singer, P. A. (2003). Global health ethics: the rationale for mutual caring. International Affairs 79, 107–38.CrossRefGoogle Scholar
Benatar, S. R., Gill, S. & Bakker, I. (2009). Making progress in global health: the need for new paradigms. International Affairs 85, 347–71.CrossRefGoogle Scholar
Brecher, J., Costello, T. & Smith, B. (2000). Globalisation from Below: The Power of Solidarity. Cambridge, MA: South End Press.Google Scholar
Brock, G. (2008). Taxation and global justice: closing the gap between theory and practice. Journal of Social Philosophy 39, 161–84.CrossRefGoogle Scholar
Brock, G. (2009). Global Justice: A Cosmopolitan Account. Oxford: Oxford University Press.CrossRefGoogle Scholar
Buchanan, A. (2000). Rawls's Law of Peoples: rules for a vanquished Westphalian world. Ethics 110, 697–721.CrossRefGoogle Scholar
Chan, M. (2008) Impact of the global financial and economic crisis on health: Statement by WHO Director-General Dr Margaret Chan. 12 November. www.who.int/mediacentre/news/statements/2008/s12/en/index.html (Accessed December 5, 2009).
Chapman, A. R. (1996). Reintegrating rights and responsibilities. In K. W. Hunter & T. C. Mack (Eds.), International Rights and Responsibilities for the Future (pp. 3–28). Westport, CT: Praeger.Google Scholar
Daniels, N. & Sabin, J. (2002) Setting Limits Fairly: Can We Learn to Share Medical Resources?Oxford: Oxford University Press.CrossRefGoogle Scholar
Daniels, N., Light, D. & Caplan, R. (1996). Benchmarks of Fairness for Health Care Reform. Oxford: Oxford University Press.Google Scholar
Donnelly, J. (1998). Human rights: a new standard of civilization?International Relations 74, 1–24.Google Scholar
Doyal, L. & Gough, I. (1991). A Theory of Human Need. London: Macmillan.CrossRefGoogle Scholar
Dunne, T. & Wheeler, N. J. (Eds.) (1999). Human Rights in Global Politics. Cambridge: Cambridge University Press.CrossRef
Dunne, J. (Ed.) (1992). Democracy: The Unfinished Journey. 508BC-AD1993. Oxford: Oxford University Press.
Fact sheet on Tobin taxes. www.ceedweb.org/iirp/factsheet.htm (Accessed December 5, 2009).
Falk, R. A. (2000). Human Rights Horizons: The Pursuit of Justice in a Globalising World. New York: Routledge.Google Scholar
Farmer, P. (2003). Pathologies of Power: Health, Human Rights, and the New War on the Poor. Berkeley, CA: University of California Press.Google Scholar
Farmer, P. (2008). Challenging opportunities: the road ahead for health and human rights. Health and Human Rights 10, 5–19.CrossRefGoogle Scholar
Fidler, D. P. (2008). After the revolution: global health politics in a time of economic crisis and threatening future trends. Global Health Governance II (2) http://ghgj.org/fidler2.2afterrevoluton.htm (Accessed November 24, 2009).Google Scholar
Fox, M. W. & Rolin, B. E. (2001). Bringing Life to Ethics: Global Bioethics for a Human Society. New York, NY: SUNY Press.Google Scholar
Fox, R. C. & Swazey, J. (2008). Observing Bioethics. Oxford: Oxford University Press.CrossRefGoogle Scholar
Garrett, L. (1994). The Coming Plague: Newly Emerging Diseases in a World out of Balance. New York, NY: Farrar, Strauss and Giroux.Google Scholar
Garrett, L. (2007). The challenge of global health. Foreign Affairs 86, 1–17Google Scholar
Girling, J. (1997). Corruption, Capitalism and Democracy. London: Routledge.CrossRefGoogle Scholar
Glover, J. (2001). Humanity: a Moral History of the Twentieth Century. New Haven, CT: Yale University Press.Google Scholar
,Governance and Social Development Resource Centre (2009). Helpdesk Research Report: The Impact of Financial Crises on Conflict and Social Stability 05.03.09. www.carleton.ca/cifp/app/serve.php/1231.pdf (Accessed November 24, 2009).
Green, R. M., Donovan, A. & Jauss, S. A. (Eds.) (2008). Global Bioethics: Issues of Conscience for the 21st Century. Oxford: Oxford University Press.
Harmon, S. (2006). Solidarity: A (new) ethic for global health policy. Health Care Analysis 14, 215–36.CrossRefGoogle ScholarPubMed
Hosie, V. (1992). The third world as a philosophical problem. Social Research 52, 227–262.Google Scholar
Hutton, W. (2008). The Writing on the Wall. China and the West in the 21st Century. London: Abacus.Google Scholar
Kakutani, M. Inside the meltdown: financial ruin and the race to contain it. New York Times, July 21, 2009. www.nytimes.com/2009/07/21/books/21kakutani.html?_r=1 (Accessed December 5, 2009).
Kassalow, J. S. (2001). Why Health is Important to US Foreign Policy. New York, NY: Council on Foreign Relations and Milbank Memorial Fund.Google Scholar
Katz, A. (2008). “New global health”: A reversal of logic, history and principles. Social Medicine 3 (I), 1–3.Google Scholar
Kickbush, I. (2000). The development of international health policies: Accountability intact?Social Science and Medicine 51, 978–89.Google Scholar
Krugman, P. (2009). School for scoundrels. New York Times, August 9. www.nytimes.com/2009/08/09/books/review/Krugman-t.html (Accessed November 4, 2009).
Kung, H. (1997). A Global Ethic for Global Politics and Economics. Oxford: Oxford University Press.Google Scholar
Leahy, J. (2009). Asia warned of growing poverty. Financial Times, June 28. www.ft.com/cms/s/0/3c40ec68–6408–11de-a818–00144feabdc0.html?nclick_check=I (Accessed December 5, 2009).
Louw, D. J. (2004). Ubuntu: An African assessment of the religious other. www.bu.edu/wcp/Papers/Afri/AfriLouw.htm (Accessed November 24, 2009).
Low, N. & Gleeson, B. (1998). Justice, Society & Nature: an Exploration of Political Ecology. London: Routledge.Google Scholar
Marmot, M. (2006). Health in an unequal world. Lancet 368, 2081–94.CrossRefGoogle Scholar
Maslin, M. (2008). Prognosis for a sick planet. Clinical Medicine 8, 569–72.CrossRefGoogle ScholarPubMed
MccGwire, M. (2001a). Shifting the paradigm. International Affairs 77, 1–28.Google Scholar
MccGwire, M. (2001b). The paradigm that lost its way. International Affairs 77, 777–803.CrossRefGoogle Scholar
McMichael, A. J., Friel, S., Nyong, A. & Corvalan, C. (2008). Global environmental change and health: impacts, inequalities, and the health sector. British Medical Journal336, 191–4.Google ScholarPubMed
Milner, B. (2009). Africa's heavy toll. Globe and Mail, Wednesday, June 10, p. 4.Google Scholar
Navarro, V. (2007). Neoliberalism, Globalization and Inequalities: Consequences for Health and Quality of Life. Amityville, NY: Baywood.Google Scholar
Nixon, S. A., Upshur, R., Robertson, A.et al. (2008). Public health ethics. In T. M. Bailey, T. Caulfield & N. M. Ries (Eds.), Public Health Law & Policy in Canada (2nd edn.) (pp. 39–59). Canada: Lexis Nexis Butterworths.Google Scholar
Pearson, L. B. (1972). Lester B Pearson's public address at St Martin-in-the-Fields, London June 13, 1972 on the occasion of the presentation to him of the Victor Gollancz Humanity Award. www.unac.org/en/link_learn/canada/pearson/speechgollancz.asp (Accessed December 6, 2009).
,People's Health Movement, Medact and the Global Equity Gauge Alliance (2005). Global Health Watch 2005–2006. London: Zed Books.Google Scholar
,People's Health Movement, Medact and the Global Equity Gauge Alliance (2008). Global Health Watch 2: An Alternative World Health Report. London: Zed Books.Google Scholar
Peter, F. & Evans, T. (2001). Ethical dimensions of health equity. In Evans, T., Whitehead, M., Diderichsen, F., Bhuyia, A. & Wirth, M. (Eds.), Challenging Inequities in Health: From Ethics to Action (pp. 24–33). New York: Oxford University Press.Google Scholar
Pogge, T. (2002). World Poverty and Human Rights. Cambridge: Polity Press.Google Scholar
Pogge, T. (2005). Recognized and violated by international law: the human rights of the global poor. Leiden International Law Journal 18, 717–745.CrossRefGoogle Scholar
Potter, R. (1998). Global Bioethics: Building on the Leopold Legacy. East Lansing, MI: Michigan State University Press.Google Scholar
Powers, M. & Faden, R. (2006). Social Justice: The Moral Foundations of Public Health and Public Health Policy. New York, NY: Oxford University Press.Google Scholar
Ralph, J. (2001). American democracy and democracy promotion. International Affairs 77 (I), 129–140.CrossRefGoogle Scholar
Rieff, D. (1999). The precarious triumph of human rights. The New York Times Magazine August 8, 37–41.Google Scholar
Robertson, A. (1998). Critical reflection on the politics of need: implications for public health. Social Science and Medicine 47, 1419–1430.CrossRefGoogle Scholar
Rorty, R. (1989). Contingency, Irony and Solidarity. Cambridge: Cambridge University Press.CrossRefGoogle Scholar
,Royal Danish Ministry for Foreign Affairs (2000). Building a Global Community: Globalisation and the Common Good. Copenhagen: Royal Danish Ministry for Foreign Affairs.Google Scholar
Sandbrook, R. (2000). Globalisation and the limits of neoliberal development doctrine. Third World Quarterly 21(6), 1071–1080.CrossRefGoogle Scholar
Sen, A. (1999). Development as Freedom. New York, NY: Anchor Books.Google Scholar
Singer, P. (2002). One World: The Ethics of Globalisation. New Haven, CT:Yale University Press.Google Scholar
Soros, G. (2002). On Globalisation. New York: Public Affairs.Google Scholar
Taylor, C. (1989). Sources of the Self: the Making of Modern Identity. Cambridge, MA: Harvard University Press.Google Scholar
Teeple, G. (2000). Globalisation and the Decline of Social Reform: Into the 21st Century. Auroria, ON: Garamond Press.Google Scholar
Wallerstein, I. (1999). The End of the World as We Know it: Social Science for the 21st Century. Minneapolis, MN:University of Minnesota Press.Google Scholar
,World Health Organization (WHO) (2009). The Financial Crisis and Global Health: Report of a High-Level Consultation. Geneva: WHO. January 19 www.who.int/mediacentre/events/meetings/2009_financial_crisis_report_en_.pdf (Accessed December 6, 2009).Google Scholar

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